ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Addison's disease results from insufficient aldosterone and cortisol production by the adrenal glands.
Question 2 of 5
The client with type 1 diabetes mellitus is prescribed to take NPH (Humulin N) insulin at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur about what time?
Correct Answer: A
Rationale: NPH insulin peaks 4-12 hours after administration (5 PM), making 1 AM the time of greatest hypoglycemia risk.
Question 3 of 5
Synthroid 0.3 mg p.o. daily is ordered. You have Synthroid in 150 mcg tablets. Give ___ tablets.
Correct Answer: 2 tablets
Rationale: 0.3 mg = 300 mcg; 300 mcg ÷ 150 mcg/tablet = 2 tablets.
Question 4 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 5 of 5
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?
Correct Answer: A
Rationale: PTU can cause agranulocytosis, a serious reduction in white blood cells, presenting as a sore throat, which requires immediate reporting.