ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.
Question 2 of 5
The client asks the nurse, 'how did I get this urinary tract infection?' the nurse should explain that in most instances, cystitis is caused by:
Correct Answer: C
Rationale: Urinary stasis (incomplete emptying of the bladder) can lead to bacterial growth, which is a common cause of cystitis.
Question 3 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 4 of 5
A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:
Correct Answer: B
Rationale: Acute pain related to bladder spasms is a common postoperative issue for TURP patients due to the urinary catheter and bladder irrigation. Managing pain is a priority for patient comfort and recovery.
Question 5 of 5
A client diagnosed with hyperosmolar hyperglycemia nonketonic syndrome (HHNS) was admitted yesterday with a blood glucose level of 700 mg/dL. The clients blood glucose level is now 250 mg/dL. Which intervention should the nurse implement?
Correct Answer: B
Rationale: When blood glucose drops significantly, insulin infusion rates are usually decreased to prevent hypoglycemia and a rapid fall in glucose levels.