ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse is monitoring a client receiving gentamicin. Which of the following would the nurse assess as potential toxic effects of this medication?
Correct Answer: B
Rationale: Gentamicin can cause ototoxicity, which can manifest as tinnitus, vertigo, and hearing loss. Headaches can also occur as a side effect.
Question 2 of 5
A patient has returned to the unit following a peripheral artery angiogram with a stent insertion. Four hours post-procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cold and dusky. What should be the nurse's immediate action?
Correct Answer: C
Rationale: Notifying the healthcare provider is the correct immediate action. The symptoms suggest a possible occlusion of the stent, a medical emergency requiring immediate intervention.
Question 3 of 5
A nurse is caring for a patient who has peripheral arterial disease (PAD). What symptoms should the nurse expect to find in the early stage of the disease?
Correct Answer: A
Rationale: Intermittent claudication, which involves limb pain or cramping that generally begins when exercising and improves while resting, is a common symptom in the early stages of PAD.
Question 4 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 5 of 5
A client diagnosed with peripheral arterial disease has the nursing problem of Impaired Tissue Integrity related to ischemic tissue of the legs and feet. What is an expected outcome to include in the care plan?
Correct Answer: A
Rationale: Understanding appropriate foot care measures is crucial for managing impaired tissue integrity in PAD, helping to prevent further tissue damage and promote healing.