ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: A
Rationale: A decrease in heart rate is an indication of adequate fluid replacement. As fluid volume is restored, the heart does not have to work as hard to pump blood, so the heart rate decreases.
Question 2 of 5
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
Question 3 of 5
A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
Question 4 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 5 of 5
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect?
Correct Answer: A,C,D,E
Rationale: A distended bladder is a common sign of urinary retention, which can occur with prostatic hypertrophy. Feeling pressure is a common symptom of urinary retention. Voiding small amounts frequently can be a sign of urinary retention. Tenderness over the symphysis pubis can be a sign of a distended bladder.