ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
The primary healthcare provider prescribes a cough syrup of 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?
Correct Answer: 4 tsp
Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL × 0.2 tsp/mL = 4 tsp, confirming the correct calculation.
Question 2 of 5
When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?
Correct Answer: B
Rationale: Levothyroxine is best absorbed on an empty stomach in the morning, at least 30 minutes before food or other medications.
Question 3 of 5
A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Thyroid replacement, monitoring symptoms, recognizing dehydration, and reporting hypoglycemia are key post-thyroidectomy instructions; dexamethasone is not standard.
Question 4 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: D
Rationale: Regular insulin is fast-acting and administered intravenously in DKA to rapidly lower blood glucose and correct metabolic imbalances, unlike slower-acting insulins.
Question 5 of 5
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Checking for ketones when blood glucose exceeds 240 mg/dL helps detect early DKA during illness, allowing timely intervention.