ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:
Correct Answer: D
Rationale: Elastic bandaging shapes the stump for prosthetic fitting and reduces edema.
Question 2 of 5
The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?
Correct Answer: B
Rationale: Stage III PAD is characterized by rest pain, such as burning pain at night, due to inadequate blood flow.
Question 3 of 5
A client with a deep vein thrombosis has been receiving warfarin sodium 2.5 mg PO daily. The client's International Normalized Ratio (INR) is 5.0. The nurse is aware that the medication dose needs to be:
Correct Answer: D
Rationale: An INR of 5.0 indicates excessive anticoagulation, requiring the dose to be held to reduce bleeding risk.
Question 4 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2100. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,E
Rationale: Insulin glargine has no peak, reducing hypoglycemia risk. Monitoring glucose before/after exercise and rotating injection sites are essential for safe management.
Question 5 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.