ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 2 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Worsening headache may indicate water intoxication or hyponatremia, serious complications of vasopressin requiring immediate attention.
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.
Extract:
History and Physical
Nurse Notes
Vital Signs
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Question 4 of 5
Which assessment findings require follow-up by the nurse?
Correct Answer: A,B,C,D,E,H
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up to manage this life-threatening condition.
Extract:
Question 5 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD) reports having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?
Correct Answer: B
Rationale: The timing of dextroamphetamine-amphetamine, a stimulant, is critical as late dosing can cause insomnia due to its prolonged effect.