ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 310 mg/dL instead of 103 mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: Giving 15 to 20 g of carbohydrate prevents hypoglycemia from insulin overdose. Calling the supervisor, reporting, or checking glucose delays treatment.
Question 2 of 5
A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?
Correct Answer: D
Rationale: Semi Fowler's position reduces intraocular pressure and promotes healing post-cataract surgery. Side lying, supine, or prone positions may increase pressure or swelling.
Question 3 of 5
A client was admitted in the hospital with peptic ulcer disease tells the nurse about having black tarry stools. Which of the following is the most appropriate nursing action?
Correct Answer: B
Rationale: Notifying the provider addresses potential bleeding ulcer requiring immediate evaluation. Increasing fluids, iron foods, or documenting do not address the urgency.
Question 4 of 5
A nurse is caring for a client with myasthenia gravis who is exhibiting signs of cholinergic crisis. Which medication does the nurse ensure is available to treat this crisis?
Correct Answer: A
Rationale: Atropine sulfate reverses cholinergic crisis by blocking acetylcholine effects. Pyridostigmine treats myasthenia gravis but not the crisis. Protamine sulfate reverses heparin. Acetylcysteine treats acetaminophen overdose.
Question 5 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.