ATI Med-Surg Exam 1 2021/2022 Graded A+
1. The nurse is preparing to administer insulin intravenously. Which statement about the administration of
... [Show More] intravenous insulin is true?
• Aspart or lispro can be administered intravenously. But there must be a 50% dose reduction
• A warmer is required to infuse insulin
• Only regular insulin can be given intravenously
• Any form of insulin can be administered intravenously
2. A client has been diagnosed with metabolic syndrome and is started on the biguanide metformin. The nurse knows that the purpose of metformin, in this situation, is which of the following
• To decrease the pancreatic secretion of insulin
• To decrease insulin resistance
• To decrease the pancreatic secretion of insulin
• To increase blood glucose levels
3. A patient receives aspart at 0800. What time will it be most important for the nurse to monitor for symptoms of hypoglycemia
1000
1600
1200
1400
4. A 32 year old client with diabetes is starting on intensive insulin therapy. Which type of insulin will be used for mealtime coverage
• NPH
• Glargine
• Detemir
• Lispro
5. Which information will the nurse include when teaching a 50 year old client about type 2 diabetes?
• Glyburide Decreases glucagon secretion from the pancreas
• Glyburide should not be used for 48 hours after receiving IV contrast media
• Glyburide stimulates insulin production and release for the pancreas
• Glyburide should be taken even if the morning blood glucose level is low
6. A hospitalized diabetic client received 38U of NPH insulin at 0700. At 1300 the client has been away from the nursing unit for two hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to
• Ask that diagnostic testing area staff to start a 5% dextrose IV
• Request that if testing us further delayed, that the patient be returned to the unit
to eat
• Save the lunch tray for the clients later return to the unit
• Send a glass of milk or orange juice to the patient in the diagnostic testing area
7. When a client who takes metformin to manage type 2 diabetes develops an allergic rash from an unknown case, the health care provider prescribes prednisone. The nurse will anticipate thatthe client may
• Develop acute hypoglycemia
• Need a diet higher in calories
• Require administration of insulin
• Have rashes cause by metformin- prednisone interactions
8. A 54 year old client is admitted with diabetic ketoacidosis. Which admission order should the nurse implement first
• Start a regular insulin infusion at 0.1 units/kg/hr
• Give sodium bicarbonate 50 mEq IVP
• Administer regular insulin 100 IVP
• Infuse 1 liter of NS per hour
9. A 27 year old client admitted with DKA has a serum glucose of 732 mg/dl and a serum potassium of 3.1 mEq/dL. Which action prescribed by the healthcare provider should the nurse take first?
• Start an insulin infusion at 0.1 units/kg/hr
• Administer IV potassium supplements
• Obtain urine glucose and ketone levels
• Place client on cardiac monitor
10. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule to at least annually? (select all that apply)
• CBC
• Blood pressure
• Chest x-ray
• Monofilament testing of the foot
• Urine for microalbuminuria
***serum creatine is another right answer wasn’t an option***
11. A student nurse is caring for a client with type 1 diabetes who also has glycosuria. The nursing instructor asks the student nurse what clients urine should look like. What would the student nurses best response?
• Cloudy urine
• Dilute urine
• Thicker urine
• Concentrated urine
12. A diabetes nurse educator is providing a class on diabetes for the dieticians and staff nurses. The nurse educator discusses the american diabetes association (ADA) recommendations for levels of caloric intake. What do the ADA’s recommendations include?
• 0% calories from carbohydrates, 50% from fat, and the remaining 50%-60% from protein
• 50%-60% of calories from carbohydrates, 20%-30% from fat, and the remaining 10%-20% from protein
• 20%-30% of calories from carbohydrates, 50%-60% from fat , and the remaining 10%- 20% from protein
• 10%-20% of calories from carbohydrates, 50%-60% from fat and the remaining 10%- 20% protein
13. An elderly client comes to the clinic with her daughter. The client is a diabetic and concerned and is concerned about foot care. The nurse goes over foot care with the client and her daughter as the curse realizes that foot care is extremely important. Why would the nurse feel that foot care is so important to the client?
• Avoiding the complications associated
• Hypoglycemia is a dangerous situation and it may lead
• An elderly client with foot ulcers experiences severe foot pain due to the diabetic polyneuropathy
• Drugs that the clients are required to take for their diabetic condition often decreased circulation to the lower extremities
14. The nursing instructor is quizzing one of her students who is caring for a diabetic in the clinical area. The instructor asks the student what is a contributing cause of ulcers to the foot in the diabetic patient. What is the best answer by the student?
• Smoking
• Insensitive feet
• Gout
• Arterial insufficiency
15. In pharmacology class the student nurses are learning about oral antidiabetic agents. What category of oral antidiabetic agents would the students learn enhance insulin action at the receptor site without increasing insulin secretion from the beta cells of the pancreas?
• Thiazolidinediones
• Sulfonylureas
• Biguanides
• Alpha glucosidase inhibitors
16. A client is brought to the emergency department department by the paramedics. The client is a type 2 diabetic and in HHNS. What are the components of HHNS? (select all that apply)
Too much insulin
• Glycosuria
• Dehydration
• Hyponatremia
• Hyperglycemia
• Too much insulin
17. Which laboratory values are consistent with a patient in ketoacidosis?
• PH of 7.54
• Blood glucose of 70 mg/dL
• CO2 of 40 meq/L
• BUN of 35 mg/dL
18. Which reason best explains why diabetics are prone to infections?
• Atherosclerotic vascular changes decrease blood supply to tissues
• High glucose levels provide an environment conducive to bacterial growth
• Diabetic display decreased leukocyte function
• Diabetics display abnormal phagocyte function
B [Show Less]