ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
Which statement by a patient with diabetes indicates an understanding of the medication insulin glargine injection (Lantus)?
Correct Answer: D
Rationale: In this scenario, the correct answer is option D: "There is no peak time for Lantus." This statement indicates an accurate understanding of insulin glargine injection (Lantus) by the patient. Lantus is a long-acting insulin that provides a steady level of insulin over a 24-hour period without a pronounced peak time, unlike short-acting insulins. Option A, "Lantus causes weight loss," is incorrect because weight gain can actually be a side effect of insulin therapy due to improved glucose control and potential increased appetite. Option B, "Lantus is used only at night," is incorrect as Lantus can be prescribed at varying times depending on the individual's needs and healthcare provider's recommendations. Option C, "The duration of Lantus is six hours," is incorrect as Lantus has a much longer duration of action, typically lasting up to 24 hours. Educationally, it is crucial for individuals with diabetes to have a comprehensive understanding of their medications to manage their condition effectively. Understanding the characteristics of insulin types, such as onset, peak, and duration, is essential for proper dosing and timing to maintain blood glucose levels within a target range and prevent complications. Patients should be educated on the specific features of their prescribed insulin regimen to optimize their diabetes management.
Question 2 of 5
The medical-surgical nurse performs a dressing change on a patient with a history of non-insulin-dependent diabetes. The patient questions why the wound is not healing. Recognizing a teaching opportunity, what response does the nurse offer the patient?
Correct Answer: D
Rationale: The correct answer is D) How often do you check your blood sugar levels at home? The rationale for this choice is based on the patient's history of non-insulin-dependent diabetes. Blood sugar levels play a crucial role in wound healing for diabetic patients. Fluctuations in blood sugar can impair the body's ability to heal wounds effectively. By checking blood sugar levels regularly at home, the patient can monitor and manage their levels more effectively, which can positively impact wound healing. Option A) Are you eating enough carbohydrates in your diet? is incorrect because while diet is important for overall health, the specific issue related to wound healing in diabetes is more closely tied to blood sugar control rather than carbohydrate intake. Option B) Have you limited your exercise because of the wound? is incorrect as exercise, while important for overall health, may not directly impact wound healing in the context of diabetes as much as blood sugar control does. Option C) How much sleep are you getting at night? is incorrect as sleep is important for overall health but does not have a direct impact on wound healing in relation to diabetes as blood sugar control does. In an educational context, this question highlights the importance of patient education in managing chronic conditions like diabetes. Nurses play a crucial role in empowering patients to take control of their health through self-care practices such as monitoring blood sugar levels regularly, which can significantly impact their health outcomes and quality of life.
Question 3 of 5
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that:
Correct Answer: D
Rationale: In caring for a client with cirrhosis of the liver and ascites, the correct answer is D) The client may ambulate as tolerated and remain in semi-Fowler's position in bed. This option is correct because allowing the client to ambulate as tolerated helps prevent complications such as deep vein thrombosis and muscle atrophy. Additionally, maintaining a semi-Fowler's position in bed helps reduce abdominal fluid accumulation and improves respiratory function. Option A is incorrect because complete bed rest can lead to deconditioning and other complications. Option B is incorrect as elevating the legs for prolonged periods can impede circulation. Option C is also incorrect as it does not address the need to manage ascites and maintain proper positioning. Educationally, it is important to understand the rationale behind the care of clients with cirrhosis and ascites to promote optimal outcomes. Nurses should emphasize the importance of a balance between ambulation and rest, as well as the significance of positioning in managing symptoms and preventing complications. This knowledge helps nursing assistants provide safe and effective care to clients with these conditions.
Question 4 of 5
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as:
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Echolalic. Echolalia is a common behavior seen in conditions like autism spectrum disorder and certain psychiatric disorders where individuals repeat phrases that they hear, often without understanding the meaning behind them. This behavior can serve as a way for the individual to communicate or as a response to external stimuli. Option A) Autistic is incorrect because echolalia is a symptom often seen in individuals with autism, but it is not synonymous with being autistic. Option B) Ecopraxic refers to imitating movements, not repeating phrases, so it is not the most appropriate answer in this context. Option D) Catatonic pertains to a state of unresponsiveness, immobility, and abnormal movements, which is not reflective of the behavior described in the question. Educationally, understanding behaviors like echolalia is crucial for healthcare professionals working with individuals with communication disorders or psychiatric conditions. Recognizing and correctly identifying these behaviors can aid in providing appropriate care, interventions, and support to improve the individual's quality of life and overall well-being.
Question 5 of 5
In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, the nurse should emphasize that a priority for their child is to:
Correct Answer: D
Rationale: In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, emphasizing the priority of maintaining routine immunizations (Option D) is crucial. Sickle cell disease compromises the immune system, making individuals more susceptible to infections. By ensuring routine immunizations, the child is better protected against preventable diseases, reducing the risk of complications associated with sickle cell disease. Avoiding overheating during physical activities (Option A) is important in managing sickle cell disease to prevent a crisis, but routine immunizations take precedence in overall preventive care. Maintaining normal activity with some restrictions (Option B) is relevant but not as vital as ensuring immunizations for overall health. Being cautious of others with viruses or temperatures (Option C) is important but does not address the proactive preventive measure of routine immunizations. In an educational context, this rationale highlights the significance of preventive care in managing sickle cell disease. By prioritizing routine immunizations, parents can actively protect their child from potential health risks associated with the condition, promoting overall well-being and quality of life.