ATI RN
ATI Nur 112 Med Surg Exam Questions
Question 1 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: C
Rationale: Erythromycin can reduce the effectiveness of oral contraceptives by increasing the metabolism of the hormones, leading to a higher risk of unintended pregnancy. Using an additional form of contraception, such as condoms, is recommended to prevent unintended pregnancy while taking both medications.
Question 2 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: A
Rationale: The fluticasone propionate and salmeterol discus inhalation system is designed for twice-daily use to provide long-term asthma control. Using it more frequently increases the risk of side effects without additional benefits, and it is not intended for acute asthma attacks.
Question 3 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: While antiretroviral therapy significantly reduces the risk of HIV transmission, it does not completely prevent it. The client needs further instruction to understand that preventive measures, such as condoms, are still necessary to minimize transmission risk.
Question 4 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: B
Rationale: Rapid weight gain is a significant side effect of gabapentin, potentially indicating fluid retention or other serious issues like heart or kidney problems, which require prompt medical attention.
Question 5 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and can increase the risk of side effects or toxicity. The client should be instructed to take the missed dose as soon as remembered, unless it is nearly time for the next dose, then skip the missed dose.