ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection for pain. Which vital sign should the nurse obtain first?
Correct Answer: B
Rationale: Opioids can cause respiratory depression, a life-threatening side effect. Checking the respiratory rate first is critical to assess for this risk.
Question 2 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements, such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting and possible discontinuation.
Question 3 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Body mass index (BMI) is a direct measure of weight changes, reflecting the effectiveness of orlistat, which reduces fat absorption to aid weight loss.
Extract:
History and Physical
Nurse Notes
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Patient Data
Exhibits
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 4 of 5
Review H and P, and nurse's note. Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Place the client on a cardiorespiratory monitor |
| Administer diphenhydramine |
| Give a dose of albuterol |
| Anaphylaxis |
| Tachydysrhythmia |
| Anemia |
| Breath sounds, Airway edema |
Correct Answer: E,A,C,B,G
Rationale: The client likely has tachydysrhythmia due to albuterol overuse. Monitor with a cardiorespiratory monitor, give albuterol cautiously, and assess breath sounds and airway edema.
Extract:
Question 5 of 5
The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium. A potassium level of 3.8 mEq/L within the normal range indicates effective reduction of potassium levels.