ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A newly admitted client has been prescribed trimethoprim-sulfamethoxazole. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: D
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function, and trimethoprim-sulfamethoxazole is contraindicated in patients with severe renal insufficiency.
Question 2 of 5
The nurse is caring for a client who has just returned to the nursing unit following a below-the-knee amputation (BKA) of the right leg. How should this client be positioned?
Correct Answer: D
Rationale: The supine position, with the stump flat on the bed, is often recommended following a below-the-knee amputation. This position helps to prevent contractures and promotes healing.
Question 3 of 5
The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?
Correct Answer: B
Rationale: A D-dimer level of 500 ng/mL is elevated, which can indicate the presence of a clot, such as in DVT.
Question 4 of 5
To prevent lipodystrophy in a client receiving insulin therapy, what should the nurse instruct the client to do?
Correct Answer: C
Rationale: Rotating injection sites correctly is a key strategy for preventing lipodystrophy. Lipodystrophy refers to abnormal changes in the fat tissue under the skin and can be caused by repeatedly injecting insulin into the same spot.
Question 5 of 5
The nurse is caring for a patient who had an above-the-knee amputation (AKA) five days ago. The nurse notices a new foul odor coming from the incision, which is erythematous, tender, and warm to the touch. What is the priority nursing action in this situation?
Correct Answer: C
Rationale: Reporting the finding to the care provider is the priority nursing action. The symptoms described suggest a possible infection.