ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A Type 1 diabetic client with a morning (fasting) glucose of 260 mg/dL has been diagnosed with the Somogyi effect from insulin administration. What intervention should the nurse anticipate including in the plan of care?
Correct Answer: B
Rationale: Consuming a snack at bedtime can help prevent the blood sugar level from dropping too low overnight, thus preventing the Somogyi effect.
Question 2 of 5
A patient diagnosed with Type 1 diabetes reports a blood glucose level of 210 mg/dL and symptoms of a sore throat, cough, and fever. What advice should the nurse give to the patient?
Correct Answer: C
Rationale: Monitoring blood glucose levels every 4 hours and notifying the doctor if it continues to rise is the best advice. When a patient with diabetes is sick, their blood glucose levels can rise due to the stress the body is under.
Question 3 of 5
The nurse is aware that a client taking an antibiotic that causes diarrhea should be taught about:
Correct Answer: D
Rationale: Adding yogurt to the diet is often recommended for clients taking an antibiotic that causes diarrhea. Yogurt contains probiotics, which can help restore the balance of good bacteria in the gut and alleviate diarrhea.
Question 4 of 5
A patient's insulin dosage is 16 units of regular insulin in the morning. When should the patient expect the insulin peak?
Correct Answer: A
Rationale: Regular insulin starts working 30 minutes to 1 hour after administration and peaks in 2 to 5 hours.
Question 5 of 5
The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: When a patient is informed about a serious diagnosis like breast cancer and the need for a mastectomy, it is common for them to experience a range of emotions, including sadness, fear, and anxiety. Offering to be there for the patient if they want to talk acknowledges their emotional distress and provides comfort.