ATI RN
ATI Med Surg Nurs 200 Exam Questions
Question 1 of 5
The nurse is preparing to administer an aminoglycoside antibiotic to a client admitted with a diagnosis of acute diverticulitis. What is the priority nursing action?
Correct Answer: C
Rationale: Obtaining a serum trough level is the priority nursing action. Trough levels are drawn just before the next dose of the drug is due and are used to assess whether the dosage is safe.
Question 2 of 5
The nurse is caring for a client diagnosed with deep vein thrombosis who suddenly becomes short of breath, anxious, and restless. The vital signs are: heart rate 130 beats/minute, respirations 42/minute, blood pressure 90/50, and pulse oximetry is 90%. An intravenous infusion of normal saline is running at 75ml/hr. The nurse elevates the head of the bed and applies nasal oxygen at 2L/min. What action should the nurse take next?
Correct Answer: B
Rationale: Calling the rapid response team is the most appropriate next step. The client's symptoms suggest a potential pulmonary embolism, a serious and life-threatening condition that requires immediate medical intervention.
Question 3 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 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 newly admitted client has been prescribed trimethoprim-sulfamethoxazole. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: D
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function, and trimethoprim-sulfamethoxazole is contraindicated in patients with severe renal insufficiency.