ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 5
A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to
Correct Answer: D
Rationale: The correct answer is D. It is essential to maintain the patient's blood glucose levels to prevent hypoglycemia. Since the patient missed lunch, returning them to the unit to eat ensures timely access to food for glycemic control. This action addresses the immediate need for nutrition and glucose intake. A: Saving the lunch tray is not immediate and does not address the patient's current hypoglycemia risk. B: Starting a dextrose IV is an option for severe hypoglycemia, not for preventing it in this scenario. C: Sending milk or orange juice may help raise blood sugar but does not address the need for a complete meal to prevent hypoglycemia.
Question 2 of 5
A 34-year-old has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye exam
Correct Answer: B
Rationale: The correct answer is B (as soon as possible) because individuals with type 2 diabetes are at risk for diabetic retinopathy, a complication that can lead to vision loss. Early detection through a dilated eye exam allows for timely intervention to prevent or slow down progression. Choice A (every 2 years) may not be frequent enough for early detection. Choice C (when the patient is 39 years old) is not specific to the individual's diabetes diagnosis. Choice D (within the first year after diagnosis) is too delayed for optimal monitoring. Thus, scheduling a dilated eye exam as soon as possible is crucial for early detection and management of diabetic retinopathy.
Question 3 of 5
A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Potassium 5.8 mEq/L. In hypovolemia, there is a decrease in blood volume leading to electrolyte imbalances. Potassium levels outside the normal range can be life-threatening, causing cardiac arrhythmias. Therefore, a potassium level of 5.8 mEq/L is a priority to report to the provider for prompt intervention. Rationale for why the other choices are incorrect: A: BUN within the normal range. It may indicate dehydration but not immediately life-threatening. C: Creatinine slightly elevated, indicating kidney function impairment but not as critical as potassium imbalance. D: Sodium within acceptable range, not an immediate concern in hypovolemia.
Question 4 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?
Correct Answer: A
Rationale: The correct answer is A because the presence of ketones in the urine may indicate dehydration or infection, which can lead to catheter obstruction. Irrigation may be needed to clear the catheter and prevent further complications. Choices B, C, and D are incorrect because an unusual odor, high specific gravity, and a significant amount of urine in the bladder do not necessarily indicate the need for catheter irrigation.
Question 5 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hour. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.