ATI RN
RN ATI Medsurg 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 is used initially in DKA to restore blood volume and correct electrolyte imbalances, alongside insulin therapy.
Question 2 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?
Correct Answer: B
Rationale: Clear nasal drainage post-hypophysectomy may indicate a CSF leak; checking for glucose helps confirm this, as CSF contains glucose.
Question 3 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Acromegaly causes hepatomegaly, coarse facial features, enlarged extremities, and vision changes like loss of color discrimination due to excess growth hormone.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Hypoglycemia causes tachycardia, clammy skin, and blurred vision due to low glucose affecting the nervous system; polydipsia and polyuria are hyperglycemia symptoms.
Question 5 of 5
The client with type 1 diabetes mellitus is prescribed to take NPH (Humulin N) insulin at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur about what time?
Correct Answer: A
Rationale: NPH insulin peaks 4-12 hours after administration (5 PM), making 1 AM the time of greatest hypoglycemia risk.