ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 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 2 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 3 of 5
The primary healthcare provider prescribes a cough syrup of 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?
Correct Answer: 4 tsp
Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL × 0.2 tsp/mL = 4 tsp, confirming the correct calculation.
Question 4 of 5
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
Correct Answer: C
Rationale: Decreased insulin sensitivity is a typical age-related change, exacerbating insulin resistance in type 2 diabetes.
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.