ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?
Correct Answer: D
Rationale: This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.
Question 2 of 5
The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:
Correct Answer: B
Rationale: Learning insulin administration is critical for managing insulin-dependent diabetes and preventing complications.
Question 3 of 5
The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dl, a post prandial blood glucose level below 200 mg/dl, and a hemoglobin A1c level of 4.5%. What is the nurse's interpretation of these findings? The client is:
Correct Answer: A
Rationale: Normal fasting and post-prandial glucose levels with a low A1c indicate excellent glucose control.
Question 4 of 5
A 72-year-old client is admitted to the medical-surgical unit with a diagnosis of acute pyelonephritis. The client complains of costovertebral tenderness. What it the most appropriate nursing intervention?
Correct Answer: D
Rationale: Offering an analgesic is the most appropriate action. Pain management is crucial for the comfort of the client with costovertebral tenderness due to pyelonephritis.
Question 5 of 5
A client has returned to the unit following a peripheral angiogram with a stent insertion. Four hours post procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cool and dusky. What should be the nurse's immediate action?
Correct Answer: A
Rationale: Loss of pulse and cool, dusky foot indicate potential arterial occlusion, requiring immediate physician notification.