ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:
Correct Answer: B
Rationale: Learning insulin administration is critical for managing insulin-dependent diabetes and preventing complications.
Question 2 of 5
What clinical manifestation(s) should the nurse expect in a client with uncontrolled diabetes mellitus and ketoacidosis? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Lethargy can occur in DKA due to hyperglycemia, acidosis, and dehydration. An ABG showing pH 7.31 and low HCO3 indicates metabolic acidosis, characteristic of DKA. Kussmaul respirations (rapid, deep breathing) are a classic sign of DKA.
Question 3 of 5
A newly diagnosed diabetic client is 24 hours post-op following abdominal surgery. The 0700 blood glucose level is 200 mg/dl and the nurse administers 4 units of insulin aspart subcutaneously per prescribed sliding scale. What time should the nurse first assess the client for signs and symptoms of hypoglycemia?
Correct Answer: B
Rationale: Insulin aspart is rapid-acting, with a peak effect around 1-3 hours, making 0800 appropriate for hypoglycemia monitoring.
Question 4 of 5
The nurse is teaching an adult client with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:
Correct Answer: C
Rationale: Lack of insulin in Type 1 diabetes leads to fat breakdown, producing ketones and causing DKA.
Question 5 of 5
The client diagnosed with deep vein thrombosis asks the nurse, 'How does heparin work to help with my blood clot?' Which response is most accurate? 'Heparin:
Correct Answer: B
Rationale: Heparin prevents new clot formation by inhibiting clotting factors, not by thinning blood or dissolving clots.