ATI RN
ATI Nur 285 Med Surg Exam 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? (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 2 of 5
Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?
Correct Answer: D
Rationale: Bright orange-red urine is a well-known and harmless side effect of phenazopyridine, and patients should be informed to avoid alarm.
Question 3 of 5
A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.
Question 4 of 5
A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having costovertebral pain?
Correct Answer: C
Rationale: Renal stones (kidney stones) are a possible adverse effect of excess calcium intake and can cause costovertebral pain due to their location.
Question 5 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 8/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: A
Rationale: Respiratory acidosis occurs due to hypoventilation, which causes an accumulation of carbon dioxide in the blood, leading to increased acidity. Shallow respirations at a rate of 8 breaths per minute indicate hypoventilation, putting the client at risk for respiratory acidosis.