ATI RN

1. A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which goal is most important for this patient?

• A. The patient will reach a glycosylated hemoglobin level of less than 7%
• B. The patient will follow a diet and exercise plan that results in weight loss.
• C. The patient will choose a diet that distributes calories throughout the day.
• D. The patient will state the reasons for eliminating simple sugars in the diet.

Correct Answer: A

Rationale:

2. When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the health care provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may

• A. need a diet higher in calories while receiving prednisone
• B. develop acute hypoglycemia while taking the prednisone
• C. require administration of insulin while taking prednisone.
• D. have rashes caused by metformin-prednisone interactions

Correct Answer: C

Rationale:

3. A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?

• A. Amitriptyline decreases the depression caused by your foot pain.
• B. Amitriptyline helps prevent transmission of pain impulses to the brain.
• C. Amitriptyline corrects some of the blood vessel changes that cause pain.
• D. Amitriptyline improves sleep and makes you less aware of nighttime pain.

Correct Answer: B

Rationale:

4. An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

• A. Hemoglobin A1C level 6.2%
• B. Blood pressure 146/88 mmHg
• C. Heart rate at rest 58 beats/minute
• D. High density lipoprotein (HDL) level 65 mg/dL

Correct Answer: B

Rationale:

5. A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?

• A. "The transfer of your family member is being done because the provider knows what's best."
• B. "Would you like it if we discussed the transfer with your family member?"
• C. "Why are you so concerned about this transfer?"
• D. "I know how you feel. My parent had to be transferred to a long-term care facility."

Correct Answer: A

Rationale: