ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with nasal congestion receives a prescription for phenylephrine 10 mg PO every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: C
Rationale: Phenylephrine can increase blood pressure due to vasoconstriction, which is particularly risky for clients with hypertension, potentially leading to serious cardiovascular complications.
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 2 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 3 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate should be taken with plain water on an empty stomach to ensure proper absorption and minimize esophageal irritation.
Question 4 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels, which are relevant to kidney function and laboratory results interpretation.
Question 5 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.