ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 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 2 of 5
A 72-year-old client is admitted to the medical-surgical unit with a diagnosis of acute pyelonephritis. The client complains of costovertebral tenderness. What it the most appropriate nursing intervention?
Correct Answer: D
Rationale: Offering an analgesic is the most appropriate action. Pain management is crucial for the comfort of the client with costovertebral tenderness due to pyelonephritis.
Question 3 of 5
A client has returned to the unit following a peripheral angiogram with a stent insertion. Four hours post procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cool and dusky. What should be the nurse's immediate action?
Correct Answer: A
Rationale: Loss of pulse and cool, dusky foot indicate potential arterial occlusion, requiring immediate physician notification.
Question 4 of 5
Which observation by the nurse indicates that a male client diagnosed with kidney stones is experiencing renal colic?
Correct Answer: D
Rationale: Severe flank pain radiating to the testicle is a classic symptom of renal colic due to kidney stone passage.
Question 5 of 5
The client diagnosed with deep vein thrombosis asks the nurse, 'How does heparin work to help with my blood clot?' Which response is most accurate? 'Heparin:
Correct Answer: B
Rationale: Heparin prevents new clot formation by inhibiting clotting factors, not by thinning blood or dissolving clots.