ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: C
Rationale: Erythromycin can reduce the effectiveness of oral contraceptives by increasing the metabolism of the hormones, leading to a higher risk of unintended pregnancy. Using an additional form of contraception, such as condoms, is recommended to prevent unintended pregnancy while taking both medications.
Question 2 of 5
Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?
Correct Answer: D
Rationale: Insulin lispro is rapid-acting, requiring meals to be timed with administration to prevent hypoglycemia due to its quick onset.
Question 3 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: B
Rationale: Rapid weight gain is a significant side effect of gabapentin, potentially indicating fluid retention or other serious issues like heart or kidney problems, which require prompt medical attention.
Question 4 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.
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.