ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer insulin lispro to a client who has diabetes mellitus type 1. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Insulin lispro is a rapid-acting insulin that should be administered 15-30 minutes before a meal to manage blood glucose levels effectively. This timing helps to match the peak action of the insulin with the rise in blood glucose levels after eating.
Question 2 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Reminding the client that he might feel a constant urge to void is essential. Continuous bladder irrigation can cause bladder spasms and a persistent sensation of needing to urinate, which is common after TURP. This helps the client understand and cope with these sensations, reducing anxiety and unnecessary concern.
Extract:
Vital Signs
1000:
Temperature 38.1°C (100.6°F)
Heart rate 122/min
Respiratory rate 26/min
Blood pressure (BP) 136/85 mm Hg
SpO2 93% on room air
Physical Examination
1000:
Reports flu-like symptoms of headache, body aches, sore throat, low- grade fever, shortness of breath, productive cough.
Swollen lymph nodes.
Dry skin with rash.
Weight loss of 15 lbs. over last 3 months with report of diarrhea and anorexia, difficulty eating due to oral ulcers.
Diagnostic Results
1200:
Chest x-ray:
Areas of increased density and white infiltrates to lower right lobe indicative of pneumonia
1600:
Hemoglobin (Hgb) 11 g/dL (nl. 12-16 g/dL)
Hematocrit (Hct) 36% (nl. 36-48%)
Platelet count 155,000/mm3 (nl. 140,000-400,000/mm)
White blood cell (WBC) count 4,500/mm3 (nl. 5,000-10,000/mm)
CD4 count 400 cells/mm3.cpl 600 1 500 cells/mm3
Question 3 of 5
Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing...... and......
Correct Answer: A,B
Rationale: Low CD4 count and symptoms like fever and cough indicate sepsis risk. Weight loss and anorexia suggest malnutrition.
Extract:
Question 4 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: B
Rationale: Increasing fluid intake is effective in managing a headache after a lumbar puncture because it helps replenish cerebrospinal fluid (CSF) and reduces the risk of post-lumbar puncture headache, which often results from CSF leakage.
Question 5 of 5
A nurse is providing dietary teaching for a client who has Cushing disease. Which of the following recommendations should the nurse include in the teaching?
Correct Answer: C
Rationale: Decreasing carbohydrate intake is recommended because Cushing disease can cause hyperglycemia, and reducing carbohydrates can help manage blood glucose levels.