ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
Question 2 of 5
A client who has Type 2 diabetes mellitus asks the nurse, 'why did I develop diabetes?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Type 2 diabetes typically develops due to insulin resistance in the body's cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
Question 3 of 5
A nurse is assessing a client who has experienced significant blood loss. Which of the following is a clinical sign of hypovolemia?
Correct Answer: D
Rationale: Cool, clammy skin is a classic sign of hypovolemic shock as blood flow to the skin decreases in response to blood loss.
Question 4 of 5
Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?
Correct Answer: C
Rationale: Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
Question 5 of 5
The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.
Correct Answer: B,D
Rationale: B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions. D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.