ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, “600,000 units/mL.†How many mL should the nurse administer?(Enter numeric value only.)
Correct Answer: A
Rationale: The volume is calculated as 1,200,000 units ÷ 600,000 units/mL = 2 mL.
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 2 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.
Extract:
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
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 5 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity by enhancing digoxin's effects, potentially leading to cardiac arrhythmias.