ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with a diagnosis of chronic peripheral arterial disease. Which statement by the patient warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Applying a heating pad to cold legs could lead to burns because PAD can cause loss of sensation in the legs. This warrants immediate intervention to prevent injury.
Question 2 of 5
A patient has been receiving warfarin sodium 2.5 mg PO daily for four days and the International Normalized Ratio (INR) is 1.9. What should be the nurse's next step?
Correct Answer: C
Rationale: Notifying the healthcare provider and asking if the dose of warfarin can be increased would be the appropriate next step. The INR of 1.9 is below the therapeutic range of 2.0 - 3.0 for most patients on warfarin.
Question 3 of 5
A nurse is preparing to administer a heparin infusion of 25,000 units in 250 mL of normal saline at a rate of 1000 units per hour for a client diagnosed with a Deep Vein Thrombosis (DVT). The client's initial activated partial thromboplastin time (aPTT) value is 35 seconds. Which laboratory result would indicate that the aPTT is at a therapeutic level?
Correct Answer: D
Rationale: The therapeutic range for aPTT during heparin therapy is 1.5 to 2.5 times the normal value (30-40 seconds), approximately 45-100 seconds. An aPTT of 75 seconds is within this range.
Question 4 of 5
To prevent lipodystrophy in a client receiving insulin therapy, what should the nurse instruct the client to do?
Correct Answer: C
Rationale: Rotating injection sites correctly is a key strategy for preventing lipodystrophy. Lipodystrophy refers to abnormal changes in the fat tissue under the skin and can be caused by repeatedly injecting insulin into the same spot.
Question 5 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.