ATI RN
ATI Med Surg Nurs 200 Exam 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 the prescribed sliding scale. When should the nurse first assess the client for signs and symptoms of hypoglycemia?
Correct Answer: B
Rationale: Assessing the patient for signs and symptoms of hypoglycemia at 0730, 30 minutes after insulin administration, is appropriate as insulin aspart is a rapid-acting insulin with an onset of 10-20 minutes and peak action within 1-3 hours.
Question 2 of 5
The nurse is evaluating the patient's response to antibiotic therapy. Which data would indicate that the medication has been effective?
Correct Answer: A
Rationale: A decrease in inflammation at the site of infection is a key indicator that antibiotic therapy is effective. Inflammation is a response to infection, so if the inflammation is reducing, it suggests that the infection is being successfully treated.
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
The nurse is providing care for a client diagnosed with post-thrombotic syndrome who has a venous stasis ulcer. Which instructions should be given prior to discharge? (Select all that apply)
Correct Answer: A,B,E
Rationale: Proteins, vitamin C, and zinc are essential for wound healing. Care should be taken when walking to avoid bumping the limb, as trauma could worsen the condition. Compression stockings reduce swelling and improve blood flow, promoting ulcer healing.
Question 5 of 5
A client is receiving heparin sodium 1000 units per hour via an infusion and warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educates the client that heparin and warfarin are prescribed together because:
Correct Answer: C
Rationale: Heparin acts quickly to prevent further clotting, while warfarin takes several days to become effective. Thus, heparin is used to provide immediate anticoagulation until warfarin becomes effective.