ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?
Correct Answer: A
Rationale: Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and worsen asthma symptoms. The nurse should clarify with the provider why this medication is ordered and if there are any alternatives that are safer for the client. The other medications are appropriate for a client who has asthma.
Question 2 of 5
A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
Correct Answer: B
Rationale: This is because older adults may not have typical signs and symptoms of pneumonia, such as fever, cough, and chest pain. Instead, they may present with confusion, lethargy, or delirium due to hypoxia or dehydration.
Question 3 of 5
A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 31.5
Rationale: The anterior chest wall and abdomen accounts for 18%, the left upper limb 9% (4.5% anteriorly and 4.5% posteriorly), and the right upper limb 4.5% (2.25% anteriorly and 2.25% posteriorly). (18+9+4.5) = 31.5%.
Question 4 of 5
A nurse is teaching a client who has tuberculosis and is to start combination drug therapy. Which of the following medications should the nurse plan to administer?
Correct Answer: A,D,E
Rationale: This is because these medications are antimycobacterial agents that inhibit the growth and replication of Mycobacterium tuberculosis, the bacterium that causes tuberculosis. Acyclovir is an antiviral medication, and montelukast is used for asthma.
Question 5 of 5
A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?
Correct Answer: D
Rationale: Fresh flowers and potted plants can harbor bacteria and fungi, which pose a significant infection risk to neutropenic patients.
Therefore, these should be avoided in the patient’s room.