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ATI NURSING 135 Exam Spring 2023
A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's
pain, which of the following should the nurse address as the priority intervention?
A. Provide oral hygiene. 0%
B. Assist the client to a side-lying position. 14%
C. Auscultate the client's lungs. 38%
D. Withhold oral fluids and food. 47% Most selected
Answer and Explanation
Choice A:
Provide oral hygiene. Providing oral hygiene is important for the client's comfort and
overall well-being. However, in the context of acute pancreatitis, the immediate priority is
to address the gastrointestinal symptoms and prevent further pancreatic stimulation.
Choice B:
Assist the client to a side-lying position. Assisting the client to a side-lying position can
be beneficial for comfort and may help prevent complications such as aspiration.
However, it is not the immediate priority after treating the pain. Withholding oral fluids
and food takes precedence in the initial management of acute pancreatitis.
Choice C:
Auscultate the client's lungs.
Auscultating the client's lungs is a routine nursing assessment and is important for
respiratory monitoring. However, in the context of acute pancreatitis, the primary focus is
on addressing gastrointestinal symptoms, and respiratory assessment becomes more
critical if respiratory distress is suspected.
Choice D:
Withhold oral fluids and food. Withholding oral fluids and food is the priority intervention
after treating the pain in acute pancreatitis. This is done to reduce pancreatic
,stimulation, allowing the pancreas to rest and recover. NPO (nothing by mouth) status is
often initiated in the early management of acute pancreatitis.
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally
inserted central catheter (PICC). When assessing the client, the nurse notes edema of the
client's arm above the PICC insertion site. Which of the following actions should the nurse
take first?
A. Apply a cold pack to the client's upper arm. 17%
B. Remove the PICC line. 0%
C. Notify the provider who inserted the PICC line. 0%
D. Stop the infusion and measure the circumference of both upper arms. 82%
Most selected
Answer and Explanation
,Choice A:
Applying a cold pack to the client's upper arm is not the first action. The priority is to
assess and address the cause of the edema. Cold packs may be used for comfort, but
they do not address the underlying issue.
Choice B:
Removing the PICC line is not the first action. Before considering removal, it is essential to
assess the extent and cause of the edema. Removing the line without proper evaluation
could lead to premature discontinuation of necessary treatment.
Choice C:
Notifying the provider who inserted the PICC line is important, but it is not the first action.
The nurse needs to assess and intervene promptly. The provider should be informed after
initial actions are taken.
Choice D:
Stopping the infusion and measuring the circumference of both upper arms is the first
action. This helps determine the extent of the edema and whether it is related to the
infusion. It is crucial to assess for complications such as infiltration or extravasation of the
TPN solution.
A nurse is providing teaching for a client who has diabetes and a new prescription for
Insulin glargine. Which of the following instructions should the nurse provide regarding
this type of insulin?
A. Insulin glargine has a duration of 3 to 6 hr. 41% Most selected
B. Insulin glargine has a duration of 14 to 22 hr. 25%
C. Insulin glargine has a duration of 24 to 36 hr. 33%
D. Insulin glargine has a duration of 6 to 10 hr. 0%
, Answer and Explanation
Choice A:
Insulin glargine does not have a duration of 3 to 6 hours. This duration of action is much
shorter than the actual duration of insulin glargine.
Choice B:
Insulin glargine does not have a duration of 14 to 22 hours. This duration is shorter than
the typical duration of action for insulin glargine.
Choice C:
Insulin glargine, a long-acting insulin, has a duration of action that lasts approximately
24 to 36 hours. It provides a slow and steady release of insulin, offering a relatively
consistent blood sugar-lowering effect over an extended period.
Choice D:
ATI NURSING 135 Exam Spring 2023
A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's
pain, which of the following should the nurse address as the priority intervention?
A. Provide oral hygiene. 0%
B. Assist the client to a side-lying position. 14%
C. Auscultate the client's lungs. 38%
D. Withhold oral fluids and food. 47% Most selected
Answer and Explanation
Choice A:
Provide oral hygiene. Providing oral hygiene is important for the client's comfort and
overall well-being. However, in the context of acute pancreatitis, the immediate priority is
to address the gastrointestinal symptoms and prevent further pancreatic stimulation.
Choice B:
Assist the client to a side-lying position. Assisting the client to a side-lying position can
be beneficial for comfort and may help prevent complications such as aspiration.
However, it is not the immediate priority after treating the pain. Withholding oral fluids
and food takes precedence in the initial management of acute pancreatitis.
Choice C:
Auscultate the client's lungs.
Auscultating the client's lungs is a routine nursing assessment and is important for
respiratory monitoring. However, in the context of acute pancreatitis, the primary focus is
on addressing gastrointestinal symptoms, and respiratory assessment becomes more
critical if respiratory distress is suspected.
Choice D:
Withhold oral fluids and food. Withholding oral fluids and food is the priority intervention
after treating the pain in acute pancreatitis. This is done to reduce pancreatic
,stimulation, allowing the pancreas to rest and recover. NPO (nothing by mouth) status is
often initiated in the early management of acute pancreatitis.
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally
inserted central catheter (PICC). When assessing the client, the nurse notes edema of the
client's arm above the PICC insertion site. Which of the following actions should the nurse
take first?
A. Apply a cold pack to the client's upper arm. 17%
B. Remove the PICC line. 0%
C. Notify the provider who inserted the PICC line. 0%
D. Stop the infusion and measure the circumference of both upper arms. 82%
Most selected
Answer and Explanation
,Choice A:
Applying a cold pack to the client's upper arm is not the first action. The priority is to
assess and address the cause of the edema. Cold packs may be used for comfort, but
they do not address the underlying issue.
Choice B:
Removing the PICC line is not the first action. Before considering removal, it is essential to
assess the extent and cause of the edema. Removing the line without proper evaluation
could lead to premature discontinuation of necessary treatment.
Choice C:
Notifying the provider who inserted the PICC line is important, but it is not the first action.
The nurse needs to assess and intervene promptly. The provider should be informed after
initial actions are taken.
Choice D:
Stopping the infusion and measuring the circumference of both upper arms is the first
action. This helps determine the extent of the edema and whether it is related to the
infusion. It is crucial to assess for complications such as infiltration or extravasation of the
TPN solution.
A nurse is providing teaching for a client who has diabetes and a new prescription for
Insulin glargine. Which of the following instructions should the nurse provide regarding
this type of insulin?
A. Insulin glargine has a duration of 3 to 6 hr. 41% Most selected
B. Insulin glargine has a duration of 14 to 22 hr. 25%
C. Insulin glargine has a duration of 24 to 36 hr. 33%
D. Insulin glargine has a duration of 6 to 10 hr. 0%
, Answer and Explanation
Choice A:
Insulin glargine does not have a duration of 3 to 6 hours. This duration of action is much
shorter than the actual duration of insulin glargine.
Choice B:
Insulin glargine does not have a duration of 14 to 22 hours. This duration is shorter than
the typical duration of action for insulin glargine.
Choice C:
Insulin glargine, a long-acting insulin, has a duration of action that lasts approximately
24 to 36 hours. It provides a slow and steady release of insulin, offering a relatively
consistent blood sugar-lowering effect over an extended period.
Choice D:
