ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day?
Correct Answer: A,B,C,E
Rationale: Lisinopril, Quinapril, Ramipril, and Trandolapril have long half-lives, allowing once-daily dosing, unlike captopril, which requires multiple daily doses.
Question 2 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.
Question 3 of 5
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?
Correct Answer: A
Rationale: Rinsing the mouth after inhaler use, especially with corticosteroids, prevents oral thrush and irritation, indicating proper understanding of instructions.
Extract:
History and Physical
Nurse Notes
Vital Signs
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Question 4 of 5
Which assessment findings require follow-up by the nurse?
Correct Answer: A,B,C,D,E,H
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up to manage this life-threatening condition.
Extract:
Question 5 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use can lead to gastrointestinal issues like ulcers or bleeding. Abdominal pain is an early sign of these complications, making it the most critical assessment.