ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse explains to a patient diagnosed with diabetes mellitus that the major benefit of frequent self-monitoring of blood glucose is that:
Correct Answer: B
Rationale: Frequent self-monitoring of blood glucose assists in gaining control over glucose levels. It can immediately tell you the effects of food choices, physical activity, and medication on blood glucose control.
Question 2 of 5
A client has recently been diagnosed with Type 2 diabetes. What should be the nurse's initial step when developing an educational plan?
Correct Answer: D
Rationale: Assessing the client's perception of what it means to live with diabetes should be the initial step when developing an educational plan. Understanding the client's perspective can help tailor the education to meet their needs and improve their ability to manage their diabetes.
Question 3 of 5
A client is receiving heparin sodium 1000 units per hour via an infusion and warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educates the client that heparin and warfarin are prescribed together because:
Correct Answer: C
Rationale: Heparin acts quickly to prevent further clotting, while warfarin takes several days to become effective. Thus, heparin is used to provide immediate anticoagulation until warfarin becomes effective.
Question 4 of 5
The nurse is teaching an adult patient with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:
Correct Answer: C
Rationale: Not taking enough insulin is a primary cause of the development of DKA. Without enough insulin, the body begins to break down fat for fuel, which produces acids known as ketones.
Question 5 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption. Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine. Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.