ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
History and Physical
Day 1: Hypertension
Medication Administration Record
Furosemide 40 mg po bid
Trimethoprim/sulfamethoxazole 160 mg/800 mg po q12h
Nursesβ notes
Day 3:
Client reports frequent watery diarrhea
Question 1 of 5
A nurse is caring for a client who has a urinary tract infection. Drag words from the choices below to fill in each blank in the following sentence. The client is at an increased risk for developing..... and.....
Correct Answer: B,C
Rationale: Fluid volume deficit: The client is taking furosemide, a diuretic, which can lead to increased urine output and dehydration. Additionally, the client reports frequent watery diarrhea, further increasing the risk of fluid loss. Hypokalemia: Furosemide can cause potassium loss through increased urinary excretion. Diarrhea can also lead to potassium depletion, putting the client at an increased risk for hypokalemia.
Extract:
Question 2 of 5
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?
Correct Answer: C
Rationale: An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
Question 3 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 4 of 5
A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: B
Rationale: A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
Question 5 of 5
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 65 mg/dL on the glucometer, he should give the client which of the following?
Correct Answer: D
Rationale: Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.