ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Decreasing cigarette use to a pack per day is insufficient; complete smoking cessation is necessary to promote ulcer healing and reduce recurrence risk.
Question 2 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: A
Rationale: Glucagon is used to treat severe hypoglycemia by stimulating the liver to release glucose, addressing life-threatening low blood sugar levels.
Question 3 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing NSAIDs can worsen bleeding, and a variance report is premature. A soft bristle toothbrush minimizes gum irritation, reviewing coagulation labs assesses anticoagulant effects, and reporting to the provider ensures timely intervention.
Question 4 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and can increase the risk of side effects or toxicity. The client should be instructed to take the missed dose as soon as remembered, unless it is nearly time for the next dose, then skip the missed dose.
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.