NURSING 402 ATI Test A Comprehensive Exam (Latest) Questions with Answers

1. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? a. Negative urine ketones b. BUN 32 mg/dL c. pH 7.43 d. HCO3 23 mEq/L DKA results in osmotic diuresis and subsequent dehydration. The nurse should expect a client who has DKA to have elevated BUN, creatinine, and specific gravity levels resulting from the excess glucose present in the urine 2. A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? a. Wear a mask b. Wear a gown c. Keep the client’s room well-lit d. Maintain the head of the bed at a 45 degree elevation Bacterial meningitis requires droplet precautions; therefore, the AP and the nurse should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the client has begun receiving antibiotic therapy. 3. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? a. "I will monitor my blood sugar carefully because the medication increases the secretion of insulin." b. "I should take this medication with a meal." c. "I can expect to gain weight while taking this medication." d. “While taking this medication, I will experience flushing of my skin." The client should take metformin with or immediately following meals to improve absorption and to minimize gastrointestinal distress.