ATI RN
ATI Med Surg Nurs 200 Exam Questions
Question 1 of 5
A patient diagnosed with deep vein thrombosis asks the nurse, "How does this blood thinner heparin work?" Which response is most accurate?
Correct Answer: C
Rationale: Heparin does not thin the blood; instead, it prevents new clots from forming and existing clots from growing larger. It does this by increasing the activity of antithrombin, which in turn inactivates thrombin and factor Xa.
Question 2 of 5
The nurse is caring for a patient with a diagnosis of chronic peripheral arterial disease. Which statement by the patient warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Applying a heating pad to cold legs could lead to burns because PAD can cause loss of sensation in the legs. This warrants immediate intervention to prevent injury.
Question 3 of 5
The nurse is monitoring a client receiving gentamicin. Which of the following would the nurse assess as potential toxic effects of this medication?
Correct Answer: B
Rationale: Gentamicin can cause ototoxicity, which can manifest as tinnitus, vertigo, and hearing loss. Headaches can also occur as a side effect.
Question 4 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption. Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine. Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.
Question 5 of 5
A patient's insulin dosage is 16 units of regular insulin in the morning. When should the patient expect the insulin peak?
Correct Answer: A
Rationale: Regular insulin starts working 30 minutes to 1 hour after administration and peaks in 2 to 5 hours.