ATI RN
Leadership Nursing Practice Questions Questions
Question 1 of 5
The healthcare provider suspects the Somogyi effect in a 50-year-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?
Correct Answer: C
Rationale: The correct answer is C: Check the blood glucose during the night. The Somogyi effect is rebound hyperglycemia that occurs in response to hypoglycemia during the night. By checking blood glucose levels during the night, the patient can identify if they are experiencing nighttime hypoglycemia leading to rebound hyperglycemia in the morning. This will help determine the need for adjusting insulin doses or carbohydrate intake. Why the other choices are incorrect: A: Avoid snacking at bedtime - does not address the underlying issue of nighttime hypoglycemia. B: Increase the rapid-acting insulin dose - could potentially worsen the Somogyi effect by causing further hypoglycemia. D: Administer a larger dose of long-acting insulin - also does not address the issue of nighttime hypoglycemia and may lead to further fluctuations in blood glucose levels.
Question 2 of 5
After change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C because the patient with hyperosmolar hyperglycemic syndrome showing signs of poor skin turgor and dry oral mucosa is at risk for severe dehydration and potential complications. Assessing this patient first is crucial to address their immediate needs. Choice A is incorrect as the 19-year-old with possible dawn phenomenon can be assessed after the patient with hyperosmolar hyperglycemic syndrome who is at higher risk. Choice B is incorrect as a blood glucose reading of 230 mg/dL in a 35-year-old with type 1 diabetes is high but not indicative of an immediate life-threatening situation compared to severe dehydration. Choice D is incorrect as the 68-year-old with peripheral neuropathy and foot pain, while in discomfort, does not present an immediate threat to their life like severe dehydration does in a patient with hyperosmolar hyperglycemic syndrome.
Question 3 of 5
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely. Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.
Question 4 of 5
When planning care for a client with vision loss, which of the following interventions should the nurse include in the plan of care to assist the client with feeding?
Correct Answer: A
Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is crucial for a client with vision loss as it helps them locate and distinguish different food items more easily. By arranging food in a consistent pattern, the client can use their sense of touch to identify and pick up each item. Thicking liquids (choice B) does not directly address the issue of feeding difficulties due to vision loss. Providing small-handled utensils (choice C) may help with dexterity but does not specifically address the visual impairment. Assigning a staff member to feed the client (choice D) may not promote independence and may not always be feasible.
Question 5 of 5
A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others. Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.