ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is teaching a client who has diabetes mellitus about home management of mild hypoglycemia. Which of the following statements should the nurse include in the teaching?

A. Eat a large snack of carbohydrates and protein after treating hypoglycemia.B. Treat the symptoms of hypoglycemia by consuming 45 grams of carbohydrates.C. Drink 12 ounces of milk to treat the symptoms of hypoglycemia,D. Retest your blood glucose 15 minutes after treatment of a hypoglycemic episode.

Correct Answer: D

Rationale: Retesting blood glucose after 15 minutes (
D) confirms resolution of hypoglycemia. Large snacks (
A) may cause hyperglycemia, 15-30 grams of carbs is standard (B is incorrect), and 4-8 oz of milk is typical (C is excessive).

Question 2 of 5

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

A. 2 tbsp peanut butterB. 1 cup white riceC. 1/2 cup nonfat yogurtD. 1 medium baked potato with skin

Correct Answer: B

Rationale: White rice (
B) has low potassium compared to peanut butter (
A), yogurt (
C), and potatoes (
D), which are high-potassium foods restricted in kidney disease.

Question 3 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

Question 4 of 5

A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?

A. Store the CPM machine on the floor when not in use.B. Turn the CPM machine off while the client is eatingC. Check settings of the CPM machine every 12 hr.D. Increase the range of motion rapidly when the CPM machine is used intermittently.

Correct Answer: B

Rationale: Turning off the CPM during eating (
B) ensures safety and comfort. Storing on the floor (
A) risks contamination, settings are checked more frequently (
C), and rapid increases (
D) cause pain.

Question 5 of 5

A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?

A. Decreased responsiveness of airways to allergensB. Suppressed bronchiolar inflammatory responseC. Acute loss of alveolar elasticityD. Inability to exhale retained carbon dioxide

Correct Answer: D

Rationale: Inability to exhale retained CO2 (
D) causes air trapping and hyperinflation in asthma due to bronchoconstriction. Airway responsiveness increases (A is incorrect), inflammation is heightened (B is incorrect), and alveolar elasticity loss (
C) is not acute in asthma.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN