ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
The oncoming nurse sees that the patient is receiving IV heparin at 7 mL/hr. The concentration of the heparin is 50,000 units in 250 ml of saline. The patient is ordered 1600 units of heparin per hour. The lab calls the oncoming nurse with the result of the patient's activated partial prothrombin time (aPTT) is 37 seconds. What actions will the oncoming nurse take? (SELECT ALL THAT APPLY)
Correct Answer: A,C
Rationale: Notifying the prescriber about the dose and assessing for infiltration ensure appropriate heparin therapy management.
Question 2 of 5
The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?
Correct Answer: A
Rationale: Clopidogrel increases bleeding risk, and black or bloody stools indicate potential bleeding requiring immediate attention.
Question 3 of 5
A client is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0800 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. The nurse recognizes that the peak level will be drawn at
Correct Answer: B
Rationale: The peak level, reflecting the highest drug concentration, is drawn about 30 minutes to an hour after infusion ends.
Question 4 of 5
The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?
Correct Answer: B
Rationale: Stage III PAD is characterized by rest pain, such as burning pain at night, due to inadequate blood flow.
Question 5 of 5
A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about
Correct Answer: A
Rationale: Weight management is key to preventing progression from prediabetes to type 2 diabetes.