ATI RN
ATI Leadership Proctored Questions
Question 1 of 5
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?
Correct Answer: C
Rationale: The correct answer is C. This question is most appropriate as unintentional weight loss is a common symptom of type 1 diabetes due to the body's inability to properly use glucose for energy. The nurse should ask about weight loss to assess the patient's overall health status. Explanation: A: Asking about anorexia assumes a specific eating disorder, which may not be relevant to the patient's symptoms of diabetes. B: Dark colored urine may indicate dehydration, but it is not specific to type 1 diabetes symptoms. D: Craving sugary drinks may suggest a preference for sweet beverages but does not directly relate to the onset of type 1 diabetes symptoms.
Question 2 of 5
What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?
Correct Answer: A
Rationale: The correct answer is A: Select flat-soled leather shoes. This choice is important for a patient with peripheral arterial disease, type 2 diabetes, and sensory neuropathy as it helps prevent skin breakdown, reduce pressure on the feet, and minimize the risk of injury due to decreased sensation. Flat-soled leather shoes provide good support and protection. Explanation for why the other choices are incorrect: B: Apply heating pads on a low temperature - This can be dangerous for a patient with sensory neuropathy as they may not be able to feel if the heating pad is too hot, leading to burns. C: Avoid using callus remover for corns or calluses - While it is important to avoid injuring the skin, addressing foot care is not as critical as selecting appropriate footwear. D: Refrain from soaking feet in warm water for an hour each day - Prolonged soaking can increase the risk of skin breakdown and infections, so it is important to avoid this practice.
Question 3 of 5
Which laboratory value reported to the nurse by the unlicensed assistive personnel (UAP) indicates the most urgent need for the nurse’s assessment of the patient?
Correct Answer: B
Rationale: The correct answer is B: Noon blood glucose of 52 mg/dL. This value indicates hypoglycemia, which can lead to serious complications like confusion, seizures, or coma. Immediate assessment and intervention are crucial. A: Bedtime glucose of 140 mg/dL is within the normal range. C: Fasting blood glucose of 130 mg/dL is slightly elevated but doesn't require urgent assessment. D: 2-hr postprandial glucose of 220 mg/dL is elevated but not as critical as hypoglycemia.
Question 4 of 5
In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
Correct Answer: C
Rationale: The correct order is C. First, rotate the NPH vial to mix the insulin. Then, inject 20 units of air into the NPH vial to prevent a vacuum. Next, inject 2 units of air into the regular insulin vial to maintain pressure. After that, withdraw the regular insulin to avoid contamination. Finally, withdraw 20 units of NPH, ensuring the correct dosage. This order ensures proper mixing, prevents contamination, and maintains accurate dosing. Other choices have incorrect sequences that may result in inaccurate dosing or contamination.
Question 5 of 5
A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A. The elevated blood pressure of 144/82 mm Hg indicates dehydration due to vomiting and diarrhea, leading to hypovolemia. This is a compensatory mechanism by the body to maintain perfusion. Option B, urine specific gravity of 1.03, indicates concentrated urine and dehydration, but not as specific as elevated blood pressure. Option C, neck vein distention, is more indicative of heart failure or fluid overload rather than dehydration. Option D, urine specific gravity of 1.01, indicates diluted urine and is not consistent with dehydration. Therefore, based on the symptoms and the compensatory mechanism of the body, an elevated blood pressure is the most likely finding in a client with vomiting and diarrhea.