ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
Question 1 of 5
Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?
Correct Answer: D
Rationale: Insulin lispro is rapid-acting, requiring meals to be timed with administration to prevent hypoglycemia due to its quick onset.
Question 2 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation or paralytic ileus. Auscultating bowel sounds is critical to detect early signs of these gastrointestinal complications.
Extract:
History and Physical
Nurse Notes
Laboratory results
The client is a 54-year-old male with a history of hypertension and type 2 diabetes mellitus. He takes spironolactone 25 mg PO daily, metformin 500 mg PO twice a day, and insulin glargine 25 units SUBQ daily.
Question 3 of 5
Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Captopril is a(n) ___ that works by ___.
| Angiotensin converting enzyme inhibitor |
| Aldosterone agonist |
| Angiotensin II receptor blocker |
| Lowering the heart rate |
| Reducing inflammation |
| Diuresis |
| Vasodilation |
Correct Answer: A,G
Rationale: Captopril is an ACE inhibitor that promotes vasodilation by reducing angiotensin II levels, lowering blood pressure.
Extract:
Question 4 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
Vital Signs
Nurses' notes
Laboratory results
Flow sheet
Orders
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 5 of 5
The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.
| No known allergies |
| Dosage in safe range |
| Potassium 4.4 mEq/L (4.4 mmol/L) |
| Peripheral IV in large vein |
| Used for prophylaxis |
| Blood urea nitrogen 17 mg/dl (6.07 mmol/L) |
Correct Answer: A,B,D,E
Rationale: No allergies, safe dosage, appropriate IV site, and prophylactic use ensure safe vancomycin administration.