ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
After giving 6 oz of orange juice to a patient with hypoglycemia, the nurse finds that the patient's blood glucose level is 65 mg/dl. Which nursing intervention would be the most appropriate in this situation?
Correct Answer: A
Rationale: After administering a carbohydrate source (e.g., 6 oz of orange juice), the nurse should reassess the patient's blood glucose level. If the glucose is still below the target range (typically above 70 mg/dL), the next step is to give an additional 15 grams of carbohydrate to raise the blood sugar. This is a standard approach for mild to moderate hypoglycemia.
Question 2 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: Rinsing the mouth after using inhaled corticosteroids like beclomethasone is important to prevent the development of oral thrush (a fungal infection) and reduce the risk of other side effects, such as hoarseness.
Question 3 of 5
Which education about health promotion would the nurse include regarding head and neck cancer?
Correct Answer: A
Rationale: Exercising safe sex practices, especially in regard to human papillomavirus (HPV), is important because HPV is a known risk factor for head and neck cancers, particularly oropharyngeal cancers. Safe sex practices, including the use of barriers like condoms, can reduce the risk of HPV infection.
Question 4 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Confusion is a common sign of pneumonia in older adults, especially in the elderly, who may present with altered mental status due to hypoxia, infection, or dehydration. Delirium or confusion is a common manifestation of pneumonia in this population.
Question 5 of 5
Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?
Correct Answer: C
Rationale: A chest tube is commonly inserted after an open lung biopsy to allow the lung to re-expand and to drain air or fluid that may accumulate in the pleural space. This is a standard part of the postoperative care for this procedure.