ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing NSAIDs can worsen bleeding, and a variance report is premature. A soft bristle toothbrush minimizes gum irritation, reviewing coagulation labs assesses anticoagulant effects, and reporting to the provider ensures timely intervention.
Question 2 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?(Enter numerical value only.)
Correct Answer: S
Rationale: The infusion rate is calculated as 200 mL over 1 hour, resulting in 200 mL/hr.
Question 3 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and can increase the risk of side effects or toxicity. The client should be instructed to take the missed dose as soon as remembered, unless it is nearly time for the next dose, then skip the missed dose.
Extract:
History and Physical
Nurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. Client has a history of worsening symptomatic bradycardia. History of atrial fibrillation controlled by medication. Has been off anticoagulants for 4 days to prepare for the procedure.
Question 4 of 5
The nurse is evaluating the client's progress and nursing implementations. Bold the words to highlight the findings that would indicate the client has recovered from the adverse drug reaction.
| Shaking is lessened. |
| Client is no longer flushed. |
| No longer itching. |
| Anxiety has decreased. |
| Skin warm and dry. |
| Heart rate 62 beats/minute |
| Blood pressure 130/72 mm Hg |
Correct Answer: A,B,C,D,E,F,G
Rationale: Resolution of shaking, flushing, itching, anxiety, and normalization of vital signs indicate recovery from the adverse drug reaction.
Extract:
Question 5 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: A
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk, so avoiding crowds and sick individuals is critical to prevent infections.