ATI RN
ATI Nurs285 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 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?
Correct Answer: B
Rationale: Converting 125 mcg to 0.125 mg and dividing by 0.25 mg/tablet yields 0.5 tablets.
Question 2 of 5
Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.
Correct Answer: A,B,E
Rationale: Ipratropium and albuterol relieve bronchospasm during an acute asthma attack, while inhaled hypertonic saline aids mucus clearance. Salmeterol and montelukast are for long-term management.
Extract:
Medical History
Nurses' Notes
Vital Signs
Client reports an injury to their right ribs after falling 6 feet from a ladder. Client reports pain as 8 on a scale of 0 to 10 over the right lower rib cage with ecchymosis. Client is dyspneic and respirations are shallow. Client states, "It's hard for me to breathe."
Question 3 of 5
A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax? For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.
| Options | Anticipated | Non- essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access: Anticipated | |||
| Computed tomography (CT) of the chest: Anticipated | |||
| Thoracentesis: Non-essential | |||
| Obtain ABGs (Arterial Blood Gases): Anticipated | |||
| Pulmonary Function Tests (PFTs): Contraindicated | |||
| Prepare for insertion of a chest tube: Anticipated |
Correct Answer: A,B,D,F
Rationale: IV access, CT chest, ABGs, and chest tube insertion are anticipated for pneumothorax management. Thoracentesis is non-essential as it addresses fluid, not air. PFTs are contraindicated in acute settings.
Extract:
Question 4 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in the calf indicates acute compartment syndrome, a medical emergency caused by pressure buildup in a muscle compartment.
Question 5 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: Movement of the trachea toward the unaffected side indicates tension pneumothorax, a life-threatening condition requiring immediate provider notification and intervention.