a nurse is caring for a client who has diabetes mellitus and is receiving regular insulin the nurse should monitor the client for which of the followi
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Nursing Elites

ATI RN

ATI Exit Exam 2024

1. A client with diabetes mellitus receiving regular insulin should be monitored for which of the following manifestations of hypoglycemia?

Correct answer: A

Rationale: The correct answer is A, Bradycardia. Bradycardia is a common sign of hypoglycemia, which can occur as a complication of insulin therapy in clients with diabetes mellitus. Dry skin (choice B) is not typically associated with hypoglycemia. Increased thirst (choice C) and increased urinary output (choice D) are symptoms more commonly seen in conditions like hyperglycemia or diabetes insipidus, not hypoglycemia.

2. A client with osteoporosis is being taught about dietary choices by a nurse. Which of the following foods should the nurse recommend?

Correct answer: C

Rationale: The correct answer is C: Leafy green vegetables. Leafy green vegetables are rich in calcium, which is essential for bone health and can help prevent bone loss in clients with osteoporosis. Carrots (choice A), while nutritious, are not as high in calcium as leafy green vegetables. Milk (choice B) is also a good source of calcium but may not be suitable for clients who are lactose intolerant. Bananas (choice D) are a healthy fruit choice but do not provide significant amounts of calcium needed for osteoporosis.

3. A nurse is caring for a client who has a Clostridium difficile infection. Which of the following precautions should the nurse implement?

Correct answer: C

Rationale: The correct precaution to implement when caring for a client with Clostridium difficile infection is to wear a gown and gloves when providing care. Clostridium difficile is primarily spread through contact with feces, so wearing personal protective equipment like gowns and gloves is crucial in preventing the spread of the infection. Placing the client in a negative pressure room (Choice A) is not necessary for Clostridium difficile. While wearing an N95 respirator mask (Choice B) is important for airborne precautions, it is not required for Clostridium difficile. Placing a face mask on the client (Choice D) is not a standard precaution for preventing the spread of Clostridium difficile.

4. A nurse is providing dietary teaching to a client who has a new prescription for warfarin. Which of the following client statements indicates an understanding of the teaching?

Correct answer: C

Rationale: Clients taking warfarin should avoid foods high in vitamin K, as it can interfere with the effectiveness of the medication.

5. A nurse is caring for a client who has a prescription for furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

Correct answer: B

Rationale: The correct answer is B: Hypokalemia. Furosemide, a loop diuretic, can cause potassium loss leading to hypokalemia. Monitoring potassium levels is crucial as low potassium can result in various complications like cardiac dysrhythmias. Choices A, C, and D are incorrect. Hypernatremia is high sodium levels, which are not typically associated with furosemide use. Hypercalcemia is elevated calcium levels and hypomagnesemia is low magnesium levels, which are not the primary electrolyte imbalances associated with furosemide.

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