ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?
Correct Answer: A
Rationale: St. John's Wort induces cytochrome P450 enzymes, decreasing cyclosporine levels, which increases the risk of graft rejection in transplant patients.
Question 2 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
Correct Answer: A
Rationale: Administering iodine one hour before PTU enhances thyroid hormone reduction, as iodine is absorbed before PTU inhibits new hormone synthesis.
Extract:
History and Physical
Nurse Notes
Orders
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 3 of 5
The nurse is assessing the client to update the plan of care. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines that the client is experiencing ___ and the blood pressure changes are the result of ___.
| Syncope |
| Hypovolemic shock |
| Heart failure |
| Adverse drug reaction |
| Anxiety |
| Antibiotic |
| IV infiltration |
Correct Answer: A,D
Rationale: Syncope results from bradycardia-induced low cerebral perfusion, with blood pressure changes due to compensatory vasodilation.
Extract:
Question 4 of 5
The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day?
Correct Answer: A,B,C,E
Rationale: Lisinopril, Quinapril, Ramipril, and Trandolapril have long half-lives, allowing once-daily dosing, unlike captopril, which requires multiple daily doses.
Question 5 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.