ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?
Correct Answer: B
Rationale: Assessing for bowel sounds is essential because Kayexalate works by exchanging potassium for sodium in the intestine, and bowel motility must be adequate to ensure the medication is effective and to prevent complications such as bowel obstruction.
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 teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Shakiness is a classic symptom of hypoglycemia due to adrenaline release as the body responds to low glucose levels.
Question 4 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: C
Rationale: An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
Question 5 of 5
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 65 mg/dL on the glucometer, he should give the client which of the following?
Correct Answer: D
Rationale: Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.