ATI RN Adult Med-Surg 2023

Extract:

Nurses' Notes
Vital Signs
Laboratory Results
0900:

Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.

Peripheral IV established and labs drawn.

Question 1 of 5

A nurse is caring for a client in the emergency department. Which of the following provider prescriptions does the nurse anticipate?

A. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L B. Initiate cardiac monitoring C. Regular insulin 20 units subcutaneously D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L E. 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr F. Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hr G. Blood glucose checks every 4 hr

Correct Answer: D,E,

Rationale: DKA treatment includes insulin infusion, fluid resuscitation with saline, and monitoring urine output.

Extract:

Question 2 of 5

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

A. Shellfish B. Eggs C. Strawberries D. Avocados

Correct Answer: B

Rationale: Propofol contains egg lecithin, posing a risk for clients with egg allergies.

Question 3 of 5

A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?

A. The elastic bandage will prevent a postoperative wound infection. B. The elastic bandage will prevent excessive edema. C. The elastic bandage will keep you from seeing the surgical site. D. The elastic bandage will keep the sutures from loosening.

Correct Answer: B

Rationale: An elastic bandage reduces edema and shapes the residual limb for prosthetic fitting.

Question 4 of 5

A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?

A. Increased libido B. Hypoglycemia C. Hot flashes D. Increased muscle mass

Correct Answer: C

Rationale: Bilateral orchiectomy reduces testosterone, leading to hot flashes similar to menopause.

Question 5 of 5

A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?

A. Frequent diarrhea B. Urinary hesitancy C. Unexplained weight gain D. Painless vaginal bleeding

Correct Answer: D

Rationale: Painless vaginal bleeding is a common early sign of cervical cancer.

ATI RN Adult Med-Surg 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN