ATI RN
ATI Nur 112 Med Surg Exam Questions
Question 1 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest the need for immediate cardiac monitoring to detect potential life-threatening arrhythmias.
Question 2 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels, which are relevant to kidney function and laboratory results interpretation.
Question 3 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation or paralytic ileus. Auscultating bowel sounds is critical to detect early signs of these gastrointestinal complications.
Extract:
History and Physical
Nurse Notes
Orders
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 4 of 5
The nurse is assessing the client to update the plan of care. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines that the client is experiencing ___ and the blood pressure changes are the result of ___.
Syncope |
Hypovolemic shock |
Heart failure |
Adverse drug reaction |
Anxiety |
Antibiotic |
IV infiltration |
Correct Answer: A,D
Rationale: Syncope results from bradycardia-induced low cerebral perfusion, with blood pressure changes due to compensatory vasodilation.
Extract:
Question 5 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Body mass index (BMI) is a direct measure of weight changes, reflecting the effectiveness of orlistat, which reduces fat absorption to aid weight loss.