Questions 81

ATI RN

ATI RN Test Bank

ATI n120 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: Calculation: (250 mg ÷ 25 mg/5 mL) = 50 mL, the correct dose to administer.

Question 2 of 5

The nurse is preparing for a blood transfusion. Which of the following would be contraindicated to include in the prep for the procedure?

Correct Answer: B

Rationale: Ensuring another licensed personnel is required for verification, not contraindicated; other options are necessary or appropriate.

Question 3 of 5

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?

Correct Answer: D

Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.

Question 4 of 5

A nurse is providing education for client newly prescribed warfarin in preparation for being discharged home. Which of the following should be included the teaching plan? (Select all that apply.)

Correct Answer: A,C,D

Rationale: Warfarin requires overlap with heparin, bleeding precautions like soft toothbrushes and electric shavers, but not aPTT monitoring (used for heparin) or increased vitamin K, which counteracts warfarin.

Question 5 of 5

Which of the following is not a contraindication for the use of tissue plasminogen activator (tPA) in the treatment of stroke?

Correct Answer: C

Rationale: Age over 65 is not an absolute contraindication for tPA, unlike recent surgery, uncontrolled hypertension, or active cerebral hemorrhage, which increase bleeding risk.

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