ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Drinking 2-3 L of fluids daily helps flush bacteria, aiding ciprofloxacin's effectiveness. Antacids reduce absorption, heart rate monitoring is unnecessary, and laxatives may cause dehydration.
Question 2 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: Metformin is withheld before IV contrast dye procedures to prevent lactic acidosis, a rare but serious complication. Other medications are safe to administer.
Question 3 of 5
A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk?
Correct Answer: A
Rationale: Crohn's disease increases colorectal cancer risk due to chronic inflammation. High-fiber diets, age 46, and normal BMI are not significant risk factors.
Question 4 of 5
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Drinking 2-3 L of fluids daily helps flush bacteria, aiding ciprofloxacin's effectiveness. Antacids reduce absorption, heart rate monitoring is unnecessary, and laxatives may cause dehydration.
Question 5 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.