1
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed Answer Key
Actual Exam / RN ATI Comprehensive Exit
Exam Prep Test Bank VERIFIED QUESTIONS
AND ANSWERS GRADED EXAM VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT
ANSWERS) (BEST FOR EXAM PREPARATION)
A client is brought to the emergency department by ambulance, and diabetic
ketoacidosis is suspected. Blood samples are taken, and the nurse obtains
, 2
RN Comprehensive Exit Detailed Answer Key
supplies that will be needed to treat the client. Which typeActual Exam
of insulin does the
nurse take from the medication supply room for intravenous (IV) administration?
NPH (Humulin N)
Lente (Humulin L)
Regular (Humulin R)
NPH/regular 50%/50% (Humulin 50/50) –
Correct Answer :Regular (Humulin R)
Rationale:
Ketoacidosis, the most severe manifestation of insulin deficiency, is a life-
threatening emergency. IV insulin is a primary component of treatment. Regular
insulin, which has a rapid onset and short duration of action, is the only insulin
that may be given IV. Because regular insulin forms a true solution, it is safe for
IV use. NPH, Lente, NPH/regular 50%/50% are intermediate-acting insulins.
A home care nurse prefills syringes containing NPH (Humulin N) and regular
(Humulin R) insulin for a client with diabetes mellitus who will be administering
his/her own insulin but has difficulty seeing and accurately preparing doses. How
does the nurse place the medication in the client's refrigerator with the syringes?
Lying flat
In a horizontal position
In a vertical position with the needles pointing up
In a vertical position with the needles pointing down –
, 3
RN Comprehensive Exit Detailed Answer Key
Actual Exam
Correct Answer :In a vertical position with the needles pointing up
Rationale:
The syringes should be stored vertically, with the needles pointing up to prevent
clogging of the needle with the insulin. Mixtures of insulin in prefilled syringes
may be stored in a refrigerator, where they will be stable for at least 1 to 2
weeks. Before administration of the medication, the syringe should be agitated
gently to resuspend the insulin.
Tolbutamide is prescribed to a client whose type 2 diabetes mellitus has not
been controlled with diet and exercise alone. The nurse provides instructions to
the client about the medication. Which statement by the client indicates a need
for further instruction?
"I need to maintain my exercise program."
"I need to stay on my calorie-restricted diet."
"I can take the medication with food if it upsets my stomach."
"I can have a beer or glass of wine as long as I stay within my daily dietary
restrictions." –
Correct Answer :"I can have a beer or glass of wine as long as I stay within my
daily dietary restrictions."
Rationale:
, 4
RN Comprehensive Exit Detailed Answer Key
There is a need for further instruction when the client saysActual
"I can haveExam
a beer or
glass of wine as long as I stay within my daily dietary restrictions." Tolbutamide,
a first-generation sulfonylurea, is used as an adjunct to calorie restriction and
exercise to maintain glycemic control in clients with type 2 diabetes mellitus.
When alcohol is combined with tolbutamide, a disulfiram-like reaction, including
flushing, palpitations, and nausea, may occur. Alcohol also potentiates the
hypoglycemic effects of tolbutamide. The client must be told about the dangers
of alcohol consumption. The statements in the remaining options are correct.
The nurse is reviewing the record of a client admitted with Cushing's syndrome
due to ingestion of large doses of long-term glucocorticoids used to treat
nonendocrine conditions. What signs/symptoms does the nurse expect to note?
Select all that apply.
Moon face
Dizziness
Osteoporosis
Hyperkalemia
Loss of weight
Edema in the feet –
Correct Answer :Moon face
Dizziness
Osteoporosis
Edema in the feet
Rationale:
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed Answer Key
Actual Exam / RN ATI Comprehensive Exit
Exam Prep Test Bank VERIFIED QUESTIONS
AND ANSWERS GRADED EXAM VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT
ANSWERS) (BEST FOR EXAM PREPARATION)
A client is brought to the emergency department by ambulance, and diabetic
ketoacidosis is suspected. Blood samples are taken, and the nurse obtains
, 2
RN Comprehensive Exit Detailed Answer Key
supplies that will be needed to treat the client. Which typeActual Exam
of insulin does the
nurse take from the medication supply room for intravenous (IV) administration?
NPH (Humulin N)
Lente (Humulin L)
Regular (Humulin R)
NPH/regular 50%/50% (Humulin 50/50) –
Correct Answer :Regular (Humulin R)
Rationale:
Ketoacidosis, the most severe manifestation of insulin deficiency, is a life-
threatening emergency. IV insulin is a primary component of treatment. Regular
insulin, which has a rapid onset and short duration of action, is the only insulin
that may be given IV. Because regular insulin forms a true solution, it is safe for
IV use. NPH, Lente, NPH/regular 50%/50% are intermediate-acting insulins.
A home care nurse prefills syringes containing NPH (Humulin N) and regular
(Humulin R) insulin for a client with diabetes mellitus who will be administering
his/her own insulin but has difficulty seeing and accurately preparing doses. How
does the nurse place the medication in the client's refrigerator with the syringes?
Lying flat
In a horizontal position
In a vertical position with the needles pointing up
In a vertical position with the needles pointing down –
, 3
RN Comprehensive Exit Detailed Answer Key
Actual Exam
Correct Answer :In a vertical position with the needles pointing up
Rationale:
The syringes should be stored vertically, with the needles pointing up to prevent
clogging of the needle with the insulin. Mixtures of insulin in prefilled syringes
may be stored in a refrigerator, where they will be stable for at least 1 to 2
weeks. Before administration of the medication, the syringe should be agitated
gently to resuspend the insulin.
Tolbutamide is prescribed to a client whose type 2 diabetes mellitus has not
been controlled with diet and exercise alone. The nurse provides instructions to
the client about the medication. Which statement by the client indicates a need
for further instruction?
"I need to maintain my exercise program."
"I need to stay on my calorie-restricted diet."
"I can take the medication with food if it upsets my stomach."
"I can have a beer or glass of wine as long as I stay within my daily dietary
restrictions." –
Correct Answer :"I can have a beer or glass of wine as long as I stay within my
daily dietary restrictions."
Rationale:
, 4
RN Comprehensive Exit Detailed Answer Key
There is a need for further instruction when the client saysActual
"I can haveExam
a beer or
glass of wine as long as I stay within my daily dietary restrictions." Tolbutamide,
a first-generation sulfonylurea, is used as an adjunct to calorie restriction and
exercise to maintain glycemic control in clients with type 2 diabetes mellitus.
When alcohol is combined with tolbutamide, a disulfiram-like reaction, including
flushing, palpitations, and nausea, may occur. Alcohol also potentiates the
hypoglycemic effects of tolbutamide. The client must be told about the dangers
of alcohol consumption. The statements in the remaining options are correct.
The nurse is reviewing the record of a client admitted with Cushing's syndrome
due to ingestion of large doses of long-term glucocorticoids used to treat
nonendocrine conditions. What signs/symptoms does the nurse expect to note?
Select all that apply.
Moon face
Dizziness
Osteoporosis
Hyperkalemia
Loss of weight
Edema in the feet –
Correct Answer :Moon face
Dizziness
Osteoporosis
Edema in the feet
Rationale:
