ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
History and Physical
Nurse Notes
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Patient Data
Exhibits
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 1 of 5
Review H and P, and nurse's note. Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Place the client on a cardiorespiratory monitor |
| Administer diphenhydramine |
| Give a dose of albuterol |
| Anaphylaxis |
| Tachydysrhythmia |
| Anemia |
| Breath sounds, Airway edema |
Correct Answer: E,A,C,B,G
Rationale: The client likely has tachydysrhythmia due to albuterol overuse. Monitor with a cardiorespiratory monitor, give albuterol cautiously, and assess breath sounds and airway edema.
Extract:
Question 2 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Exploring the client's specific concerns about the medication's effectiveness allows the nurse to tailor interventions and education to address the issue accurately.
Question 3 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping lorazepam abruptly if effects are not immediate can cause withdrawal symptoms or rebound anxiety. The client needs instruction to follow the prescribed regimen and consult the provider.
Question 4 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 5 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: A
Rationale: Glucagon is used to treat severe hypoglycemia by stimulating the liver to release glucose, addressing life-threatening low blood sugar levels.