ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse anticipates which of the following as a prescription for patient diagnosed with Meniere's Disease?
Correct Answer: C
Rationale: Diuretics are commonly prescribed for Meniere's Disease to help reduce fluid retention and decrease endolymphatic pressure in the inner ear, which can help alleviate symptoms such as vertigo and hearing loss.
Question 2 of 5
The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: C
Rationale: The cerebellum is responsible for balance and coordination, so injuries in this area increase the risk of falls. Ensuring the bed alarm is on provides immediate alerts if the patient attempts to get out of bed, helping to prevent falls.
Question 3 of 5
A physician prescribes clindamycin 10 mg/kg/day IV in two divided doses for respiratory tract infection. The medication is supplied 150 mg/mL. The patient weighs 88 lbs. How much will the nurse administer per dose? (round to the nearest tenth)
Correct Answer: 1.3 mL
Rationale:
To calculate the dosage of clindamycin, first convert the patient's weight from pounds to kilograms (88 lbs / 2.2 = 40 kg). The prescribed dose is 10 mg/kg/day, so the patient requires 400 mg/day (10 mg/kg * 40 kg). Since the medication is administered in two divided doses, each dose is 200 mg. The medication is supplied at 150 mg/mL, so 200 mg / 150 mg/mL = 1.33 mL, rounded to 1.3 mL per dose.
Question 4 of 5
A nurse is caring for a patient who is diagnosed with diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? (round to the nearest whole number)
Correct Answer: B
Rationale: Adding 14 units of regular insulin and 28 units of NPH insulin results in a total of 42 units, the correct dose to prepare in the syringe.
Question 5 of 5
Which statement made by a patient who is diagnosed with human immunodeficiency virus (HIV) and is prescribed three antiretroviral medications, indicates the need for further teaching about the medication combination?
Correct Answer: C
Rationale: Antiretroviral medications do not kill the virus; they suppress its replication. Lifelong adherence to antiretroviral therapy is necessary to manage HIV and prevent viral rebound.