ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin can cause orthostatic hypotension, increasing the risk of dizziness or fainting, making blood pressure monitoring essential.
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 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 4 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 5 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation or paralytic ileus. Auscultating bowel sounds is critical to detect early signs of these gastrointestinal complications.