ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
Which prescribed medication for the client recovering from a traumatic amputation does the nurse correlate to the treatment of phantom limb pain?
Correct Answer: D
Rationale: Anticonvulsants such as gabapentin are often used to manage neuropathic pain, including phantom limb pain. Gabapentin works by stabilizing electrical activity in the nervous system and altering the way the nerves send messages to the brain.
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 newly admitted client has been prescribed trimethoprim-sulfamethoxazole. The nurse understands that this medication is contraindicated based on which lab result?
Correct Answer: D
Rationale: A serum creatinine level of 2.5 mg/dL indicates impaired kidney function, and trimethoprim-sulfamethoxazole is contraindicated in patients with severe renal insufficiency.
Question 4 of 5
A client has just returned to the surgical unit following a femoral-popliteal bypass of the right leg. In which position should the nurse place the client?
Correct Answer: A
Rationale: After a femoral-popliteal bypass, the client should be placed in a supine position with the right leg extended and flat. This position helps to prevent kinking and occlusion of the graft, which could lead to complications such as graft thrombosis.
Question 5 of 5
A newly diagnosed diabetic client is 24 hours post-op following abdominal surgery. The 0700 blood glucose level is 200 mg/dl and the nurse administers 4 units of insulin aspart subcutaneously per the prescribed sliding scale. When should the nurse first assess the client for signs and symptoms of hypoglycemia?
Correct Answer: B
Rationale: Assessing the patient for signs and symptoms of hypoglycemia at 0730, 30 minutes after insulin administration, is appropriate as insulin aspart is a rapid-acting insulin with an onset of 10-20 minutes and peak action within 1-3 hours.