ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The client has been receiving vancomycin 1 gram IV every 12 hours for 2 days. What nursing actions are appropriate when administering this medication? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Vancomycin can cause Red Man Syndrome, ototoxicity, and requires infusion over 1-2 hours to avoid complications. Monitoring trough levels ensures therapeutic efficacy and avoids toxicity.
Question 2 of 5
The nurse is preparing to administer a client's warfarin sodium 5 mg PO at 1900. Upon entering the client's room, the nurse finds several large, new ecchymotic areas on the client's extremities. What should be the nurse's initial action?
Correct Answer: D
Rationale: The presence of large, new ecchymotic areas could indicate excessive anticoagulation, a serious complication of warfarin therapy. Holding the warfarin and notifying the healthcare provider is the most appropriate initial action.
Question 3 of 5
A patient is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0900 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. When should the nurse expect to draw the peak level?
Correct Answer: B
Rationale: The peak level of gentamicin is typically evaluated 30 minutes after the completion of the infusion. Since the infusion is administered over 1 hour, the peak level would be expected to be drawn at 1000.
Question 4 of 5
A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?
Correct Answer: A
Rationale: Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid.
Question 5 of 5
A nurse gives a client 10 units of insulin lispro at 0630. When should the client have breakfast?
Correct Answer: A
Rationale: Insulin lispro is fast-acting and starts working about 15 minutes after injection. The client should eat within 15 minutes (by 0640) to prevent hypoglycemia.