ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption. Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine. Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.
Question 2 of 5
The nurse is preparing to administer an aminoglycoside antibiotic to a client admitted with a diagnosis of acute diverticulitis. What is the priority nursing action?
Correct Answer: C
Rationale: Obtaining a serum trough level is the priority nursing action. Trough levels are drawn just before the next dose of the drug is due and are used to assess whether the dosage is safe.
Question 3 of 5
A client has recently been diagnosed with Type 2 diabetes. What should be the nurse's initial step when developing an educational plan?
Correct Answer: D
Rationale: Assessing the client's perception of what it means to live with diabetes should be the initial step when developing an educational plan. Understanding the client's perspective can help tailor the education to meet their needs and improve their ability to manage their diabetes.
Question 4 of 5
Which client does the nurse recognize to have the greatest risk of an adverse reaction if prescribed potassium Penicillin G?
Correct Answer: D
Rationale: Dehydration can affect kidney function, and Penicillin G is excreted by the kidneys. Patients with reduced kidney function are at higher risk of adverse reactions.
Question 5 of 5
The nurse is providing care for a client diagnosed with post-thrombotic syndrome who has a venous stasis ulcer. Which instructions should be given prior to discharge? (Select all that apply)
Correct Answer: A,B,E
Rationale: Proteins, vitamin C, and zinc are essential for wound healing. Care should be taken when walking to avoid bumping the limb, as trauma could worsen the condition. Compression stockings reduce swelling and improve blood flow, promoting ulcer healing.