ATI RN
ATI Med-Surg 200 Questions
Extract:
Question 1 of 5
A client with Type 2 diabetes is brought into the emergency room in an unresponsive state. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNK) is made. The nurse prepares for the administration of which initial therapy?
Correct Answer: B
Rationale: HHNK is characterized by severe dehydration due to osmotic diuresis from hyperglycemia, making IV saline solution the initial therapy to restore intravascular volume.
Question 2 of 5
The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:
Correct Answer: C
Rationale: TPN provides all nutritional needs in a hypertonic solution for clients unable to tolerate enteral nutrition due to impaired GI function.
Question 3 of 5
The nurse is evaluating the medical prescription of carvedilol 6.25 mg PO daily for a client with a history of unstable angina. Which of the following reflects that the medication's action has been effective?
Correct Answer: B
Rationale: Carvedilol, a beta-blocker, reduces heart rate, which decreases myocardial oxygen demand, a key therapeutic effect in unstable angina.
Question 4 of 5
What is the most common cause of cystitis?
Correct Answer: A
Rationale: Bacterial infection, primarily by E. coli, is the most common cause of cystitis, leading to inflammation of the bladder.
Question 5 of 5
The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: Impaired urinary elimination is the priority due to BPH obstructing urine flow, which can lead to complications like urinary retention and infections.