ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?
Correct Answer: A
Rationale: An HbA1c of 6.3% indicates good glucose control, reflecting effective diabetes management over recent months.
Question 2 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,D
Rationale: Hypoglycemia causes tachycardia, clammy skin, and blurred vision due to low glucose affecting the nervous system; polydipsia and polyuria are hyperglycemia symptoms.
Question 3 of 5
At 8 a.m. the nurse is reviewing patient assignments and notes one of the patients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take? Accucheck before meals and at bedtime with sliding scale insulin aspart SQ: Glucose 0-150 Administer 0 units; 151-200 Administer 2 units; 201-250 Administer 4 units: 251-300 Administer 6 units: 301-350 Administer 8 units; 351- 400 Administer 10 units; >400 Notify physician.
Correct Answer: B
Rationale: Blood glucose of 264 falls in the 251-300 range, requiring 6 units of insulin aspart per the sliding scale.
Question 4 of 5
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Deep breathing every 4 hours prevents respiratory complications like atelectasis post-thyroidectomy, supporting lung function and recovery.
Question 5 of 5
A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Thyrotoxicosis from excessive levothyroxine mimics hyperthyroidism, causing heat intolerance due to an increased metabolic rate.