NRS 112 ATI EXAM Q& A 2022/2023 VERIFIED 100% ANSWERS
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NURS
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NURS
An 18-year-old female client, 5′4′′ tall, weighing 113 kg, comes to the clinic for a nonhealing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed?
1. Type 1 diabetes.
2. Type 2 diabetes.
3. Gestational diabe...
nrs 112 ati exam qamp a 20222023 verified 100 answers
nrs 112 ati exam qamp a 20222023
an 18 year old female client
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NRS 112 ATI EXAM Q& A 2022/2023 VERIFIED 100%
ANSWERS
An 18-year-old female client, 5′4′′ tall, weighing 113 kg, comes to the clinic for a
nonhealing wound on her lower leg, which she has had for two (2) weeks. Which
disease process should the nurse suspect the client has developed?
1. Type 1 diabetes.
2. Type 2 diabetes.
3. Gestational diabetes.
4. Acanthosis nigricans.ANSWERS-2
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%.
Which interpretation should the nurse make based on this result?
1. This result is below normal levels.
2. This result is within acceptable levels.
3. This result is above recommended levels.
4. This result is dangerously high.ANSWERS-3
The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client
diagnosed with type 1 diabetes at 1600. Which intervention should the nurse
implement?
1. Ensure the client eats the bedtime snack.
2. Determine how much food the client ate at lunch.
3. Perform a glucometer reading at 0700.
4. Offer the client protein after administering insulin.ANSWERS-1
The nurse is discussing the importance of exercising with a client diagnosed with type 2
diabetes whose diabetes is well controlled with diet and exercise. Which information
should the nurse include in the teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising.
2. Carry peanut butter crackers when exercising.
3. Encourage the client to walk 20 minutes three (3) times a week.
4. Perform warmup and cool-down exercises.ANSWERS-4
The nurse is assessing the feet of a client with long-term type 2 diabetes. Which
assessment data warrant immediate intervention by the nurse?
1. The client has crumbling toenails.
2. The client has athlete's foot.
3. The client has a necrotic big toe.
4. The client has thickened toenails.ANSWERS-3
The home health nurse is completing the admission assessment for a 76-year-old client
diagnosed with type 2 diabetes controlled with 70/30 insulin. Which intervention should
be included in the plan of care?
1. Assess the client's ability to read small print.
,2. Monitor the client's serum PT level.
3. Teach the client how to perform a hemoglobin A1c test daily.
4. Instruct the client to check the feet weekly.ANSWERS-1
The client with type 2 diabetes controlled with biguanide oral diabetic medication is
scheduled for a computed tomography (CT) scan with contrast of the abdomen to
evaluate pancreatic function. Which intervention should the nurse implement?
1. Provide a high-fat diet 24 hours prior to test.
2. Hold the biguanide medication for 48 hours prior to test.
3. Obtain an informed consent form for the test.
4. Administer pancreatic enzymes prior to the test.ANSWERS-2
The diabetic educator is teaching a class on diabetes type 1 and is discussing sick-day
rules. Which interventions should the diabetes educator include in the discussion?
Select all that apply.
1. Take diabetic medication even if unable to eat the client's normal diabetic diet.
2. If unable to eat, drink liquids equal to the client's normal caloric intake.
3. It is not necessary to notify the health-care provider if ketones are in the urine.
4. Test blood glucose levels and test urine ketones once a day and keep a record.
5. Call the health-care provider if glucose levels are higher than 180 mg/dL.ANSWERS-
1, 2, 5
The client received 10 units of Humulin R, a fast-acting insulin, at 0700. At 1030 the
unlicensed assistive personnel (UAP) tells the nurse the client has a headache and is
really acting "funny." Which intervention should the nurse implement first?
1. Instruct the UAP to obtain the blood glucose level.
2. Have the client drink eight (8) ounces of orange juice.
3. Go to the client's room and assess the client for hypoglycemia.
4. Prepare to administer one (1) ampule 50% dextrose intravenously.ANSWERS-3
The nurse at a freestanding health care clinic is caring for a 56-year-old male client who
is homeless and is a type 2 diabetic controlled with insulin. Which action is an example
of client advocacy?
1. Ask the client if he has somewhere he can go and live.
2. Arrange for someone to give him insulin at a local homeless shelter.
3. Notify Adult Protective Services about the client's situation.
4. Ask the HCP to take the client off insulin because he is homeless.ANSWERS-2
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The
nurse identifies the problem "high risk for hyperglycemia related to noncompliance with
the medication regimen." Which statement is an appropriate short-term goal for the
client?
