ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?
Correct Answer: C
Rationale: Propranolol 10 mg PO twice a day would not fit this schedule of three doses. Morphine sulfate is ordered every 4 hours as needed, not on a fixed schedule. Metoprolol is scheduled three times a day (1000, 1400, 1800), fitting the described schedule. Cephalexin 500 mg q 4 hours does not match the schedule as it requires dosing every 4 hours, not at the specified times.
Question 2 of 5
The prescription states: "Give drug D 0.5 mg/kg of body weight PO three times a day." The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use preceding zeros if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary.)
Correct Answer: 9.0 mL
Rationale: 0.5 mg/kg × 90 kg = 45 mg; 45 ÷ (25 mg/5 mL) = 9.0 mL (
A).
Question 3 of 5
The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?
Correct Answer: A
Rationale: Sitting upright (
A) optimizes lung expansion for assessment. Semi-Fowler's (
B), supine (
C), and side-lying (
D) limit accuracy.
Question 4 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.
Question 5 of 5
Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Exercise (
A), pollen (
B), dander (
C), and stress (
D) trigger asthma. Travel (E) is not a direct trigger.