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ATI RN Med Surg Custom Exam 2 Questions

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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. The client is 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: C

Rationale: Regular insulin is a short-acting insulin and is used for the immediate treatment of DKA.

Question 2 of 5

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8° C (98.2° F). Which of the following actions should the nurse perform?

Correct Answer: A

Rationale: Completing a neurological check is the correct action. The client's sudden confusion and drowsiness could indicate a neurological issue, such as a stroke.

Question 3 of 5

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Placing the client on his side, specifically the recovery position, helps keep the airway clear and prevents aspiration.

Question 4 of 5

A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer: A

Rationale: Sublingual administration of nitroglycerin provides the most rapid onset. This route allows the medication to be absorbed directly into the bloodstream through the mucous membranes under the tongue, bypassing the digestive system.

Question 5 of 5

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?

Correct Answer: A

Rationale: Varicose veins with ulcerations and lower extremity edema indicate poor blood flow, hence impaired tissue perfusion is the priority.

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