ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: Hormone therapy is contraindicated in clients with a history of breast cancer due to the risk of cancer recurrence.
Question 2 of 5
A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first?
Correct Answer: C
Rationale: Direct pressure is the first step to control severe bleeding and stabilize the wound.
Question 3 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 675
Rationale: The client's weight is converted to 90 kg (198 lb ÷ 2.2). The total daily dose is 15 mg/kg/day × 90 kg = 1350 mg/day, divided into two doses: 1350 mg ÷ 2 = 675 mg/dose.
Question 4 of 5
A nurse working in an emergency department is caring for a client who has third-degree frostbite to both lower extremities. The nurse should take which of the following actions?
Correct Answer: C
Rationale: Elevating the legs reduces swelling and prevents further tissue damage in frostbite cases.
Question 5 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: Hormone therapy is contraindicated in clients with a history of breast cancer due to the risk of cancer recurrence.