ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion: 2 mg / 5 mL = 1.6 mg / x mL Cross-multiply to solve for x: 2 * x = 1.6 * 5 2x = 8 x = 4 mL Therefore, the correct answer is A: 4 mL. Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.
Question 2 of 5
A client in a clinic presents with an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
Correct Answer: D
Rationale: The correct answer is D: Albuterol via a jet nebulizer. Albuterol is a short-acting beta agonist that works by relaxing the muscles in the airways, helping to open them up and improve airflow. When administered via a nebulizer, it provides quick relief during an acute asthma exacerbation by directly targeting the airways. Cromolyn (A) is a mast cell stabilizer that is used for preventing asthma symptoms, not for acute exacerbations. Montelukast (B) is a leukotriene receptor antagonist that is used for maintenance therapy, not for immediate relief. Budesonide (C) is an inhaled corticosteroid used for long-term control of asthma, not for acute symptom relief.
Question 3 of 5
A client with asthma is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Oral candidiasis. Fluticasone is a corticosteroid inhaler that can cause oral candidiasis as a common adverse effect due to its immunosuppressive properties. The step-by-step rationale is: 1. Fluticasone is a corticosteroid. 2. Corticosteroids can suppress the immune system. 3. Immunosuppression can lead to oral candidiasis. Other choices are incorrect because: A: Hypoglycemia is not a common adverse effect of fluticasone. B: Hypertension is not typically associated with fluticasone use. C: Polyuria is not a common side effect of fluticasone.
Question 4 of 5
A client was exposed to anthrax. Which of the following antibiotics should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: Ciprofloxacin. Anthrax is caused by the bacterium Bacillus anthracis, and ciprofloxacin is the recommended antibiotic for treating anthrax due to its effectiveness against this specific bacterium. Ciprofloxacin works by inhibiting bacterial DNA replication, thus stopping the growth and spread of the anthrax bacteria. The other choices are incorrect because: B: Fluconazole is an antifungal medication and is not effective against bacterial infections like anthrax. C: Tobramycin is an antibiotic primarily used to treat bacterial infections in the eyes, ears, and skin, but it is not the first-line treatment for anthrax. D: Vancomycin is an antibiotic used to treat certain bacterial infections, but it is not the preferred choice for anthrax treatment.
Question 5 of 5
A client is being admitted to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Oxygen saturation. The priority assessment after a cholecystectomy is monitoring the client's oxygen saturation to ensure adequate oxygenation post-surgery. Decreased oxygen saturation can indicate respiratory distress, which requires immediate intervention. Bowel sounds (A) are important but not the priority post-cholecystectomy. Surgical dressing (B) should be assessed, but it is not as critical as monitoring oxygen saturation. Temperature (C) is also important, but ensuring oxygenation takes precedence in the immediate postoperative period.