Questions 81

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ATI RN Test Bank

ATI n120 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin, which of following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Phenytoin is typically lifelong for seizure control; stopping it risks recurrence, indicating a need for further teaching, unlike the other correct statements.

Question 2 of 5

Which action should the nurse take first when discovering a fire in the client's bathroom trash can?

Correct Answer: B

Rationale: Removing the client to safety is the priority to prevent injury, before pulling alarms, extinguishing, or closing doors.

Question 3 of 5

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

Correct Answer: A

Rationale: Calculation: 120 mL/hr × 2.5 hr (0330 to 0600) = 300 mL.

Question 4 of 5

The nurse is monitoring the effectiveness or antiretroviral therapy (ART) for a patient with human immunodeficiency virus (HIV). What laboratory study results indicates the medications are effective?

Correct Answer: D

Rationale: Increased CD4-T-cell count indicates ART effectiveness by showing immune system recovery, unlike increased viral load or decreased blood counts.

Question 5 of 5

The nurse is caring for a patient who was admitted for seizures. All of the following precautions should be taken to promote a safe environment except which?

Correct Answer: C

Rationale: Bright lights can trigger seizures; other measures like call lights, padded rails, and calm environments enhance safety.

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