Questions 67

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ATI Med Surg Nurs 200 Exam Questions

Extract:


Question 1 of 5

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 90/50, and pulse oximetry is 90%. An intravenous infusion of normal saline is running at 75ml/hr. The nurse elevates the head of the bed and applies nasal oxygen at 2L/min. What action should the nurse take next?

Correct Answer: B

Rationale: Calling the rapid response team is the most appropriate next step. The client's symptoms suggest a potential pulmonary embolism, a serious and life-threatening condition that requires immediate medical intervention.

Question 2 of 5

The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

Correct Answer: C

Rationale: A fasting blood glucose level of 126 mg/dL or higher on two separate tests indicates diabetes.

Question 3 of 5

The client newly diagnosed with Type 1 diabetes is to be discharged in the morning and has received no instruction on diabetes. What should be the nurse's teaching priority?

Correct Answer: B

Rationale: Administration of insulin is the immediate priority for a client newly diagnosed with type 1 diabetes. In type 1 diabetes, the body does not produce insulin, a hormone that regulates blood sugar levels.

Question 4 of 5

The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dL, a postprandial blood glucose level below 200 mg/dL, and a hemoglobin A1c level of 5.5%. What is the nurse's interpretation of these findings?

Correct Answer: C

Rationale: The client's fasting blood glucose level, postprandial blood glucose level, and hemoglobin A1c level are all within the target range for good blood glucose control in diabetes.

Question 5 of 5

A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

Correct Answer: A

Rationale: Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid.

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