ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 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.
Question 2 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: D
Rationale: An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning result for possible DVT.
Question 3 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.
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 client has returned from surgery following a below the knee amputation (BKA). The residual limb is covered with a compression dressing. Immediately upon return from surgery, the dressing is dry. Thirty minutes later, a small amount of bloody drainage is noted on the dressing. What should be the nurse's priority action at this time?
Correct Answer: D
Rationale: Marking the drainage area allows monitoring of changes, providing a clear record for ongoing assessment.