ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has experienced significant blood loss. Which of the following is a clinical sign of hypovolemia?
Correct Answer: D
Rationale: Cool, clammy skin is a classic sign of hypovolemic shock as blood flow to the skin decreases in response to blood loss.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is at risk for developing diabetes mellitus. The nurse should recognize that which of the following results indicates the client meets the criteria for diagnosis of diabetes mellitus?
Correct Answer: A
Rationale: A fasting blood glucose level of 126 mg/dL or higher on two separate occasions meets the diagnostic criteria for diabetes.
Question 3 of 5
The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?
Correct Answer: B
Rationale: Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
Question 4 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?
Correct Answer: C
Rationale: Hemorrhage is a serious and potentially life-threatening complication after TURP, making it the priority for monitoring in the immediate postoperative period.
Question 5 of 5
A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.