ATI RN
ATI N200 Med Surg Exam 5 Questions
Extract:
Question 1 of 5
What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. A sedentary lifestyle is a well-known risk factor for type 2 diabetes. A random blood glucose level above 200 mg/dL is indicative of diabetes.
Question 2 of 5
A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?
Correct Answer: D
Rationale: This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.
Question 3 of 5
The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:
Correct Answer: B
Rationale: Insulin lispro is a rapid-acting insulin with an onset of 15-30 minutes. Breakfast by 0700 ensures carbohydrate intake aligns with the insulin's action to prevent hypoglycemia.
Question 4 of 5
A client is receiving heparin sodium 5000 units IV and oral warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educated the client that heparin and warfarin are both used because:
Correct Answer: A
Rationale: Heparin provides immediate anticoagulation, while warfarin takes days to become effective, ensuring continuous protection.
Question 5 of 5
The client who has been taking glipizide for 6 months reports to the nurse that his urine has become darker since starting the medication. What is the nurse's first action?
Correct Answer: D
Rationale: Glipizide and other sulfonylureas can affect liver function, and dark urine can indicate potential liver issues, such as bilirubinuria. Reviewing liver function studies would provide critical information to assess if the change in urine color is related to liver dysfunction.