ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A nurse gives a client 10 units of insulin lispro at 0630. When should the client have breakfast?
Correct Answer: A
Rationale: Insulin lispro is fast-acting and starts working about 15 minutes after injection. The client should eat within 15 minutes (by 0640) to prevent hypoglycemia.
Question 2 of 5
The nurse is caring for a client diagnosed with deep vein thrombosis who suddenly becomes short of breath, anxious, and restless. The vital signs are: heart rate 130 beats/minute, respirations 42/minute, blood pressure 90/50, and pulse oximetry is 90%. An intravenous infusion of normal saline is running at 75ml/hr. The nurse elevates the head of the bed and applies nasal oxygen at 2L/min. What action should the nurse take next?
Correct Answer: B
Rationale: Calling the rapid response team is the most appropriate next step. The client's symptoms suggest a potential pulmonary embolism, a serious and life-threatening condition that requires immediate medical intervention.
Question 3 of 5
The nurse identifies the problem of Fluid Volume Excess for a patient. Which assessment finding validates this problem?
Correct Answer: A
Rationale: Fluid Volume Excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water. One of the defining characteristics of FVE is an increase in urine specific gravity.
Therefore, a urine specific gravity of 1.012 can validate the problem of Fluid Volume Excess for a patient.
Question 4 of 5
The nurse is aware that a client taking an antibiotic that causes diarrhea should be taught about:
Correct Answer: D
Rationale: Adding yogurt to the diet is often recommended for clients taking an antibiotic that causes diarrhea. Yogurt contains probiotics, which can help restore the balance of good bacteria in the gut and alleviate diarrhea.
Question 5 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.