ATI RN
ATI Nur 112 Med Surg Exam Questions
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 1 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 2 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: C
Rationale: An increase in hemoglobin to 12 g/dL is an objective measure of epoetin alfa's effectiveness in stimulating red blood cell production.
Question 3 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping lorazepam abruptly if effects are not immediate can cause withdrawal symptoms or rebound anxiety. The client needs instruction to follow the prescribed regimen and consult the provider.
Question 4 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 5 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: C
Rationale: Erythromycin can reduce the effectiveness of oral contraceptives by increasing the metabolism of the hormones, leading to a higher risk of unintended pregnancy. Using an additional form of contraception, such as condoms, is recommended to prevent unintended pregnancy while taking both medications.