ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetes and a new prescription for 16 units of regular insulin and 26 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: B
Rationale: The total number of insulin units is calculated by adding the units of regular insulin (16 units) and NPH insulin (26 units), resulting in 42 units to be administered together.
Extract:
History and Physical
Day 1: Hypertension
Medication Administration Record
Furosemide 40 mg po bid
Trimethoprim/sulfamethoxazole 160 mg/800 mg po q12h
Nurses’ notes
Day 3:
Client reports frequent watery diarrhea
Question 2 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 3 of 5
A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.
Question 4 of 5
The client received ten (12) units of regular insulin at 08:00. At 11:30 the unlicensed assistant personnel (UAP) tells the nurse the client has a headache and is really acting funny. Which intervention should the registered nurse implement first?
Correct Answer: B
Rationale: Assessing the client is the first step to confirm hypoglycemia and determine the severity, allowing for appropriate intervention.
Question 5 of 5
A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having costovertebral pain?
Correct Answer: C
Rationale: Renal stones (kidney stones) are a possible adverse effect of excess calcium intake and can cause costovertebral pain due to their location.