Questions 54

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ATI Nur 112 Med Surg Exam Questions

Extract:

History and Physical
Nurse Notes
Laboratory results
The client is a 54-year-old male with a history of hypertension and type 2 diabetes mellitus. He takes spironolactone 25 mg PO daily, metformin 500 mg PO twice a day, and insulin glargine 25 units SUBQ daily.


Question 1 of 5

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Captopril is a(n) ___ that works by ___.

Angiotensin converting enzyme inhibitor
Aldosterone agonist
Angiotensin II receptor blocker
Lowering the heart rate
Reducing inflammation
Diuresis
Vasodilation

Correct Answer: A,G

Rationale: Captopril is an ACE inhibitor that promotes vasodilation by reducing angiotensin II levels, lowering blood pressure.

Extract:


Question 2 of 5

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

Correct Answer: A

Rationale: The fluticasone propionate and salmeterol discus inhalation system is designed for twice-daily use to provide long-term asthma control. Using it more frequently increases the risk of side effects without additional benefits, and it is not intended for acute asthma attacks.

Question 3 of 5

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Correct Answer: A

Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium. A potassium level of 3.8 mEq/L within the normal range indicates effective reduction of potassium levels.

Extract:

History and Physical
Nurse Notes
Laboratory results
The client is a 54-year-old male with a history of hypertension and type 2 diabetes mellitus. He takes spironolactone 25 mg PO daily, metformin 500 mg PO twice a day, and insulin glargine 25 units SUBQ daily.


Question 4 of 5

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Captopril is a(n) ___ that works by ___.

Angiotensin converting enzyme inhibitor
Aldosterone agonist
Angiotensin II receptor blocker
Lowering the heart rate
Reducing inflammation
Diuresis
Vasodilation

Correct Answer: A,G

Rationale: Captopril is an ACE inhibitor that promotes vasodilation by reducing angiotensin II levels, lowering blood pressure.

Extract:


Question 5 of 5

The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?

Correct Answer: D

Rationale: While antiretroviral therapy significantly reduces the risk of HIV transmission, it does not completely prevent it. The client needs further instruction to understand that preventive measures, such as condoms, are still necessary to minimize transmission risk.

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