ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Question 1 of 5
The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?
Correct Answer: B
Rationale: Allergies to egg or soy products are a significant contraindication for propofol use due to its formulation in a lipid emulsion containing soybean oil and egg lecithin, which may cause hypersensitivity reactions. Hypertension requires monitoring but is not a specific contraindication, latex allergy is unrelated to propofol, and stating propofol has no contraindications is incorrect.
Question 2 of 5
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Furosemide, a diuretic, causes potassium loss through increased urination, risking hypokalemia. Eating potassium-rich foods helps maintain electrolyte balance. Swelling is alleviated by furosemide, not caused; bedtime dosing may cause nocturia, disrupting sleep; and aspirin is not standard for furosemide-related headaches.
Question 3 of 5
A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:
Correct Answer: C
Rationale: Empiric therapy involves administering antibiotics based on clinical signs before culture results confirm the infection's cause, aiming to manage infections promptly. Supplemental therapy enhances primary treatment, and replacement therapy restores deficient substances, neither applicable here.
Question 4 of 5
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI
Correct Answer: B
Rationale: Oral anticoagulants are used in atrial fibrillation with a history of TIA to prevent blood clots and reduce stroke risk. Diuretics treat fluid overload, beta blockers control heart rate, and antihyperuricemic drugs manage gout, none addressing thromboembolism risk.
Question 5 of 5
A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: B
Rationale:
Total intake is calculated as: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL, half volume), 150 mL IV bolus, 8 oz broth (240 mL), summing to 740 mL. 700 mL is closest, accounting for practical rounding.