ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: C
Rationale: Scopolamine prevents nausea and vomiting, not pain. The nurse should clarify its purpose and address pain management separately.
Question 4 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and can increase the risk of side effects or toxicity. The client should be instructed to take the missed dose as soon as remembered, unless it is nearly time for the next dose, then skip the missed dose.
Question 5 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: C
Rationale: Adequate fluid intake (1500-2000 mL/day) is critical to prevent lithium toxicity, which can occur with dehydration.