ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?
Correct Answer: 37.5 drops per minute
Rationale: Drip rate = (450 mL x 15 drops/mL) / 180 minutes = 37.5 drops per minute.
Question 2 of 5
The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?
Correct Answer: A
Rationale: Clopidogrel increases bleeding risk, and black or bloody stools indicate potential bleeding requiring immediate attention.
Question 3 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 4 of 5
The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?
Correct Answer: B
Rationale: Stage III PAD is characterized by rest pain, such as burning pain at night, due to inadequate blood flow.
Question 5 of 5
The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?
Correct Answer: B
Rationale: Increasing fluid intake helps prevent kidney damage, a potential side effect of trimethoprim-sulfamethoxazole.