ATI RN
ATI Med Surg Exam 3 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: C
Rationale: Regular insulin, short-acting, treats diabetic ketoacidosis indicated by confusion, flushing, and acetone breath. Lantus and NPH are long- or intermediate-acting. Lispro is rapid-acting for meals.
Question 2 of 5
A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Correct Answer: C
Rationale: Drinking 8 glasses of fluid daily prevents kidney stones and flushes uric acid. Ice packs or antihistamine lotions for swelling or rash require medical attention. Allopurinol should be taken after meals to avoid stomach upset.
Question 3 of 5
The nurse is completing a health assessment of a client suspected of hyperthyroidism. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Tachycardia is common in hyperthyroidism due to increased heart rate from elevated thyroid hormone. Cold skin and weight gain suggest hypothyroidism. Anorexia may indicate other conditions like depression.
Question 4 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 5 of 5
Which goal for the client's care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Managing diarrhea is the priority to prevent dehydration, electrolyte imbalance, malnutrition, and infection. Rest and comfort, self-esteem, and self-care are important but not the priority during an acute exacerbation.