Questions 86

ATI RN

ATI RN Test Bank

ATI RN Adult Medical Surgical 2023 I 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: A

Rationale: Drawing regular insulin first prevents contamination of the short-acting insulin with NPH.

Question 2 of 5

The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?

Correct Answer: A

Rationale: Excess insulin in type 1 diabetes significantly increases hypoglycemia risk.

Question 3 of 5

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Dyspnea and fluid imbalance suggest overload; slowing the infusion and notifying the provider are appropriate.

Question 4 of 5

A client with a spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse would carefully monitor the client for which of the following manifestations?

Correct Answer: A

Rationale: Severe headache is a primary sign of autonomic dysreflexia due to sudden hypertension from unopposed sympathetic response.

Question 5 of 5

A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: Placing pH paper under the upper lid assesses the chemical's pH, guiding the irrigation process to neutralize the substance effectively.

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