ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: A
Rationale: The fluticasone propionate and salmeterol discus inhalation system is designed for twice-daily use to provide long-term asthma control. Using it more frequently increases the risk of side effects without additional benefits, and it is not intended for acute asthma attacks.
Question 2 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin can cause orthostatic hypotension, increasing the risk of dizziness or fainting, making blood pressure monitoring essential.
Question 3 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Decreasing cigarette use to a pack per day is insufficient; complete smoking cessation is necessary to promote ulcer healing and reduce recurrence risk.
Question 4 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: C
Rationale: Adequate fluid intake (1500-2000 mL/day) is critical to prevent lithium toxicity, which can occur with dehydration.
Question 5 of 5
The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?
Correct Answer: C
Rationale: Echinacea has immune-boosting and anti-inflammatory properties, making it useful for treating infections like canker sores, supporting its topical use.