1|Page
ATI MEDSURG 2 NUR 265/ DETAILED ANSWER KEY
NEURO-SHOCK & BURNS PRACTICE//2025/2026
NEWEST EXAM
39.A nurse is caring for a client who has deep vein
thrombosis and has been on heparin continuous infusion
for 5 days. The provider prescribes warfarin PO without
discontinuing the heparin. The client asks the nurse why
both anticoagulants are necessary. Which of the following
statements should the nurse make?
A. "Warfarin takes several days to work, so the IV heparin
will be used until the warfarin reaches a therapeutic level."
B. "I will call the provider to get a prescription for
discontinuing the IV heparin today."
C. "Both heparin and warfarin work together to dissolve
the clots."
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D. "The IV heparin increases the effects of the warfarin
and decreases the length of your hospital stay." -
ANSWER-A. "Warfarin takes several days to work, so the
IV heparin will be used until the warfarin reaches a
therapeutic level."
40.A nurse is providing teaching to a client who has
asthma and a new prescription for inhaled
beclomethasone. Which of the following instructions
should the nurse provide?
A. Check the pulse after medication administration.
B. Take the medication with meals.
C. Rinse the mouth after administration.
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D. Limit caffeine intake. - ANSWER-C. Rinse the mouth
after administration.
41.A nurse is caring for a client who has Parkinson's
disease and is taking diphenhydramine 25 mg PO TID.
Which of the following therapeutic outcomes should the
nurse expect to see?
A. Delay in disease progression
B. Improved bladder function
C. Relief of depression
D. Decreased tremors - ANSWER-D. Decreased tremors
42.A nurse is caring for an adolescent client who has a
long history of diabetes mellitus and is being admitted to
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the emergency department confused, flushed, and with an
acetone odor on the breath. Diabetic ketoacidosis is
suspected. The nurse should anticipate using which of the
following types of insulin to treat this client?
A. NPH insulin
B. Insulin glargine
C. Insulin detemir
D. Regular insulin - ANSWER-D. Regular insulin
43.A nurse is caring for a client who has a new diagnosis
of myasthenia gravis. For which of the following
manifestations should the nurse monitor? A. Confusion
B. Weakness
C. Increased intracranial pressure
ATI MEDSURG 2 NUR 265/ DETAILED ANSWER KEY
NEURO-SHOCK & BURNS PRACTICE//2025/2026
NEWEST EXAM
39.A nurse is caring for a client who has deep vein
thrombosis and has been on heparin continuous infusion
for 5 days. The provider prescribes warfarin PO without
discontinuing the heparin. The client asks the nurse why
both anticoagulants are necessary. Which of the following
statements should the nurse make?
A. "Warfarin takes several days to work, so the IV heparin
will be used until the warfarin reaches a therapeutic level."
B. "I will call the provider to get a prescription for
discontinuing the IV heparin today."
C. "Both heparin and warfarin work together to dissolve
the clots."
,2|Page
D. "The IV heparin increases the effects of the warfarin
and decreases the length of your hospital stay." -
ANSWER-A. "Warfarin takes several days to work, so the
IV heparin will be used until the warfarin reaches a
therapeutic level."
40.A nurse is providing teaching to a client who has
asthma and a new prescription for inhaled
beclomethasone. Which of the following instructions
should the nurse provide?
A. Check the pulse after medication administration.
B. Take the medication with meals.
C. Rinse the mouth after administration.
,3|Page
D. Limit caffeine intake. - ANSWER-C. Rinse the mouth
after administration.
41.A nurse is caring for a client who has Parkinson's
disease and is taking diphenhydramine 25 mg PO TID.
Which of the following therapeutic outcomes should the
nurse expect to see?
A. Delay in disease progression
B. Improved bladder function
C. Relief of depression
D. Decreased tremors - ANSWER-D. Decreased tremors
42.A nurse is caring for an adolescent client who has a
long history of diabetes mellitus and is being admitted to
, 4|Page
the emergency department confused, flushed, and with an
acetone odor on the breath. Diabetic ketoacidosis is
suspected. The nurse should anticipate using which of the
following types of insulin to treat this client?
A. NPH insulin
B. Insulin glargine
C. Insulin detemir
D. Regular insulin - ANSWER-D. Regular insulin
43.A nurse is caring for a client who has a new diagnosis
of myasthenia gravis. For which of the following
manifestations should the nurse monitor? A. Confusion
B. Weakness
C. Increased intracranial pressure
