ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag contains magnesium sulfate 4 grams in dextrose 5% in water (D5 vestiges of D5W 500 mL. How many mL/hour should the nurse set the infusion pump?(Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: A
Rationale: The infusion rate is calculated as 300 mg/hour ÷ (4000 mg ÷ 500 mL) = 37.5 mL/hour.
Question 2 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine is effective for toenail fungal infections, unlike topical antibiotics, which do not penetrate the nail bed adequately.
Question 3 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.
Question 4 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest the need for immediate cardiac monitoring to detect potential life-threatening arrhythmias.
Question 5 of 5
Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?
Correct Answer: D
Rationale: Insulin lispro is rapid-acting, requiring meals to be timed with administration to prevent hypoglycemia due to its quick onset.