ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 4
The nurse is caring for a client diagnosed with deep vein thrombosis who suddenly becomes short of breath, anxious and restless. The vital signs are: heart rate 130 beats/minute, respirations 42/minute; blood pressure 100/50 and pulse oximetry is 88% on 2L of oxygen. The nurse's initial action should be to:
Correct Answer: C
Rationale: Elevating the head of the bed improves respiratory effort and oxygenation in a client with suspected pulmonary embolism.
Question 2 of 4
The nurse explains to a client that an oral antihypoglycemic agents are not effective in Type I diabetes because people with Type I diabetes:
Correct Answer: D
Rationale: Oral antihypoglycemic agents require endogenous insulin to be effective, which is deficient in Type 1 diabetes.
Question 3 of 4
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 4 of 4
A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:
Correct Answer: D
Rationale: Elastic bandaging shapes the stump and minimizes edema for prosthetic fitting and healing.
Question 5 of 4
The nurse is caring for a client with a diagnosis of chronic peripheral arterial disease. Which statement by the client warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Using a heating pad can cause burns in PAD due to reduced sensation, requiring immediate intervention.