ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: C
Rationale: Naloxone reverses opioid effects. Persistent respiratory depression suggests the need for a second dose to counteract ongoing opioid toxicity.
Question 2 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 3 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.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate should be taken with plain water on an empty stomach to ensure proper absorption and minimize esophageal irritation.
Extract:
History and Physical
Nurse Notes
Vital Signs
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Question 5 of 5
Which assessment findings require follow-up by the nurse?
Correct Answer: A,B,C,D,E,H
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up to manage this life-threatening condition.