ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The client diagnosed with deep vein thrombosis asks the nurse, 'How does heparin work to help with my blood clot?' Which response is most accurate? 'Heparin:
Correct Answer: B
Rationale: Heparin prevents new clot formation by inhibiting clotting factors, not by thinning blood or dissolving clots.
Question 2 of 5
A client with a deep vein thrombosis has been receiving warfarin sodium 2.5 mg PO daily. The client's International Normalized Ratio (INR) is 5.0. The nurse is aware that the medication dose needs to be:
Correct Answer: D
Rationale: An INR of 5.0 indicates excessive anticoagulation, requiring the dose to be held to reduce bleeding risk.
Question 3 of 5
A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:
Correct Answer: D
Rationale: Elastic bandaging shapes the stump for prosthetic fitting and reduces edema.
Question 4 of 5
A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about
Correct Answer: A
Rationale: Weight management is key to preventing progression from prediabetes to type 2 diabetes.
Question 5 of 5
The client who has been taking glipizide for 6 months reports to the nurse that his urine has become darker since starting the medication. What is the nurse's first action?
Correct Answer: D
Rationale: Glipizide and other sulfonylureas can affect liver function, and dark urine can indicate potential liver issues, such as bilirubinuria. Reviewing liver function studies would provide critical information to assess if the change in urine color is related to liver dysfunction.