ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A client with diabetes has returned from the post-anesthesia care unit (PACU) after a below-the-knee amputation (BKA) of the left leg. Which physician's order should the nurse implement?
Correct Answer: A
Rationale: After a below-the-knee amputation, pain management is crucial. Administering morphine 2-4 mg IV prn for pain is an appropriate physician's order to implement.
Question 2 of 5
A nurse is caring for a patient who has peripheral arterial disease (PAD). What symptoms should the nurse expect to find in the early stage of the disease?
Correct Answer: A
Rationale: Intermittent claudication, which involves limb pain or cramping that generally begins when exercising and improves while resting, is a common symptom in the early stages of PAD.
Question 3 of 5
A patient diagnosed with deep vein thrombosis asks the nurse, "How does this blood thinner heparin work?" Which response is most accurate?
Correct Answer: C
Rationale: Heparin does not thin the blood; instead, it prevents new clots from forming and existing clots from growing larger. It does this by increasing the activity of antithrombin, which in turn inactivates thrombin and factor Xa.
Question 4 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption. Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine. Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.
Question 5 of 5
A patient receives 20 units of Isophane Insulin Suspension (NPH) Insulin at 07:30. At what time are signs of hypoglycemia most likely to occur?
Correct Answer: C
Rationale: NPH insulin peaks 4 to 12 hours after injection. If administered at 07:30, the peak effect would be between 11:30 and 19:30, with 14:30 falling within this range.