ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?
Correct Answer: A
Rationale: Black necrotic tissue requires debridement to promote healing and prevent infection. Drainage management, documentation, and monitoring follow debridement.
Question 2 of 5
A nurse is assessing a client with fluid volume overload. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Increased blood pressure results from excess blood volume in fluid overload. Fever is unrelated, tachycardia (not bradycardia) is typical, and hematocrit is diluted, not increased.
Question 3 of 5
A nurse is caring for a client who has heart failure and a new prescription for the diuretic furosemide. For which adverse effect should the nurse monitor?
Correct Answer: D
Rationale: Furosemide causes potassium loss, risking hypokalemia, which can lead to muscle weakness and arrhythmias. It lowers blood pressure, reduces fluid volume, and doesn't affect glucose.
Question 4 of 5
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: B
Rationale: Calculate: 25 mg/5 mL = 5 mg/mL. For 250 mg, 250 ÷ 5 = 50 mL.
Question 5 of 5
A client arrives at the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?
Correct Answer: C
Rationale: Dark-red urine suggests rhabdomyolysis, a serious statin side effect requiring immediate attention. Headaches, hyperglycemia, and night sweats are less urgent.