ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The client diagnosed with deep vein thrombosis (DVT)? Which clinical manifestation should the nurse anticipate as an expected finding for a client diagnosed with deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: Deep vein thrombosis (DVT) is a condition characterized by the formation of a blood clot in a deep vein, usually in the leg. One of the most common symptoms of DVT is swelling of the affected extremity. This occurs because the blood clot obstructs the flow of blood, causing fluid to build up in the tissues.
Question 2 of 5
A client with diabetes has returned from the post-anesthesia care unit (PACU) after a below-the-knee amputation (BKA) of the left leg. Which physician's order should the nurse implement?
Correct Answer: A
Rationale: After a below-the-knee amputation, pain management is crucial. Administering morphine 2-4 mg IV prn for pain is an appropriate physician's order to implement.
Question 3 of 5
The nurse is caring for a patient who had an above-the-knee amputation (AKA) five days ago. The nurse notices a new foul odor coming from the incision, which is erythematous, tender, and warm to the touch. What is the priority nursing action in this situation?
Correct Answer: C
Rationale: Reporting the finding to the care provider is the priority nursing action. The symptoms described suggest a possible infection.
Question 4 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 5 of 5
A patient with Type 2 diabetes is brought into the emergency room in an unresponsive state. Vital signs include BP: 88/56, HR: 122, RR 16, Sp 95% and glucose of 720 mg/dL. A diagnosis of Hyperosmolar Hyperglycemic Syndrome (HHS) is made. The nurse prepares for the administration of which priority therapy?
Correct Answer: D
Rationale: Hyperosmolar Hyperglycemic Syndrome (HHS) is a serious complication of diabetes that occurs when blood sugar levels are extremely high. The primary treatment for HHS is intravenous fluids and insulin. Specifically, 0.9% saline solution IV is often used initially to restore volume and correct severe dehydration.