ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 72-year-old client is admitted to the medical-surgical unit with a diagnosis of acute pyelonephritis. The client complains of costovertebral tenderness. What it the most appropriate nursing intervention?
Correct Answer: D
Rationale: Offering an analgesic is the most appropriate action. Pain management is crucial for the comfort of the client with costovertebral tenderness due to pyelonephritis.
Question 2 of 5
The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: A medical alert bracelet, electric razor, and regular PT/INR monitoring are crucial for safe warfarin use.
Question 3 of 5
The nurse is teaching an adult client with Type 1 diabetes that causes for the development of diabetic ketoacidosis (DKA) are (SELECT ALL THAT APPLY)
Correct Answer: A,B,D,E
Rationale: Infections, inadequate insulin due to decreased caloric intake, clogged insulin pump tubing, and not taking sufficient insulin can lead to hyperglycemia and DKA.
Question 4 of 5
A newly diagnosed diabetic client is 24 hours post-op following abdominal surgery. The 0700 blood glucose level is 200 mg/dl and the nurse administers 4 units of insulin aspart subcutaneously per prescribed sliding scale. What time should the nurse first assess the client for signs and symptoms of hypoglycemia?
Correct Answer: B
Rationale: Insulin aspart is rapid-acting, with a peak effect around 1-3 hours, making 0800 appropriate for hypoglycemia monitoring.
Question 5 of 5
A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:
Correct Answer: C
Rationale: Checking the blood glucose level will provide immediate information about whether the client is experiencing hypoglycemia, guiding appropriate treatment.