ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Nurses' Notes
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.
Vital Signs
0900:
• Temperature 36.8° C (98.2° F)
• Pulse rate 110/min
• Respiratory rate 18/min
• Blood pressure 96/65 mm Hg
• Oxygen saturation 96% on room air
Laboratory Results
0915:
• Blood glucose 468 mg/dL (74 to 106 mg/dL)
• pH 7.30 (7.35 to 7.45)
• Potassium 5.5 mEq/L (3.5 to 5 mEq/L)
• Sodium 138 mEq/L (136 to 145 mEq/L)
• Chloride 101 mEq/L (98 to 106 mEq/L) BUN 21 mg/dL (10 to 20 mg/dL)
• Creatinine 1.7 mg/dL (0.5 to 1.1 mg/dL)
• Urine dipstick positive for ketones (negative)
Question 1 of 5
A nurse is caring for a client in the emergency department. Complete the following sentence by using the lists of options. The nurse should plan to first administer..... followed by.......
Correct Answer: A,F
Rationale: Saline corrects dehydration first, followed by insulin to lower glucose in DKA management.
Question 2 of 5
A nurse is caring for a client in the emergency department. Complete the following sentence by using the lists of options. The nurse should administer a total of...... sodium chloride in the first hour, and then........ subsequent hour.
Correct Answer: A,E
Rationale: For 88 kg client, 15 mL/kg/hr = 1320 mL first hour, then 10 mL/kg/hr = 880 mL subsequent hours.
Extract:
Question 3 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Limiting visitor time reduces radiation exposure, a key safety measure for sealed implants.
Question 4 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, indicating long-term control.
Question 5 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Edema is expected in the acute phase of burns due to capillary leakage and fluid shifts.