ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?
Correct Answer: B
Rationale: Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.
Question 2 of 5
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 65 mg/dL on the glucometer, he should give the client which of the following?
Correct Answer: D
Rationale: Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.
Question 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline. B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation. E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose. F. Shakiness is a symptom of hypoglycemia due to adrenaline release.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow. B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon. D. Using sterile technique helps prevent infection in a postoperative patient. E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.
Question 5 of 5
A client diagnosed with hyperosmolar hyperglycemia nonketonic syndrome (HHNS) was admitted yesterday with a blood glucose level of 700 mg/dL. The clients blood glucose level is now 250 mg/dL. Which intervention should the nurse implement?
Correct Answer: B
Rationale: When blood glucose drops significantly, insulin infusion rates are usually decreased to prevent hypoglycemia and a rapid fall in glucose levels.