ATI RN
ATI N200 Med Surg Exam 5 Questions
Question 1 of 5
A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?
Correct Answer: D
Rationale: This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.
Question 2 of 5
Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?
Correct Answer: C
Rationale: The first action in this situation should be to immediately stop the infusion of the antibiotic. This prevents further exposure to the allergen and is critical to managing the potential anaphylactic reaction.
Question 3 of 5
What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. A sedentary lifestyle is a well-known risk factor for type 2 diabetes. A random blood glucose level above 200 mg/dL is indicative of diabetes.
Question 4 of 5
A newly admitted client has been prescribed sulfamethoxazole/trimethoprim. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: C
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function. TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.
Question 5 of 5
A client diagnosed with diabetes has severe peripheral neuropathy, resulting in numbness and reduced sensation. Which intervention should the nurse teach the client to prevent injury as a result of this complication?
Correct Answer: C
Rationale: This is the most effective way to prevent burns, as individuals with peripheral neuropathy may not be able to feel the heat of the water.