ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
Correct Answer: A
Rationale: Regular insulin is a short-acting insulin used to treat diabetic ketoacidosis (DK
A), which is indicated by the client's symptoms of confusion, flushed appearance, and acetone odor on the breath.
Question 2 of 5
A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Checking the client's vital signs is the priority to assess for adverse effects, such as hypotension, ensuring immediate safety.
Question 3 of 5
A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Drinking 16 oz of cranberry juice daily helps prevent UTIs by inhibiting bacterial adhesion to the urinary tract lining.
Question 4 of 5
A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?
Correct Answer: D
Rationale: Phenazopyridine hydrochloride works as a urinary tract analgesic, relieving pain, burning, and discomfort caused by urinary tract irritation.
Question 5 of 5
A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: An acetone odor to the breath is a classic sign of diabetic ketoacidosis, occurring due to the accumulation of ketones in the blood.