ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride is used initially in DKA to restore blood volume and correct electrolyte imbalances, alongside insulin therapy.
Question 3 of 5
The nurse is reviewing a teaching tool created for insulin therapy. Which statement on the tool should be corrected? Select all that apply.
Correct Answer: B,C
Rationale: Insulin detemir is long-acting, not meal-timed, and insulin glargine is not typically used for gestational diabetes, which favors short-acting insulins.
Question 4 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 5 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?
Correct Answer: B
Rationale: Clear nasal drainage post-hypophysectomy may indicate a CSF leak; checking for glucose helps confirm this, as CSF contains glucose.