ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
Correct Answer: C
Rationale: Aging reduces insulin sensitivity, contributing to insulin resistance in type 2 diabetes.
Question 2 of 5
At 8 a.m. the nurse is reviewing patient assignments and notes one of the patients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take? Accucheck before meals and at bedtime with sliding scale insulin aspart SQ: Glucose 0-150 Administer 0 units; 151-200 Administer 2 units; 201-250 Administer 4 units: 251-300 Administer 6 units: 301-350 Administer 8 units; 351- 400 Administer 10 units; >400 Notify physician.
Correct Answer: B
Rationale: Blood glucose of 264 falls in the 251-300 range, requiring 6 units of insulin aspart per the sliding scale.
Question 3 of 5
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Deep breathing every 4 hours prevents respiratory complications like atelectasis post-thyroidectomy, supporting lung function and recovery.
Question 4 of 5
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?
Correct Answer: A
Rationale: An HbA1c of 6.3% indicates good glucose control, reflecting effective diabetes management over recent months.
Question 5 of 5
The nurse is assessing a patient with Cushing syndrome. Which finding should the nurse report for immediate follow-up?
Correct Answer: A
Rationale: Severe hypokalemia (2.5 mEq/L) and hypertension (150/90 mmHg) in Cushing syndrome indicate a critical electrolyte imbalance, risking cardiac complications.