ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a heparin infusion of 25,000 units in 250 mL of normal saline at a rate of 1000 units per hour for a client diagnosed with a Deep Vein Thrombosis (DVT). The client's initial activated partial thromboplastin time (aPTT) value is 35 seconds. Which laboratory result would indicate that the aPTT is at a therapeutic level?
Correct Answer: D
Rationale: The therapeutic range for aPTT during heparin therapy is 1.5 to 2.5 times the normal value (30-40 seconds), approximately 45-100 seconds. An aPTT of 75 seconds is within this range.
Question 2 of 5
The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?
Correct Answer: A
Rationale: Clients taking clopidogrel should be advised to call their healthcare provider if they notice that their stools are dark. This could be a sign of gastrointestinal bleeding, a potential side effect of clopidogrel.
Question 3 of 5
The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: When a patient is informed about a serious diagnosis like breast cancer and the need for a mastectomy, it is common for them to experience a range of emotions, including sadness, fear, and anxiety. Offering to be there for the patient if they want to talk acknowledges their emotional distress and provides comfort.
Question 4 of 5
The client newly diagnosed with Type 1 diabetes is to be discharged in the morning and has received no instruction on diabetes. What should be the nurse's teaching priority?
Correct Answer: B
Rationale: Administration of insulin is the immediate priority for a client newly diagnosed with type 1 diabetes. In type 1 diabetes, the body does not produce insulin, a hormone that regulates blood sugar levels.
Question 5 of 5
The nurse is caring for the following four clients on the nursing unit. Which client is at the highest risk for the development of deep vein thrombosis?
Correct Answer: C
Rationale: Patients who have undergone major open abdominal surgery are at the highest risk for the development of DVT due to the surgery itself and postoperative immobility.