ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin reduces sweating, increasing the risk of dehydration and overheating during exercise, which can lead to heat stroke.
Question 2 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.
Question 3 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 4 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 5 of 5
The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: A
Rationale: Atorvastatin reduces LDL cholesterol, a primary risk factor for coronary artery disease, making lowered LDL levels the key indicator of effectiveness.