ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse identifies the problem of Fluid Volume Excess for a patient. Which assessment finding validates this problem?
Correct Answer: A
Rationale: Fluid Volume Excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water. One of the defining characteristics of FVE is an increase in urine specific gravity.
Therefore, a urine specific gravity of 1.012 can validate the problem of Fluid Volume Excess for a patient.
Question 2 of 5
The nurse is explaining to a patient why oral antihyperglycemic agents are not effective in Type 1 diabetes. What is the reason?
Correct Answer: A
Rationale: People with Type 1 diabetes have little or no insulin that can be released due to the destruction of pancreatic β-cells, making oral antihyperglycemic agents ineffective.
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: B
Rationale: A D-dimer level of 500 ng/mL is elevated, which can indicate the presence of a clot, such as in DVT.
Question 4 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.
Question 5 of 5
A client is receiving heparin sodium 1000 units per hour via an infusion and warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educates the client that heparin and warfarin are prescribed together because:
Correct Answer: C
Rationale: Heparin acts quickly to prevent further clotting, while warfarin takes several days to become effective. Thus, heparin is used to provide immediate anticoagulation until warfarin becomes effective.