ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage when taking diclofenac, as alcohol exacerbates these potential NSAID side effects, requiring close monitoring.
Question 2 of 5
The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium. A potassium level of 3.8 mEq/L within the normal range indicates effective reduction of potassium levels.
Question 3 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use can lead to gastrointestinal issues like ulcers or bleeding. Abdominal pain is an early sign of these complications, making it the most critical assessment.
Question 4 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin reduces sweating, increasing the risk of dehydration and overheating during exercise, which can lead to heat stroke.
Question 5 of 5
The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag contains magnesium sulfate 4 grams in dextrose 5% in water (D5 vestiges of D5W 500 mL. How many mL/hour should the nurse set the infusion pump?(Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: A
Rationale: The infusion rate is calculated as 300 mg/hour ÷ (4000 mg ÷ 500 mL) = 37.5 mL/hour.