ATI RN
ATI RN Custom Nursing 221 Exam 3 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: D
Rationale: Regular insulin's rapid onset is ideal for treating diabetic ketoacidosis.
Question 2 of 5
A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?
Correct Answer: D
Rationale: Hip arthroplasty increases DVT risk due to prolonged immobility.
Extract:
Diagnostic Results
Admission: 12 hr later.
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L).
• Glucose level 90 mg/dL (74 to 106 mg/dL).
• Sodium 133 mEq/L (135 to 145 mEq/L).
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L).
• Glucose level 80 mg/dL (74 to 106 mg/dL).
• Sodium 134 mEq/L (135 to 145 mEq/L).
Vital Signs
Admission:
• Temperature 37.7° C (99.9° F).
• Respiratory rate 18/min.
• Pulse rate 84/min.
• BP 130/84 mm Hg.
12 hr later:
• Temperature 37° C (98.6° F).
• Respiratory rate 16/min.
• Pulse rate 96/min.
• BP 88/50 mm Hg.
Nurses Notes
Admission:
• Gastrointestinal upset.
• Uncoordinated gait.
12 hr later:
• Client fell asleep during assessment.
• Client reports blurred vision.
• Pale, dry mucous membranes.
• Urine output 40 mL/hr.
Question 3 of 5
A nurse is collecting data from the client 12 hr later. How should the nurse interpret the following findings? For each potential finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | Potential Improvement | Potential Worsening |
|---|---|---|
| Vision | ||
| Lithium level | ||
| Urine output | ||
| Mucous membranes | ||
| Vital signs |
Correct Answer: A: Potential Worsening, B: Potential Improvement, C: Potential Improvement, D: Potential Worsening, E: Potential Worsening
Rationale: A: Blurred vision indicates potential neurotoxicity. B: Lithium level decrease to 1.2 mEq/L shows improvement. C: Urine output of 40 mL/hr is adequate. D: Pale, dry mucous membranes suggest dehydration. E: Hypotension (88/50 mm Hg) indicates worsening.
Extract:
Question 4 of 5
A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?
Correct Answer: C
Rationale: Good cleaning practices prevent infection spread in AIDS patients.
Question 5 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: A
Rationale: Increasing fluid intake replaces cerebrospinal fluid, alleviating headache.