ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?
Correct Answer: A
Rationale: Sucralfate forms a protective barrier over ulcers and should be taken on an empty stomach to ensure effectiveness, as food can interfere with its action.
Extract:
History and Physical
Nurse Notes
Laboratory results
Flow Sheet
Orders
Client is a 24-year-old male with a 2-day history of severe vomiting and diarrhea. The client believes he has a case of food poisoning after attending a party. Other individuals at the party were having similar symptoms.
Question 2 of 5
Review H and P, nurses notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.
| Options | therapeutic result | non-therapeutic side-effect | unrelated finding |
|---|---|---|---|
| Capillary refill 2 seconds | |||
| Blood pressure 113/72 mm Hg | |||
| Bicarbonate 22 mEq/L (22 mmol/L) | |||
| Sodium 152 mEq/L (152 mmol/L) | |||
| 400 mL urine output | |||
| Heart rate 77 beats/minute |
Correct Answer: A,B,C,D,E,F
Rationale: Improved capillary refill, blood pressure, bicarbonate, and heart rate are therapeutic. Hypernatremia is a side effect, and urine output is unrelated.
Extract:
Question 3 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. 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. Client has a history of worsening symptomatic bradycardia. History of atrial fibrillation controlled by medication. Has been off anticoagulants for 4 days to prepare for the procedure.
Question 4 of 5
The nurse is evaluating the client's progress and nursing implementations. Bold the words to highlight the findings that would indicate the client has recovered from the adverse drug reaction.
| Shaking is lessened. |
| Client is no longer flushed. |
| No longer itching. |
| Anxiety has decreased. |
| Skin warm and dry. |
| Heart rate 62 beats/minute |
| Blood pressure 130/72 mm Hg |
Correct Answer: A,B,C,D,E,F,G
Rationale: Resolution of shaking, flushing, itching, anxiety, and normalization of vital signs indicate recovery from the adverse drug reaction.
Extract:
Question 5 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements, such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting and possible discontinuation.