ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?
Correct Answer: B
Rationale: An increased rate and depth of respiration, also known as Kussmaul breathing, is a common clinical manifestation in patients with uncontrolled diabetes mellitus and ketoacidosis.
Question 2 of 5
The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:
Correct Answer: D
Rationale: A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.
Question 3 of 5
A Type 1 diabetic client with a morning (fasting) glucose of 260 mg/dL has been diagnosed with the Somogyi effect from insulin administration. What intervention should the nurse anticipate including in the plan of care?
Correct Answer: B
Rationale: Consuming a snack at bedtime can help prevent the blood sugar level from dropping too low overnight, thus preventing the Somogyi effect.
Question 4 of 5
A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?
Correct Answer: A
Rationale: Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid.
Question 5 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.