ATI RN
ATI Nurs 258 Med Surg Exam Questions
Question 1 of 5
A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?
Correct Answer: A
Rationale: Flu-like symptoms are the initial presentation of inhalation anthrax, including fever, cough, and malaise, which can progress to severe respiratory distress.
Question 2 of 5
A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Antibiotic therapy is crucial for post-exposure prophylaxis to prevent the development of anthrax after exposure to spores.
Question 3 of 5
A nurse in a healthcare provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?
Correct Answer: B
Rationale: Isosorbide mononitrate, a nitrate, combined with sildenafil can cause severe hypotension due to their additive vasodilatory effects.
Question 4 of 5
A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?
Correct Answer: B
Rationale: Postmenopausal bleeding is a common and significant symptom of endometrial cancer, warranting further evaluation.
Question 5 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 675
Rationale: The client's weight is converted to 90 kg (198 lb ÷ 2.2). The total daily dose is 15 mg/kg/day × 90 kg = 1350 mg/day, divided into two doses: 1350 mg ÷ 2 = 675 mg/dose.