ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 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?
Correct Answer: D,E
Rationale: Moist, clammy skin is a symptom of hypoglycemia. Tachycardia, or a fast heartbeat, is a symptom of hypoglycemia.
Question 2 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department. The client is confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: C
Rationale: Regular insulin is a short-acting insulin and is used for the immediate treatment of DKA.
Question 3 of 5
While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.
Question 4 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns on the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention.
Correct Answer: B
Rationale: Airway obstruction is the immediate life-threatening issue due to swelling from burns in the head, neck, and chest area.
Question 5 of 5
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: A
Rationale: Providing warm slipper-socks can help increase the client's comfort by keeping their feet warm.