ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?
Correct Answer: A
Rationale: Eating breakfast before injecting insulin risks hyperglycemia or hypoglycemia. Rotating sites, using proper syringes, and securing sharps are correct practices.
Question 2 of 5
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determining calcium level addresses hypocalcemia, a thyroidectomy complication causing muscle spasms. Monitoring pulses, saline, or potassium do not address the issue.
Question 3 of 5
A client with chronic renal failure asks the nurse the effects of losing erythropoietin. Which of the following statements best explains the loss of this hormone?
Correct Answer: D
Rationale: Loss of erythropoietin results in anemia, as it stimulates red blood cell production. It does not directly affect immunologic function, may cause hypotension, and is not linked to elevated lipids.
Question 4 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 310 mg/dL instead of 103 mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: Giving 15 to 20 g of carbohydrate prevents hypoglycemia from insulin overdose. Calling the supervisor, reporting, or checking glucose delays treatment.
Question 5 of 5
A nurse is assisting with data collection of a client with suspected cholecystitis. Which finding does the nurse expect to note if cholecystitis is present?
Correct Answer: A
Rationale: Murphy sign, pain on palpation of the right upper quadrant during deep breathing, indicates cholecystitis. McBurney sign suggests appendicitis. Cullen's sign indicates intra-abdominal bleeding. Homan sign suggests deep vein thrombosis.