ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
Correct Answer: A
Rationale: Administering iodine one hour before PTU enhances thyroid hormone reduction, as iodine is absorbed before PTU inhibits new hormone synthesis.
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.
Extract:
History and Physical
Nurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 3 of 5
The nurse would determine what actions to implement in an emergent situation. The client is at immediate risk for developing:
| Necrosis |
| Cardiac arrest |
| Peripheral edema |
| Arrhythmias |
| Renal failure |
| Anaphylaxis |
Correct Answer: D,E,F
Rationale: The client's bradycardia and atrial fibrillation history increase risks for cardiac arrest and arrhythmias, while vancomycin administration poses an anaphylaxis risk.
Extract:
Question 4 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels, which are relevant to kidney function and laboratory results interpretation.
Extract:
History and Physical
Nurse Notes
Orders
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 5 of 5
The nurse is assessing the client to update the plan of care. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines that the client is experiencing ___ and the blood pressure changes are the result of ___.
| Syncope |
| Hypovolemic shock |
| Heart failure |
| Adverse drug reaction |
| Anxiety |
| Antibiotic |
| IV infiltration |
Correct Answer: A,D
Rationale: Syncope results from bradycardia-induced low cerebral perfusion, with blood pressure changes due to compensatory vasodilation.