ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.
Correct Answer: A,C,D,E
Rationale: A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes. C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease. D. Testing urine for microalbumin detects early signs of kidney damage. E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.
Question 3 of 5
A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Sodium polystyrene (Kayexalate) is used to treat hyperkalemia by promoting potassium excretion through the gastrointestinal tract.
Question 4 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 5 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.