ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dl, a post prandial blood glucose level below 200 mg/dl, and a hemoglobin A1c level of 4.5%. What is the nurse's interpretation of these findings? The client is:
Correct Answer: A
Rationale: Normal fasting and post-prandial glucose levels with a low A1c indicate excellent glucose control.
Question 2 of 5
The nurse must give 25 micrograms of fentanyl IVP X 1 dose. Fentanyl is available in an ampule 100 micrograms per 2mL. How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.
Correct Answer: 0.5 mL
Rationale: Volume = 25 mcg / (100 mcg / 2 mL) = 0.5 mL.
Question 3 of 5
A physician orders Lithium 5 grams/day is three divided doses PO for a client with bipolar disorder. The medication is supplied 400 mg/5 mL. How much will the nurse administer per dose? (Round the answer to the nearest tenth Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 6.2 mL
Rationale: Each dose is 500 mg (1500 mg / 3), requiring 6.2 mL (500 mg / (400 mg / 5 mL)).
Question 4 of 5
The nurse is teaching an adult client with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:
Correct Answer: C
Rationale: Lack of insulin in Type 1 diabetes leads to fat breakdown, producing ketones and causing DKA.
Question 5 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.