ATI RN
ATI Clinical Exam Questions
Extract:
Nurse's Notes & Physical Examination
• The client arrived in the emergency department with complaints of fatigue, blurred vision, dizziness, and headache for the past two days. They report running out of blood glucose strips and insulin due to financial constraints. The client appears tired, is cooperative, and has a slightly dry mucous membrane. They are oriented to person, place, and time but seem concerned about their health status. The skin is warm and dry to the touch, with no visible rashes or lesions. Heart sounds are regular without murmurs; breath sounds are clear bilaterally. The abdomen is soft with no tenderness upon palpation. The client expresses anxiety about potential falls due to dizziness.
Vital Signs
• Blood Pressure: 120/72 mm Hg
• Temperature: 36.8° C (98.2° F)
• Pulse: 88/min
• Respirations: 20/min
Diagnostic Results
• Blood Glucose: 235 mg/dL (Reference range: 74-106 mg/dL)
• HbA1c: 8.4% (Target for diabetics: <7%)
• Hemoglobin: 14.2 g/dL (12-18 g/dL)
• Hematocrit: 42.6% (37-52%)
• WBC Count: 6000/mm³ (5000-10,000/mm³)
Provider's Prescriptions
• Increase glargine from 20 units to 25 units at bedtime.
• Continue other home medications as prescribed.
Scenario: A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the patient's condition evolves and whether it worsens or improves. The initial data is recorded at 0700 hrs, followed by subsequent observations at different times.
Question 1 of 5
Based on the initial assessment and diagnostic results, what is the priority nursing intervention?
Correct Answer: A
Rationale: IV fluids address dehydration from high blood glucose and dry mucous membranes, a priority over insulin, oxygen (no respiratory distress), or fall precautions (supportive).
Extract:
Question 2 of 5
A nurse is educating a patient with diabetes who has been prescribed insulin glargine. What information should the nurse provide about this type of insulin?,What information should be provided about insulin glargine?
Correct Answer: B,C
Rationale: Insulin glargine lasts 16-24 hours, providing basal insulin. Shorter durations are incorrect.
Question 3 of 5
A nurse is attending to a patient with a wound infection. What should the nurse do when collecting a wound-drainage specimen for culture? What should the nurse do for wound culture collection?
Correct Answer: C
Rationale: Cleansing with saline removes surface bacteria for accurate culture. Swabbing skin, using antiseptic, or including intact skin risks contamination.
Question 4 of 5
A nurse is caring for a patient who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider? Which finding post-cholecystectomy should the nurse report?
Correct Answer: A
Rationale: Clay-colored stools indicate potential bile duct obstruction, requiring reporting. Other findings are expected post-surgery.
Question 5 of 5
A nurse is caring for a patient who has a new prescription for gabapentin. Which of the following adverse effects should the nurse monitor for? Which adverse effect should the nurse monitor for gabapentin?
Correct Answer: A
Rationale: Gabapentin can cause drowsiness, a common side effect. Other options are not typical.