ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Repositioning every 2 hours prevents pressure ulcers. Moist skin risks breakdown, assessment is monitoring, and massaging reddened areas can worsen damage.
Question 2 of 5
The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should anticipate which drug to be administered to this client?
Correct Answer: D
Rationale: Nystatin treats oral thrush (candidiasis), indicated by white plaques in immunosuppressed patients. Acyclovir is antiviral, metronidazole and amoxicillin are antibiotics.
Question 3 of 5
A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: B
Rationale:
Total intake is calculated as: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL, half volume), 150 mL IV bolus, 8 oz broth (240 mL), summing to 740 mL. 700 mL is closest, accounting for practical rounding.
Question 4 of 5
The nurse is caring for a client currently taking oxymetazoline. Which of the following statements should the nurse include regarding oxymetazoline?
Correct Answer: C
Rationale: Oxymetazoline, a nasal decongestant, should be limited to 3 days to avoid rebound congestion. It's not for heart failure, acts rapidly, and doesn't cause drowsiness.
Question 5 of 5
A nurse is modifying the diet of a client who is prescribed an MAOI. Which of the following foods should the nurse eliminate?
Correct Answer: B
Rationale: Smoked sausage is high in tyramine, risking hypertensive crises with MAOIs. Vegetables, chicken, and cherries are safe.