ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The client with pernicious anemia asks why vitamin B12 injections are necessary. What is the best response by the nurse?
Correct Answer: C
Rationale: Vitamin B12 is critical for red blood cell production and neurological health, addressing the core issue in pernicious anemia.
Question 2 of 5
Which data indicates to the nurse that the client's current dose of simvastatin has been effective?
Correct Answer: D
Rationale: An LDL level of 90 mg/dL (optimal <100 mg/dL) indicates simvastatin effectively reduces 'bad' cholesterol, lowering cardiovascular risk.
Question 3 of 5
A client with alcoholism is admitted to a medical-surgical unit with a serum magnesium level of 0.9 mEq/L. Which clinical manifestations would the nurse expect to find in this client?
Correct Answer: A
Rationale: Hypomagnesemia (0.9 mEq/L) causes neuromuscular hyperexcitability, leading to tremors and twitching, common in alcoholism.
Question 4 of 5
The client says to the nurse, "I get a headache every time I put on my Nitropatch." Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Headache is a common side effect of nitroglycerin due to vasodilation and typically subsides with continued use. The nurse should reassure the client and suggest analgesics like acetaminophen, rather than suggesting dosage changes or implying the headache is permanent.
Question 5 of 5
A client reports weakness, dizziness, nausea and vomiting that has lasted for three days. The nurse's assessment reveals dry tongue and oral mucosa, and dark concentrated urine. Which additional assessment would best evaluate the client's fluid status?
Correct Answer: C
Rationale: Orthostatic blood pressure changes indicate fluid status, detecting hypovolemia in dehydration, unlike the other assessments.