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 provide immediate information about whether the client is experiencing hypoglycemia, guiding appropriate treatment.
Question 2 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 3 of 5
The oncoming nurse sees that the patient is receiving IV heparin at 7 mL/hr. The concentration of the heparin is 50,000 units in 250 ml of saline. The patient is ordered 1600 units of heparin per hour. The lab calls the oncoming nurse with the result of the patient's activated partial prothrombin time (aPTT) is 37 seconds. What actions will the oncoming nurse take? (SELECT ALL THAT APPLY)
Correct Answer: A,C
Rationale: Notifying the prescriber about the dose and assessing for infiltration ensure appropriate heparin therapy management.
Question 4 of 5
A client diagnosed with diabetes has severe peripheral neuropathy, resulting in numbness and reduced sensation. Which intervention should the nurse teach the client to prevent injury as a result of this complication?
Correct Answer: C
Rationale: This is the most effective way to prevent burns, as individuals with peripheral neuropathy may not be able to feel the heat of the water.
Question 5 of 5
The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:
Correct Answer: B
Rationale: Insulin lispro is a rapid-acting insulin with an onset of 15-30 minutes. Breakfast by 0700 ensures carbohydrate intake aligns with the insulin's action to prevent hypoglycemia.