ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who has Type 2 diabetes mellitus asks the nurse, 'why did I develop diabetes?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Type 2 diabetes typically develops due to insulin resistance in the body's cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
Question 2 of 5
To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.
Correct Answer: A,C,D,E
Rationale: A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes. C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease. D. Testing urine for microalbumin detects early signs of kidney damage. E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.
Question 3 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride IV bolus is essential to address dehydration commonly seen in DKA due to osmotic diuresis and to restore blood volume.
Question 4 of 5
A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To administer a dose of 650 mg of aspirin when only 325 mg tablets are available, the nurse would need to give two tablets to meet the required dose.
Question 5 of 5
A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?
Correct Answer: B
Rationale: Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.