ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has just returned to the nursing unit following a below-the-knee amputation (BKA) of the right leg. How should this client be positioned?
Correct Answer: D
Rationale: The supine position, with the stump flat on the bed, is often recommended following a below-the-knee amputation. This position helps to prevent contractures and promotes healing.
Question 2 of 5
A patient with Type 2 diabetes is brought into the emergency room in an unresponsive state. Vital signs include BP: 88/56, HR: 122, RR 16, Sp 95% and glucose of 720 mg/dL. A diagnosis of Hyperosmolar Hyperglycemic Syndrome (HHS) is made. The nurse prepares for the administration of which priority therapy?
Correct Answer: D
Rationale: Hyperosmolar Hyperglycemic Syndrome (HHS) is a serious complication of diabetes that occurs when blood sugar levels are extremely high. The primary treatment for HHS is intravenous fluids and insulin. Specifically, 0.9% saline solution IV is often used initially to restore volume and correct severe dehydration.
Question 3 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 4 of 5
The client diagnosed with deep vein thrombosis (DVT)? Which clinical manifestation should the nurse anticipate as an expected finding for a client diagnosed with deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: Deep vein thrombosis (DVT) is a condition characterized by the formation of a blood clot in a deep vein, usually in the leg. One of the most common symptoms of DVT is swelling of the affected extremity. This occurs because the blood clot obstructs the flow of blood, causing fluid to build up in the tissues.
Question 5 of 5
A nurse is educating a patient with diabetes mellitus about the chronic complications associated with the disease. What information should be included in the teaching?
Correct Answer: A
Rationale: Diabetes mellitus can lead to several chronic complications, including retinopathy, which can cause blindness. Regular eye exams are crucial for early detection and treatment of diabetic retinopathy.