ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is three hours postoperative left leg below the knee amputation (BKA). The client tells the nurse. 'My left foot is killing me. Please do something!' Which intervention should the nurse implement?
Correct Answer: D
Rationale: Administering a narcotic analgesic provides immediate relief for acute postoperative pain, including phantom limb pain.
Question 2 of 5
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 3 of 5
A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:
Correct Answer: C
Rationale: Checking the blood glucose level will provide immediate information about whether the client is experiencing hypoglycemia, guiding appropriate treatment.
Question 4 of 5
The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Exercise, alcohol consumption, and beta-blockers like metoprolol can increase hypoglycemia risk by enhancing insulin sensitivity, inhibiting gluconeogenesis, or masking symptoms.
Question 5 of 5
A client has returned to the unit following a peripheral angiogram with a stent insertion. Four hours post procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cool and dusky. What should be the nurse's immediate action?
Correct Answer: A
Rationale: Loss of pulse and cool, dusky foot indicate potential arterial occlusion, requiring immediate physician notification.