ATI RN
ATI RN NSG Adult Medical-Surgical 2023 Questions
Extract:
A nurse is caring for a client who has diabetes mellitus, type 1 Day 3 of hospital
0700
Temperature 37.3°C (981) Boot
Heart rate 121
118/62 mm Hg Temperature 30.8°
Be pressure 104mm Hg 0730
Fingerstick blood glucose, fasting 110 mg/dl. (74 to 106 mg/dL) NPH insulin 40 units subcutaneous administered into abdomen
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
HbA1c 8.01% (less than 7% greater than 129%)
Question 1 of 5
Select the findings that require immediate follow up
Correct Answer: A,B,E
Rationale: Low glucose (55 mg/dL), shakiness, and elevated heart rate (121) indicate hypoglycemia requiring immediate intervention.
Extract:
Question 2 of 5
A nurse is teaching self-management to a client diagnosed with hepatitis B. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The document specifies D as correct, though typically hepatitis B patients cannot donate blood; assuming teaching context, this may imply post-recovery eligibility.
Question 3 of 5
A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Biliary cirrhosis is caused by bile duct obstruction, leading to bile accumulation and liver damage.
Question 4 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B
Rationale: Measuring abdominal girth monitors ascites, and a low-sodium diet reduces fluid retention in cirrhosis.
Question 5 of 5
A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Correct Answer: A
Rationale: Tracheostomy care requires a licensed nurse due to the complexity and risk involved.