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 providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
Correct Answer: A
Rationale: Insulin glargine is a long-acting insulin with a duration of 24 to 36 hours.
Question 3 of 5
A nurse is assessing a client diagnosed with an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Fatty stools result from bile duct obstruction impairing fat digestion.
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes edema of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion and measuring arm circumference assesses for complications like infiltration or thrombosis.
Question 5 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?
Correct Answer: D
Rationale: Gallstones are a common cause of acute pancreatitis due to bile duct obstruction.