1. The client will have a blood glucose level between 90 and 140 mg/dL.
2. The client will demonstrate appropriate insulin injection technique.
3. The nurse will monitor the client's blood glucose levels four (4) times a day.
,4. The client will maintain normal kidney function with 30-mL/hr urine
output.ANSWERS-1
The client diagnosed with type 2 diabetes is admitted to the intensive care unit with
hyperosmolar hyperglycemic nonketonic syndrome (HHNS) coma. Which assessment
data should the nurse expect the client to exhibit?
1. Kussmaul's respirations.
2. Diarrhea and epigastric pain.
3. Dry mucous membranes.
4. Ketone breath odor.ANSWERS-3
The elderly client is admitted to the intensive care department diagnosed with severe
HHNS. Which collaborative intervention should the nurse include in the plan of care?
1. Infuse 0.9% normal saline intravenously.
2. Administer intermediate-acting insulin.
3. Perform blood glucometer checks daily.
4. Monitor arterial blood gas results.ANSWERS-1
Which electrolyte replacement should the nurse anticipate being ordered by the health-
care provider in the client diagnosed with DKA who has just been admitted to the ICU?
1. Glucose.
2. Potassium.
3. Calcium.
4. Sodium.ANSWERS-2
The client diagnosed with HHNS was admitted yesterday with a blood glucose level of
780 mg/dL. The client's blood glucose level is now 300 mg/dL. Which intervention
should the nurse implement?
1. Increase the regular insulin IV drip.
1. Check the client's urine for ketones.
3. Provide the client with a therapeutic diabetic meal.
4. Notify the HCP to obtain an order to decrease insulin.ANSWERS-4
The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the
bathroom. Which intervention should the nurse implement first?
1. Administer 50% dextrose IVP.
2. Notify the health-care provider.
3. Move the client to the ICU.
4. Check the serum glucose level.ANSWERS-1
Which assessment data indicate the client diagnosed with diabetic ketoacidosis is
responding to the medical treatment?
1. The client has tented skin turgor and dry mucous membranes.
2. The client is alert and oriented to date, time, and place.
3. The client's ABG results are pH 7.29, PaCO2 44, HCO3 15.
4. The client's serum potassium level is 3.3 mEq/L.ANSWERS-2
, The UAP on the medical floor tells the nurse the client diagnosed with DKA wants
something else to eat for lunch. Which intervention should the nurse implement?
1. Instruct the UAP to get the client additional food.
2. Notify the dietitian about the client's request.
3. Request the HCP increase the client's caloric intake.
4. Tell the UAP the client cannot have anything else.ANSWERS-2
The emergency department nurse is caring for a client diagnosed with HHNS who has a
blood glucose of 680 mg/dL. Which question should the nurse ask the client to
determine the cause of this acute complication?
1. "When is the last time you took your insulin?"
2. "When did you have your last meal?"
3. "Have you had some type of infection lately?"
4. "How long have you had diabetes?"ANSWERS-3
The nurse is discussing ways to prevent diabetic ketoacidosis with the client diagnosed
with type 1 diabetes. Which instruction is most important to discuss with the client?
1. Refer the client to the American Diabetes Association.
2. Do not take any over-the-counter medications.
3. Take the prescribed insulin even when unable to eat because of illness.
4. Explain the need to get the annual flu and pneumonia vaccines.ANSWERS-3
The charge nurse is making client assignments in the intensive care unit. Which client
should be assigned to the most experienced nurse?
1. The client with type 2 diabetes who has a blood glucose level of 348 mg/dL.
2. The client diagnosed with type 1 diabetes who is experiencing hypoglycemia.
3. The client with DKA who has multifocal premature ventricular contractions.
4. The client with HHNS who has a plasma osmolarity of 290 mOsm/L.ANSWERS-3
Which arterial blood gas results should the nurse expect in the client diagnosed with
diabetic ketoacidosis?
1. pH 7.34, PaO2 99, PaCO2 48, HCO3 24.
2. pH 7.38, PaO2 95, PaCO2 40, HCO3 22.
3. pH 7.46, PaO2 85, PaCO2 30, HCO3 26.
4. pH 7.30, PaO2 90, PaCO2 30, HCO3 18.ANSWERS-4
The client is admitted to the ICU diagnosed with DKA. Which interventions should the
nurse implement? Select all that apply.
1. Maintain adequate ventilation.
2. Assess fluid volume status.
3. Administer intravenous potassium.
4. Check for urinary ketones.
5. Monitor intake and output.ANSWERS-1, 2, 3, 4, 5
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