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: Maintaining a healthy weight is crucial to prevent progression from prediabetes to type 2 diabetes.
Question 2 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 3 of 5
The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:
Correct Answer: B
Rationale: Learning insulin administration is critical for managing insulin-dependent diabetes and preventing complications.
Question 4 of 5
The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Exercise, alcohol consumption, and beta-blockers like metoprolol can increase hypoglycemia risk by enhancing insulin sensitivity, inhibiting gluconeogenesis, or masking symptoms.
Question 5 of 5
What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. A sedentary lifestyle is a well-known risk factor for type 2 diabetes. A random blood glucose level above 200 mg/dL is indicative of diabetes.