ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A client is receiving trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?
Correct Answer: A
Rationale: Trimethoprim-sulfamethoxazole is an antibiotic used to treat or prevent bacterial infections. One of the key instructions for patients taking this medication is to increase fluid intake to 3 to 4 liters per 24 hours. This is because the medication can crystallize in the urine, which can lead to kidney stones or damage if the patient is not adequately hydrated.
Question 2 of 5
A patient receives 20 units of Isophane Insulin Suspension (NPH) Insulin at 07:30. At what time are signs of hypoglycemia most likely to occur?
Correct Answer: C
Rationale: NPH insulin peaks 4 to 12 hours after injection. If administered at 07:30, the peak effect would be between 11:30 and 19:30, with 14:30 falling within this range.
Question 3 of 5
Which client does the nurse recognize to have the greatest risk of an adverse reaction if prescribed potassium Penicillin G?
Correct Answer: D
Rationale: Dehydration can affect kidney function, and Penicillin G is excreted by the kidneys. Patients with reduced kidney function are at higher risk of adverse reactions.
Question 4 of 5
To prevent lipodystrophy in a client receiving insulin therapy, what should the nurse instruct the client to do?
Correct Answer: C
Rationale: Rotating injection sites correctly is a key strategy for preventing lipodystrophy. Lipodystrophy refers to abnormal changes in the fat tissue under the skin and can be caused by repeatedly injecting insulin into the same spot.
Question 5 of 5
The nurse is providing care for a client diagnosed with post-thrombotic syndrome who has a venous stasis ulcer. Which instructions should be given prior to discharge? (Select all that apply)
Correct Answer: A,B,E
Rationale: Proteins, vitamin C, and zinc are essential for wound healing. Care should be taken when walking to avoid bumping the limb, as trauma could worsen the condition. Compression stockings reduce swelling and improve blood flow, promoting ulcer healing.