ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 225 mcg PO daily. Available is digoxin PO 0.50 mg/tablet. How many tablets should the nurse administer per dose?
Correct Answer: 0.1 tablets
Rationale: Convert 225 mcg to 0.225 mg, then divide by 0.50 mg/tablet to get 0.1 tablets.
Question 2 of 5
The nurse on the brain injury unit observes a patient who displays inappropriate sexual behavior. What would be the best response by the nurse?
Correct Answer: C
Rationale: Pointing out unacceptable behavior sets clear boundaries and educates the patient on appropriate conduct.
Question 3 of 5
The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?
Correct Answer: A
Rationale: Kaposi's Sarcoma is a vascular malignancy associated with AIDS caused by human herpesvirus 8. It presents as purple or brown skin lesions due to abnormal angiogenesis and endothelial proliferation in immunocompromised patients.
Question 4 of 5
A client presents to the emergency department actively having seizure activity. The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications. The priority for this patient is:
Correct Answer: B
Rationale: Administering lorazepam IV halts seizure activity quickly, stabilizing the patient's condition.
Question 5 of 5
A nurse is assessing a previously alert client who has now become confused, lethargic, and does not follow commands appropriately. The blood glucose measures 48 mg/dL. What is the appropriate nursing intervention?
Correct Answer: C
Rationale: Dextrose 50% IV push rapidly raises blood glucose in symptomatic, confused patients, bypassing the gastrointestinal tract for immediate action.