ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:
Correct Answer: D
Rationale: A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.
Question 2 of 5
A patient diagnosed with peripheral arterial disease is being educated about the benefits of walking for exercise. What information should the nurse emphasize?
Correct Answer: C
Rationale: Continuing to walk to the point of pain is beneficial for patients with PAD. Walking can help improve symptoms by increasing blood flow and oxygen supply to the muscles.
Question 3 of 5
The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?
Correct Answer: A
Rationale: Clients taking clopidogrel should be advised to call their healthcare provider if they notice that their stools are dark. This could be a sign of gastrointestinal bleeding, a potential side effect of clopidogrel.
Question 4 of 5
A patient receives 20 units of Isophane Insulin Suspension (NPH) Insulin at 07:30. At what time are signs of hypoglycemia most likely to occur?
Correct Answer: C
Rationale: NPH insulin peaks 4 to 12 hours after injection. If administered at 07:30, the peak effect would be between 11:30 and 19:30, with 14:30 falling within this range.
Question 5 of 5
Which client does the nurse recognize to have the greatest risk of an adverse reaction if prescribed potassium Penicillin G?
Correct Answer: D
Rationale: Dehydration can affect kidney function, and Penicillin G is excreted by the kidneys. Patients with reduced kidney function are at higher risk of adverse reactions.