ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine is effective for toenail fungal infections, unlike topical antibiotics, which do not penetrate the nail bed adequately.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: C
Rationale: Naloxone reverses opioid effects. Persistent respiratory depression suggests the need for a second dose to counteract ongoing opioid toxicity.
Question 3 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?(Enter numerical value only.)
Correct Answer: S
Rationale: The infusion rate is calculated as 200 mL over 1 hour, resulting in 200 mL/hr.
Question 4 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping lorazepam abruptly if effects are not immediate can cause withdrawal symptoms or rebound anxiety. The client needs instruction to follow the prescribed regimen and consult the provider.
Question 5 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.