ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: A
Rationale: Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DK
A) for its rapid effect.
Question 2 of 5
A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To administer a dose of 650 mg of aspirin when only 325 mg tablets are available, the nurse would need to give two tablets to meet the required dose.
Question 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline. B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation. E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose. F. Shakiness is a symptom of hypoglycemia due to adrenaline release.
Question 4 of 5
Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?
Correct Answer: C
Rationale: Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
Question 5 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.