ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A client asks a nurse, "What is a hemoglobin A1C test?" Which of the following is the most appropriate response?
Correct Answer: A
Rationale: The hemoglobin A1C test evaluates glycemic control over a 3-month period by measuring the glucose attached to hemoglobin, providing an average of blood sugar levels over 2-3 months.
Question 2 of 5
The nurse identifies the problem of Fluid Volume Excess for a patient. Which assessment finding validates this problem?
Correct Answer: A
Rationale: Fluid Volume Excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water. One of the defining characteristics of FVE is an increase in urine specific gravity.
Therefore, a urine specific gravity of 1.012 can validate the problem of Fluid Volume Excess for a patient.
Question 3 of 5
The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: When a patient is informed about a serious diagnosis like breast cancer and the need for a mastectomy, it is common for them to experience a range of emotions, including sadness, fear, and anxiety. Offering to be there for the patient if they want to talk acknowledges their emotional distress and provides comfort.
Question 4 of 5
A client diagnosed with peripheral arterial disease has the nursing problem of Impaired Tissue Integrity related to ischemic tissue of the legs and feet. What is an expected outcome to include in the care plan?
Correct Answer: A
Rationale: Understanding appropriate foot care measures is crucial for managing impaired tissue integrity in PAD, helping to prevent further tissue damage and promote healing.
Question 5 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.