ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Drawing up regular insulin before NPH prevents contamination of the regular insulin with NPH, ensuring accurate dosing.
Question 2 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: C
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to the body's stress response and sweating.
Question 3 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Correct Answer: D,B,A,C
Rationale: Positioning upright reduces blood pressure, emptying the bladder removes the trigger, antihypertensives manage severe hypertension, and documenting ensures future care planning.
Question 4 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall of fluid in the water-seal chamber, called tidaling, reflects normal breathing patterns.
Question 5 of 5
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A surgical mask prevents droplet transmission of pertussis during close contact with the client.