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ATI N200 Med Surg Exam Questions

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Question 1 of 5

The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?

Correct Answer: A

Rationale: Liver function tests (
A) monitor TB drug hepatotoxicity. WBCs (
B), coagulation (
C), and RBCs (
D) are not routinely monitored monthly.

Question 2 of 5

A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

Correct Answer: C

Rationale: The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers. The medication should not be taken with milk or juice, as they can interfere with absorption.

Question 3 of 5

The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:

Correct Answer: A

Rationale: Covering the mouth (
A) prevents TB spread. Reporting (
B), N95 mask (
C), and washing items (
D) are less critical for transmission.

Question 4 of 5

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

Correct Answer: A

Rationale: Nifedipine XL (extended-release) should not be crushed as it alters the medication release mechanism. Diltiazem can be given via a feeding tube if it is in an appropriate form. Acetaminophen is available in a form suitable for feeding tubes. Furosemide can be administered via a feeding tube.

Question 5 of 5

The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:

Correct Answer: B

Rationale: Green zone PEFR (
B) indicates good asthma control. Clear lungs (
A) are supportive, but shortness of breath (
C) and exacerbations (
D) suggest poor control.

Similar Questions

The prescription states: "Give drug D 0.5 mg/kg of body weight PO three times a day." The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use preceding zeros if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary.)
What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?
In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse's best action?
A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

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