ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 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 quickly determine whether the client is experiencing hypoglycemia, allowing for prompt treatment.
Question 2 of 5
The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dl, a post prandial blood glucose level below 200 mg/dl, and a hemoglobin A1c level of 4.5%. What is the nurse's interpretation of these findings? The client is:
Correct Answer: A
Rationale: Normal fasting and post-prandial glucose levels with a low A1c indicate excellent glucose control.
Question 3 of 5
The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?
Correct Answer: D
Rationale: An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning result for possible DVT.
Question 4 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.
Question 5 of 5
The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:
Correct Answer: C
Rationale: Handwashing interrupts the mode of transmission, preventing pathogens from entering another person.