ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A client has been taking glipizide for 6 months and reports to the nurse that their urine has become darker since starting the medication. What should be the nurse's initial action?
Correct Answer: A
Rationale: Dark urine can be a sign of liver dysfunction, which can be a side effect of glipizide. Reviewing liver function studies is an appropriate initial action.
Question 2 of 5
The nurse is caring for the following four clients on the nursing unit. Which client is at the highest risk for the development of deep vein thrombosis?
Correct Answer: C
Rationale: Patients who have undergone major open abdominal surgery are at the highest risk for the development of DVT due to the surgery itself and postoperative immobility.
Question 3 of 5
The nurse is educating a client who has been newly prescribed acarbose in addition to repaglinide for the treatment of Type 2 diabetes. Which statement made by the client indicates that the teaching has been effective?
Correct Answer: A
Rationale: Both acarbose and repaglinide can cause hypoglycemia. Carrying glucose tablets or gels is a good practice because they can quickly raise blood sugar levels during an episode of hypoglycemia.
Question 4 of 5
A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?
Correct Answer: C
Rationale: A heart murmur due to mitral valve disease is typically heard loudest over the mitral area, located at the fifth intercostal space in the left midclavicular line.
Question 5 of 5
A patient diagnosed with Type 1 diabetes reports a blood glucose level of 210 mg/dL and symptoms of a sore throat, cough, and fever. What advice should the nurse give to the patient?
Correct Answer: C
Rationale: Monitoring blood glucose levels every 4 hours and notifying the doctor if it continues to rise is the best advice. When a patient with diabetes is sick, their blood glucose levels can rise due to the stress the body is under.