ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets 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: 1 tablet
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
Question 2 of 5
A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, lowering serum potassium levels.
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?
Correct Answer: B
Rationale: Dehydration is a significant risk factor for renal calculi as it leads to concentrated urine, promoting crystallization of minerals and stone formation.
Question 4 of 5
A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Correct Answer: C
Rationale: Chvostek's sign, facial muscle twitching when tapping the facial nerve, is a clinical sign of hypocalcemia.
Question 5 of 5
A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?
Correct Answer: D
Rationale: Bleeding is a well-known adverse effect of aspirin due to its inhibition of platelet aggregation, increasing the risk of gastrointestinal bleeding or bruising.