ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: C
Rationale: An increase in hemoglobin to 12 g/dL is an objective measure of epoetin alfa's effectiveness in stimulating red blood cell production.
Question 4 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 5 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Decreasing cigarette use to a pack per day is insufficient; complete smoking cessation is necessary to promote ulcer healing and reduce recurrence risk.