ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 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 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 is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)
Correct Answer: C,D
Rationale: Warmed IV fluids (
C) and warm blankets (
D) address mild hypothermia. Blood transfusion (
A) is unrelated, warm irrigation (
B) is not standard, and acetaminophen (E) is for fever, not hypothermia.
Question 4 of 5
The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLE)
Correct Answer: C
Rationale: Hypotension is not associated with SLE exacerbation. Heartburn is not a trigger for SLE flares. Fever can indicate infection or inflammation, common triggers for SLE exacerbations. Gout is unrelated to SLE exacerbation.
Question 5 of 5
The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?
Correct Answer: A
Rationale: Severe kyphosis and osteoporosis increase the risk of falls, which can lead to fractures, making fall prevention the highest priority. While important, education is not the immediate priority compared to preventing falls. Skin breakdown is a concern but is not as critical as the immediate risk of injury from falls. Limited mobility is a concern but secondary to the risk of falls.