ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 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.
Question 2 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 3 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: Maintaining a healthy weight is crucial to prevent progression from prediabetes to type 2 diabetes.
Question 4 of 5
What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. A sedentary lifestyle is a well-known risk factor for type 2 diabetes. A random blood glucose level above 200 mg/dL is indicative of diabetes.
Question 5 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.