ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 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 2 of 5
A Type 1 diabetic client's blood glucose level is 50 mg/dL at 16:30. The client is alert; however, dinner will not be served until 17:15. What should be the nurse's initial action?
Correct Answer: A
Rationale: A blood glucose level of 50 mg/dL is hypoglycemic. Following the 15-15 rule, 4 oz. of orange juice (about 15 grams of carbohydrates) can quickly raise blood glucose levels.
Question 3 of 5
A patient has been receiving warfarin sodium 2.5 mg PO daily for four days and the International Normalized Ratio (INR) is 1.9. What should be the nurse's next step?
Correct Answer: C
Rationale: Notifying the healthcare provider and asking if the dose of warfarin can be increased would be the appropriate next step. The INR of 1.9 is below the therapeutic range of 2.0 - 3.0 for most patients on warfarin.
Question 4 of 5
A Type 1 diabetic client with a morning (fasting) glucose of 260 mg/dL has been diagnosed with the Somogyi effect from insulin administration. What intervention should the nurse anticipate including in the plan of care?
Correct Answer: B
Rationale: Consuming a snack at bedtime can help prevent the blood sugar level from dropping too low overnight, thus preventing the Somogyi effect.
Question 5 of 5
A client diagnosed with Raynaud's disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?
Correct Answer: A
Rationale: Raynaud's disease is a condition that affects blood flow to the extremities, including the fingers and toes, in response to cold temperatures or stress. Wearing heavy-duty gloves during cold exposures can help to keep the hands warm and reduce the risk of a Raynaud's attack.