ATI RN

1. Which statement by the patient indicates a need for additional instruction in administering insulin?

• A. �I need to rotate injection sites among my arms, legs, and abdomen each day.�
• B. �I can buy the 0.5 mL syringes because the line markings will be easier to see.�
• C. �I should draw up the regular insulin first after injecting air into the NPH bottle.�
• D. �I do not need to aspirate the plunger to check for blood before injecting insulin.�

Correct Answer: A

Rationale:

2. An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to

• A. give a bolus of 50% dextrose.
• B. insert a large-bore IV catheter.
• C. initiate oxygen by nasal cannula.
• D. administer glargine (Lantus) insulin.

Correct Answer: B

Rationale:

3. The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

• A. The patient�s blood pressure is 154/92.
• B. The patient has a history of emphysema
• C. The patient�s blood glucose is 86 mg/dL.
• D. The patient has chest pressure when walking

Correct Answer: D

Rationale:

4. The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?

• A. Give the patient 4 to 6 oz more orange juice.
• B. Administer the PRN glucagon (Glucagon) 1 mg IM.
• C. Have the patient eat some peanut butter with crackers
• D. Notify the health care provider about the hypoglycemia.

Correct Answer: A

Rationale:

5. A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?

• A. Activate the emergency fire alarm.
• B. Extinguish the fire.
• C. Evacuate the client.
• D. Confine the fire.

Correct Answer: D

Rationale: