ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A newly admitted client has been prescribed sulfamethoxazole/trimethoprim. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: C
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function. TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.
Question 2 of 5
A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:
Correct Answer: A
Rationale: Regular insulin peaks within 2 to 4 hours, requiring careful monitoring to prevent hypoglycemia.
Question 3 of 5
The nurse is caring for a client who is three hours postoperative left leg below the knee amputation (BKA). The client tells the nurse. 'My left foot is killing me. Please do something!' Which intervention should the nurse implement?
Correct Answer: D
Rationale: Administering a narcotic analgesic provides immediate relief for acute postoperative pain, including phantom limb pain.
Question 4 of 5
A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:
Correct Answer: A
Rationale: Regular insulin peaks within 2 to 4 hours, requiring monitoring for hypoglycemia during this period.
Question 5 of 5
The nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?
Correct Answer: C
Rationale: Elevating the stump on pillows reduces swelling and prevents contractures, aiding healing.