ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride IV bolus is essential to address dehydration commonly seen in DKA due to osmotic diuresis and to restore blood volume.
Question 3 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 4 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 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: A
Rationale: Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DK
A) for its rapid effect.
Question 5 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Checking feet daily for sores and bruises is essential for diabetes management, as individuals with diabetes have a higher risk of foot complications due to reduced sensation and circulation.