ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 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
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 2 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.
Extract:
Question 3 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: C
Rationale: An increase in hemoglobin to 12 g/dL is an objective measure of epoetin alfa's effectiveness in stimulating red blood cell production.
Extract:
History and Physical
Nurse Notes
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Patient Data
Exhibits
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 4 of 5
Review H and P, and nurse's note. Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Place the client on a cardiorespiratory monitor |
| Administer diphenhydramine |
| Give a dose of albuterol |
| Anaphylaxis |
| Tachydysrhythmia |
| Anemia |
| Breath sounds, Airway edema |
Correct Answer: E,A,C,B,G
Rationale: The client likely has tachydysrhythmia due to albuterol overuse. Monitor with a cardiorespiratory monitor, give albuterol cautiously, and assess breath sounds and airway edema.
Extract:
Question 5 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.