ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing the client's activated partial thromboplastin time (aPTT) is important to monitor the effectiveness of treatment and manage bleeding risk. Hemophilia A is characterized by a deficiency in clotting factor VIII, which prolongs the aPTT.
Question 2 of 5
A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?
Correct Answer: D
Rationale: Weight loss can help improve symptoms of polycystic ovarian syndrome (PCOS) by reducing insulin resistance and androgen levels, which are common issues in PCOS.
Question 3 of 5
A client with acute lymphocytic leukemia received induction chemotherapy. The client's absolute neutrophil count is zero, and the client is experiencing fatigue and mild nausea. Which nursing action is the highest priority?
Correct Answer: B
Rationale: Limiting contact with infected visitors and placing the client in positive pressure isolation is crucial for preventing infections. With a neutrophil count of zero, the client is highly immunocompromised and at a significant risk of infection, making this the highest priority action.
Question 4 of 5
A nurse is assessing a client who has diabetes mellitus type 2 and presents for a follow-up visit. Which of the following lab values is most indicative of inadequate control of their diabetes since their last primary care visit and requires further teaching?
Correct Answer: C
Rationale: A random blood glucose level of 300 mg/dL is significantly elevated and indicates poor glucose control. This value is much higher than the normal range and suggests a need for further teaching and adjustment of diabetes management.
Question 5 of 5
The nurse is caring for a client who has disseminated intravascular coagulation (DIC). The healthcare provider prescribes an infusion of heparin. Based on the protocol, the initial dose is 14 units/kg/hr. The heparin is dispensed at a concentration of 25,000 units/250 ml. The client weighs 79.1 kg. How many mL/hr will the nurse set the Infusion pump? (Round the rate to nearest tenth. Only enter numbers and decimals. Do not enter any letters in your answer.)
Correct Answer: 11.1
Rationale: Infusion rate = 1107.4 units/hr / 100 units/mL = 11.074 mL/hr, rounded to 11.1 mL/hr.