ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Correct Answer: B
Rationale: Ethambutol can cause optic neuropathy; visual acuity (
B) must be monitored. Skin color (
A), cardiac rhythm (
C), and urine output (
D) are not primary concerns.
Question 2 of 5
A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets
Rationale: 235 mcg = 0.235 mg; 0.235 ÷ 0.5 mg/tablet = 0.47, rounded to 0.5 tablets (
A).
Question 3 of 5
A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Blood in stools: This could indicate gastrointestinal bleeding, a serious side effect of NSAIDs like ibuprofen. Peripheral edema: NSAIDs can cause fluid retention and lead to peripheral edema. Heartburn: Heartburn is a common side effect of NSAIDs due to their gastrointestinal irritation. A cold: This is not related to NSAID use and is not a side effect. Thickened fingernails: This is unrelated to ibuprofen use.
Question 4 of 5
The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?
Correct Answer: C
Rationale: Propranolol 10 mg PO twice a day would not fit this schedule of three doses. Morphine sulfate is ordered every 4 hours as needed, not on a fixed schedule. Metoprolol is scheduled three times a day (1000, 1400, 1800), fitting the described schedule. Cephalexin 500 mg q 4 hours does not match the schedule as it requires dosing every 4 hours, not at the specified times.
Question 5 of 5
A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.
Correct Answer: 1700
Rationale: Calculate the remaining volume of fluid: Remaining volume =
Total volume - Volume infused. Remaining volume = 1000 mL - 500 mL = 500 mL. Calculate the remaining infusion time: Remaining infusion time = Remaining volume / Infusion rate. Remaining infusion time = 500 mL / 100 mL/hr = 5 hours. Determine the time the infusion will be complete: Current time: 1200 (12:00 PM). Remaining infusion time: 5 hours. Time of completion: 1200 (12:00 PM) + 5 hours = 1700.
Therefore, the nurse should expect to hang a new bag at 1700.