ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?
Correct Answer: B
Rationale: Stage III PAD is characterized by rest pain, such as burning pain at night, due to inadequate blood flow.
Question 2 of 5
The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?
Correct Answer: D
Rationale: An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning result for possible DVT.
Question 3 of 5
The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:
Correct Answer: B
Rationale: Insulin lispro is a rapid-acting insulin with an onset of 15-30 minutes. Breakfast by 0700 ensures carbohydrate intake aligns with the insulin's action to prevent hypoglycemia.
Question 4 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: Clopidogrel increases bleeding risk, and black or bloody stools indicate potential bleeding requiring immediate attention.
Question 5 of 5
A newly admitted client has been prescribed sulfamethoxazole/trimethoprim. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: C
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function. TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.