ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Checking for ketones when blood glucose exceeds 240 mg/dL helps detect early DKA during illness, allowing timely intervention.
Question 4 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many ml should the nurse administer per dose?
Correct Answer: 4 mL
Rationale: 40 mg ÷ 10 mg/mL = 4 mL, the correct volume to administer.
Question 5 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: A
Rationale: Tingling sensations suggest hypocalcemia, common post-thyroidectomy; Chvostek's sign (facial twitching on tapping) confirms this.