ATI RN
ATI Med Surg Nurs 200 Exam 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 postprandial blood glucose level below 200 mg/dL, and a hemoglobin A1c level of 5.5%. What is the nurse's interpretation of these findings?
Correct Answer: C
Rationale: The client's fasting blood glucose level, postprandial blood glucose level, and hemoglobin A1c level are all within the target range for good blood glucose control in diabetes.
Question 2 of 5
A client diagnosed with Raynaud's disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?
Correct Answer: A
Rationale: Raynaud's disease is a condition that affects blood flow to the extremities, including the fingers and toes, in response to cold temperatures or stress. Wearing heavy-duty gloves during cold exposures can help to keep the hands warm and reduce the risk of a Raynaud's attack.
Question 3 of 5
A patient has returned to the unit following a peripheral artery angiogram with a stent insertion. Four hours post-procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cold and dusky. What should be the nurse's immediate action?
Correct Answer: C
Rationale: Notifying the healthcare provider is the correct immediate action. The symptoms suggest a possible occlusion of the stent, a medical emergency requiring immediate intervention.
Question 4 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption. Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine. Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.
Question 5 of 5
A nurse is caring for a patient who has peripheral arterial disease (PAD). What symptoms should the nurse expect to find in the early stage of the disease?
Correct Answer: A
Rationale: Intermittent claudication, which involves limb pain or cramping that generally begins when exercising and improves while resting, is a common symptom in the early stages of PAD.