ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 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.
Question 5 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.