ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: A
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk, so avoiding crowds and sick individuals is critical to prevent infections.
Question 2 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: C
Rationale: Adequate fluid intake (1500-2000 mL/day) is critical to prevent lithium toxicity, which can occur with dehydration.
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
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.
Question 5 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity by enhancing digoxin's effects, potentially leading to cardiac arrhythmias.