ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 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 2 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 3 of 5
The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?
Correct Answer: A
Rationale: Sucralfate forms a protective barrier over ulcers and should be taken on an empty stomach to ensure effectiveness, as food can interfere with its action.
Question 4 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.
Extract:
History and Physical
Nurse Notes
Laboratory results
The client is a 54-year-old male with a history of hypertension and type 2 diabetes mellitus. He takes spironolactone 25 mg PO daily, metformin 500 mg PO twice a day, and insulin glargine 25 units SUBQ daily.
Question 5 of 5
Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Captopril is a(n) ___ that works by ___.
| Angiotensin converting enzyme inhibitor |
| Aldosterone agonist |
| Angiotensin II receptor blocker |
| Lowering the heart rate |
| Reducing inflammation |
| Diuresis |
| Vasodilation |
Correct Answer: A,G
Rationale: Captopril is an ACE inhibitor that promotes vasodilation by reducing angiotensin II levels, lowering blood pressure.