ATI RN
ATI Leadership Questions
Question 1 of 5
A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
Correct Answer: A
Rationale: The correct answer is A: Lispro (Humalog). Lispro is a rapid-acting insulin that is ideal for mealtime coverage in intensive insulin therapy because it mimics the body's natural insulin response after a meal, providing quick and effective blood sugar control. Lispro has a rapid onset of action, peaks quickly, and has a shorter duration of action compared to other types of insulin. This makes it suitable for covering the rise in blood sugar levels that occurs after meals. Summary of why other choices are incorrect: B: Glargine (Lantus) is a long-acting insulin used for basal coverage, not for mealtime coverage. C: Detemir (Levemir) is an intermediate-acting insulin used for basal coverage, not for mealtime coverage. D: NPH (Humulin N) is an intermediate-acting insulin with a slower onset and longer duration of action, making it less suitable for mealtime coverage in intensive insulin therapy.
Question 2 of 5
A female patient is scheduled for an oral glucose tolerance test. Which information from the patient’s health history is most important for the nurse to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test. Other choices are incorrect: B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results. C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context. D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.
Question 3 of 5
1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C): 1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes. 2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients. 3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes. 4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes. Summary of incorrect choices: A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes. B: Serum creatinine test is important for evaluating kidney function in diabetic patients. D: Urine microalbuminuria test helps detect early kidney damage in diabetes.
Question 4 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain. Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain. Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively. Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility. Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.
Question 5 of 5
In preparation for a client's procedure with a latex allergy, which of the following precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Wear hypoallergenic latex gloves that do not contain powder. This is the best precaution because it minimizes the risk of the client having an allergic reaction to latex during the procedure. Powdered latex gloves can release latex particles into the air, increasing the likelihood of a reaction. Hypoallergenic gloves are designed to reduce the risk of allergic responses. Choice A is incorrect as ethylene oxide is used for sterilization of medical equipment, not specifically for latex allergy precautions. Choice C is incorrect because cleansing latex ports with chlorhexidine does not address the risk of latex exposure. Choice D is also incorrect as wrapping monitoring cords does not directly address the issue of latex allergy.