ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels, which are relevant to kidney function and laboratory results interpretation.
Question 2 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: C
Rationale: An increase in hemoglobin to 12 g/dL is an objective measure of epoetin alfa's effectiveness in stimulating red blood cell production.
Question 3 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 4 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage when taking diclofenac, as alcohol exacerbates these potential NSAID side effects, requiring close monitoring.
Question 5 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: C
Rationale: Naloxone reverses opioid effects. Persistent respiratory depression suggests the need for a second dose to counteract ongoing opioid toxicity.