ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5 mg/5mL. How many should the nurse administer? (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: (30 mg ÷ 7.5 mg/5 mL) = 20 mL.
Note: Document error lists 75 mg/5 mL, but correct calculation yields 2 mL.
Question 2 of 5
A client with a history of heart failure presents with progressive shortness of breath over the last several days. Upon assessment the nurse notes jugular venous distention. crackles in the lung bases auscultated bilaterally and a bounding pulse. Which of the following interventions would be the nurse's priority?
Correct Answer: A
Rationale: IV diuretics treat fluid overload in heart failure, indicated by symptoms, unlike antibiotics, supine positioning, or fluids, which worsen congestion.
Question 3 of 5
Which of the following is the priority intervention for preventing a fat embolism in a client experiencing an open femur fracture?
Correct Answer: C
Rationale: Early immobilization prevents fat release from bone marrow, reducing embolism risk, unlike antibiotics, hip movement, or wound irrigation.
Question 4 of 5
A nurse is preparing to give routine medications to a client with a history of hypertension. The nurse recognizes the need to assess the clients blood pressure before and after administering which of the following medications?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, lowers blood pressure, requiring monitoring, unlike simvastatin, aspirin, or metformin.
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.