ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Symptoms suggest hypoglycemia; reducing insulin before exercise helps prevent this in type 1 diabetes.
Question 2 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following pieces of information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds allows medication deposition in the lungs.
Question 3 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Alendronate should be taken with water, not milk, due to calcium interference with absorption; this indicates a need for further teaching.
Question 4 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Muscle twitching may indicate hypocalcemia from parathyroid injury, a critical post-thyroidectomy complication.
Question 5 of 5
A nurse is caring for a client who is receiving morphine through a PCA (Patient-Controlled Analgesia) device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Teaching the client to use the PCA ensures safe, effective pain management, as only the client should control dosing.