ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0800 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. The nurse recognizes that the peak level will be drawn at
Correct Answer: B
Rationale: The peak level, reflecting the highest drug concentration, is drawn about 30 minutes to an hour after infusion ends.
Question 2 of 5
A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:
Correct Answer: D
Rationale: Elastic bandaging shapes the stump and minimizes edema for prosthetic fitting and healing.
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
What clinical manifestation(s) should the nurse expect in a client with uncontrolled diabetes mellitus and ketoacidosis? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Lethargy can occur in DKA due to hyperglycemia, acidosis, and dehydration. An ABG showing pH 7.31 and low HCO3 indicates metabolic acidosis, characteristic of DKA. Kussmaul respirations (rapid, deep breathing) are a classic sign of DKA.
Question 5 of 5
A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:
Correct Answer: C
Rationale: Checking the blood glucose level will provide immediate information about whether the client is experiencing hypoglycemia, guiding appropriate treatment.