ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Glyburide, a sulfonylurea, is used to manage gestational diabetes mellitus by stimulating insulin production. Levothyroxine treats hypothyroidism, nifedipine manages hypertension or preterm labor, and chlorpromazine is for psychiatric conditions or nausea, not diabetes.
Question 2 of 5
The nurse auscultates the client's abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?
Correct Answer: B
Rationale: The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency. Listening for another minute is appropriate to confirm the absence of sounds. If no sounds are heard after additional time, auscultating for a total of 5 minutes or notifying the physician may be warranted. Listening posteriorly is not a standard practice for assessing bowel sounds.
Question 3 of 5
A patient is admitted to the floor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?
Correct Answer: C
Rationale: When a patient is admitted with a complaint of chest pain, the priority assessment would be to determine whether the patient is experiencing an acute cardiac event, such as a heart attack. This would involve a comprehensive assessment that includes obtaining the patient's medical history, vital signs, performing a physical exam, and obtaining an electrocardiogram (ECG). Auscultation of the heart is a critical step in assessing for cardiac abnormalities.
Question 4 of 5
The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse's best response?
Correct Answer: C
Rationale: A visual acuity of 20/25 means the patient can read at 20 feet what a person with normal vision can read at 25 feet, indicating slightly below-average but normal-range vision.
Question 5 of 5
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Glyburide, a sulfonylurea, is used to manage gestational diabetes mellitus by stimulating insulin production. Levothyroxine treats hypothyroidism, nifedipine manages hypertension or preterm labor, and chlorpromazine is for psychiatric conditions or nausea, not diabetes.