ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetic ketoacidosis secondary to an infection. Which of the following prescriptions is the highest priority?
Correct Answer: B
Rationale: Insulin reverses diabetic ketoacidosis by lowering glucose and stopping ketogenesis, addressing the life-threatening metabolic crisis. Cultures, fluids, and catheters support treatment but are secondary.
Question 2 of 5
A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: When mixing regular and NPH insulin, regular (clear) insulin is drawn first to prevent contamination with NPH (cloudy), ensuring accurate dosing. Storing syringes needle-up, gentle rolling of NPH, and a 45-90° injection angle are correct, making other options incorrect.
Question 3 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: A
Rationale: A low bed height reduces fall risk, critical for dementia clients with impaired judgment. Sedatives increase confusion, toileting every 2 hours prevents incontinence, and low lighting at night aids orientation.
Question 4 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?
Correct Answer: A
Rationale: Negative sputum cultures confirm no active TB bacteria, indicating non-infectiousness. Skin tests assess exposure, hemoptysis isn't a reliable indicator, and Quantiferon tests don't confirm active infection status.
Question 5 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output monitoring detects early graft dysfunction, critical post-kidney transplant. Blood pressure checks should be more frequent, rejection causes other electrolyte issues, and IV opioids are preferred early post-op.