ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about
Correct Answer: A
Rationale: Weight management is key to preventing progression from prediabetes to type 2 diabetes.
Question 2 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 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
The client who has been taking glipizide for 6 months reports to the nurse that his urine has become darker since starting the medication. What is the nurse's first action?
Correct Answer: D
Rationale: Glipizide and other sulfonylureas can affect liver function, and dark urine can indicate potential liver issues, such as bilirubinuria. Reviewing liver function studies would provide critical information to assess if the change in urine color is related to liver dysfunction.
Question 5 of 5
The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: A medical alert bracelet, electric razor, and regular PT/INR monitoring are crucial for safe warfarin use.