ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Nurses Notes
Day 3 of hospitalization:
0730
Fingerstick blood glucose, fasting 114 mg/dL (nl. 60 to 110 mg/dL)
NPH insulin 40 units subcutaneous administered into abdomen as prescribed
0830:
Client reports nausea with emesis; vomited morning meal
1130:
Client reports feeling shaky, hungry, skin cool and diaphoretic Fingerstick blood glucose 55 mg/dL (nl. 60 to 110 mg/dL)
Vital Signs
Day 3 of hospitalization:
0700:
Temperature 37.3 °C (99.1 °F)
Blood pressure 118/62 mm Hg
Heart rate 84/min
Respiratory rate 20/min
SpO2 97% on room air
1130:
Temperature 37.8 °C (100 °F)
Blood pressure 104/56 mm Hg
Heart rate 118/min
Respiratory rate 20/min
SpO2, 95% on room air
Diagnostic Results
Day 3 of hospitalization:
HbA1c: 8.01% (nl. 4.4-6,4% )
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,D
Rationale: Hypoglycemia (glucose 55 mg/dL), shakiness, and elevated heart rate require immediate follow-up to manage low blood sugar and assess underlying causes.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: