ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest the need for immediate cardiac monitoring to detect potential life-threatening arrhythmias.
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.
Extract:
History and Physical
Nurse Notes
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Patient Data
Exhibits
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 4 of 5
Review H and P, and nurse's note. Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Place the client on a cardiorespiratory monitor |
| Administer diphenhydramine |
| Give a dose of albuterol |
| Anaphylaxis |
| Tachydysrhythmia |
| Anemia |
| Breath sounds, Airway edema |
Correct Answer: E,A,C,B,G
Rationale: The client likely has tachydysrhythmia due to albuterol overuse. Monitor with a cardiorespiratory monitor, give albuterol cautiously, and assess breath sounds and airway edema.
Extract:
Question 5 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: While antiretroviral therapy significantly reduces the risk of HIV transmission, it does not completely prevent it. The client needs further instruction to understand that preventive measures, such as condoms, are still necessary to minimize transmission risk.