ATI RN

1. 1. Which patient action indicates good understanding of the nurse�s teaching about administration of aspart (NovoLog) insulin?

• A. The patient avoids injecting the insulin into the upper abdominal area
• B. The patient cleans the skin with soap and water before insulin administration.
• C. The patient stores the insulin in the freezer after administering the prescribed dose.
• D. The patient pushes the plunger down while removing the syringe from the injection site

Correct Answer: B

Rationale:

2. A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to

• A. use only the lispro insulin until the symptoms are resolved
• B. limit intake of calories until the glucose is less than 120 mg/dL.
• C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise.
• D. decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%.

Correct Answer: C

Rationale:

3. The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?

• A. Teach the patient about administering regular insulin.
• B. Schedule the patient for a fasting blood glucose level
• C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy
• D. Provide teaching about an increased risk for fetal problems with gestational diabetes.

Correct Answer: B

Rationale:

4. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) who are working in the diabetic clinic?

• A. Measure the ankle-brachial index.
• B. Check for changes in skin pigmentation.
• C. Assess for unilateral or bilateral foot drop.
• D. Ask the patient about symptoms of depression.

Correct Answer: A

Rationale:

5. A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?

• A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client who is experiencing pain
• B. Palpate the client's abdomen before auscultating bowel sounds.
• C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
• D. Obtain an apical heart rate by auscultating at the third intercostal space left of the sternum.

Correct Answer: B

Rationale: