ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Completing the full course of antibiotics is essential to ensure the infection is fully treated. Metronidazole can cause a disulfiram-like reaction if alcohol is consumed. Metronidazole can potentially reduce the effectiveness of hormonal contraceptives.
Question 2 of 5
A client is receiving heparin sodium 5000 units IV and oral warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educated the client that heparin and warfarin are both used because:
Correct Answer: A
Rationale: Heparin provides immediate anticoagulation, while warfarin takes days to become effective, ensuring continuous protection.
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 nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?
Correct Answer: C
Rationale: Elevating the stump on pillows reduces swelling and prevents contractures, aiding healing.
Question 5 of 5
A newly admitted client has been prescribed sulfamethoxazole/trimethoprim. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: C
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function. TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.