ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The client received ten (12) units of regular insulin at 08:00. At 11:30 the unlicensed assistant personnel (UAP) tells the nurse the client has a headache and is really acting funny. Which intervention should the registered nurse implement first?
Correct Answer: B
Rationale: Assessing the client is the first step to confirm hypoglycemia and determine the severity, allowing for appropriate intervention.
Question 3 of 5
A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?
Correct Answer: B
Rationale: Assessing for bowel sounds is essential because Kayexalate works by exchanging potassium for sodium in the intestine, and bowel motility must be adequate to ensure the medication is effective and to prevent complications such as bowel obstruction.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow. B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon. D. Using sterile technique helps prevent infection in a postoperative patient. E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.
Question 5 of 5
A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.