ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A client with Type 2 diabetes is brought into the emergency room in an unresponsive state. A diagnosis of Hyperosmolar Hyperglycemic Syndrome (HHS) is made. The nurse prepares for the administration of which initial therapy?
Correct Answer: C
Rationale: 0.9% saline IV corrects dehydration and dilutes high glucose levels, the initial priority in HHS.
Question 2 of 5
A client has returned to the unit following a peripheral angiogram with a stent insertion. Four hours post procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cool and dusky. What should be the nurse's immediate action?
Correct Answer: A
Rationale: Loss of pulse and cool, dusky foot indicate potential arterial occlusion, requiring immediate physician notification.
Question 3 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 4 of 5
A nurse is teaching a client with diabetes mellitus about chronic complications associated with the disease. Which information should be included in the teaching?
Correct Answer: B,C
Rationale: Regular eye and frequent podiatry exams are essential to detect diabetic retinopathy and foot complications.
Question 5 of 5
A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?
Correct Answer: 37.5 drops per minute
Rationale: Drip rate = (450 mL x 15 drops/mL) / 180 minutes = 37.5 drops per minute.