ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is aware that which of the following social inequities are correlated with increased diabetes prevalence & more severe complications of diabetes? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Limited access to fresh fruits and vegetables and living in disadvantaged communities contribute to poor dietary habits and limited healthcare access, increasing diabetes prevalence and complications.
Question 3 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 4 of 5
A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:
Correct Answer: A
Rationale: Regular insulin peaks within 2 to 4 hours, requiring careful monitoring to prevent hypoglycemia.
Question 5 of 5
The oncoming nurse sees that the patient is receiving IV heparin at 7 mL/hr. The concentration of the heparin is 50,000 units in 250 ml of saline. The patient is ordered 1600 units of heparin per hour. The lab calls the oncoming nurse with the result of the patient's activated partial prothrombin time (aPTT) is 37 seconds. What actions will the oncoming nurse take? (SELECT ALL THAT APPLY)
Correct Answer: A,C
Rationale: Notifying the prescriber about the dose and assessing for infiltration ensure appropriate heparin therapy management.