ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation or paralytic ileus. Auscultating bowel sounds is critical to detect early signs of these gastrointestinal complications.
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 2 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 3 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: A
Rationale: The fluticasone propionate and salmeterol discus inhalation system is designed for twice-daily use to provide long-term asthma control. Using it more frequently increases the risk of side effects without additional benefits, and it is not intended for acute asthma attacks.
Question 4 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation or paralytic ileus. Auscultating bowel sounds is critical to detect early signs of these gastrointestinal complications.
Question 5 of 5
The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: A
Rationale: Atorvastatin reduces LDL cholesterol, a primary risk factor for coronary artery disease, making lowered LDL levels the key indicator of effectiveness.