Questions 35

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RN ATI Medsurg Questions

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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: Decreased insulin sensitivity is a typical age-related change, exacerbating 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

The nurse is reviewing a teaching tool created for insulin therapy. Which statement on the tool should be corrected? Select all that apply.

Correct Answer: B,C

Rationale: Insulin detemir is long-acting, not meal-timed, and insulin glargine is not typically used for gestational diabetes, which favors short-acting insulins.

Question 4 of 5

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Addison's disease results from insufficient aldosterone and cortisol production by the adrenal glands.

Question 5 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.

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