ATI MED MATH EXAM 4 2024
a a a a a
The anurse ais acaring afor aa aclient awho ahas ataken aatenolol afor a2 ayears. aThe ahealthcare aprovider
arecently achanged athe amedication ato aenalapril ato a manage athe aclient's ablood apressure. aWhich
ainstruction ashould athe anurse aprovide athe aclient aregarding athe anew amedication?
A. Take athe amedication aat abedtime.
B. Report apresence aof aincreased abruising.
C. Check apulse abefore ataking amedication.
D. Rise aslowly awhen agetting aout aof abed aor achair. a- aD. aRise aslowly awhen agetting aout aof abed
aor achair.
A afemale aclient acalls athe aclinic aand atalks awith athe anurse ato ainquire aabout aa apossible areaction
aafter ataking aamoxicillin afor a5 adays. aShe areports a having avaginal adiscomfort, aitching, aand aa
awhite adischarge. aThe anurse a should adiscuss awhich aaction a with athe aclient?
A. Discontinue athe aantibiotic abecause aoriginal asymptoms ahave asubsided.
B. Continue ataking amedication auntil afinished auntil athe asymptoms asubside.
C. Consult awith ahealthcare aprovider aabout aanother atreatment afor athis aeffect.
D. Use aan aover-the-counter a(OTC) avaginal awash ato aflush aout athe asecretions. a- aC. aConsult
awith ahealthcare aprovider aabout aanother atreatment afor athis aeffect.
The anurse ais amaking aearly amorning arounds aon aa agroup aof aclients awhen aa aclient abegins
aexhibiting asymptoms aof aan aacute aasthma a attack. a The anurse a administers a a aPRN aprescription
afor aa aBeta a2 areceptor a agonist a agent. aWhich aclient aresponse a should athe anurse aexpect?
A. Tachycardia.
B. Increased ablood apressure.
C. Rapid aresolution aof awheezing.
D. Improved apulse aoximetry avalues.
E. Reduce afever aairway ainflammation. a- aC, aD
A aclient aprescribed aatenolol ahas aa ablood apressure aof a120/68 ammHg, adisplaying aa asinus
abradycardia awith a a arate aof a58 abeats/minute, a and a a aP-R ainterval aof a0.24. aWhich aaction a should
athe anurse atake?
A. Lower athe ahead aof athe abed aand aassess athe aclient afor aorthostatic avital asign achanges.
B. Give athe amedication aas aprescribed aand acontinue ato amonitor athe aclient.
,C. Prepare ato aadminister aatropine asulfate aIV apush.
D. Hold athe aprescribed adose aand acontact athe ahealthcare aprovider. a- aB. aGive athe amedication aas
aprescribed aand acontinue ato amonitor athe aclient.
The anurse ais apreparing athe a0900 adose aof alosartan a(Cozaar), aan aangiotensin aII areceptor
ablocker a(ARB), afor aa aclient awith ahypertension aand aheart afailure. aThe anurse areviews athe
aclient's alaboratory aresults aand anotes athat athe aclient's aserum apotassium alevel ais a5.9 amEq/L.
aWhich aaction ashould athe anurse atake afirst?
A. Withhold athe ascheduled adose.
B. Check athe aclient's aapical apulse.
C. Notify athe ahealthcare aprovider.
D. Repeat athe aserum apotassium alevel. a- aA. aWithhold athe ascheduled adose.
Upon aadmission ato athe aemergency acenter, aan aadult aclient awith aacute astatus aasthmaticus ais
aprescribed athis aseries aof amedications. aIn awhich a order ashould athe anurse aadminister athe
aprescribed amedications? a(Arrange afrom afirst ato alast.) a- a1. aAlbuterol a(Proventil) apuffs.
2. Salmeterol a(Serevent aDiskus).
3. Prednisone a(Deltasone) aorally.
4. Gentamicin a(Garamycin) aIM.
An aadult aclient ais agiven aa aprescription afor aa ascopolamine apatch a(Transderm aScop) ato aprevent
amotion asickness awhile aon aa acruise. aWhich ainformation ashould athe anurse aprovide ato athe
aclient?
A. Apply athe apatch aat aleast a4 ahours aprior ato adeparture.
B. Change athe apatch aevery aother aday awhile aon athe acruise.
C. Place athe apatch aon aa ahairless aarea aat athe abase aof athe askull.
D. Drink ano amore athan a2 aalcoholic adrinks aduring athe acruise. a- aA. aApply athe apatch aat aleast a4
ahours aprior ato adeparture.
A aclient awith agiardiasis ais ataking ametronidazole a(Flagyl) a2 agrams aPO. aWhich ainformation
ashould athe anurse ainclude ain athe aclient's ainstruction?
A. Notify athe aclinic aof aany achanges ain athe acolor aof aurine.
B. Avoid aoverexposure ato athe asun.
C. Stop athe amedication aafter athe adiarrhea aresolves.
D. Take athe amedication awith afood. a- aD. aTake athe amedication awith afood.
, A afemale aclient awith arheumatoid aarthritis atakes aibuprofen a(Motrin) a600 amg aPO a4 atimes aa
aday. aTo aprevent agastrointestinal ableeding, amisoprostol a(Cytotec) a100 amcg aPO ais aprescribed.
aWhich ainformation ais amost aimportant afor athe anurse ato ainclude ain aclient ateaching?
A. Use acontraception aduring aintercourse.
B. Ensure athe aCytotec ais ataken aon aan aempty astomach.
C. Encourage aoral afluid aintake ato aprevent aconstipation.
D. Take aCytotec a30 aminutes aprior ato aMotrin. a- aA. aUse acontraception aduring aintercourse.
A aclient awith aosteoarthritis areceives aa anew aprescription afor acelecoxib a(Celebrex) aorally afor
asymptom amanagement. aThe anurse anotes athe aclient ais aallergic ato asulfa. aWhich aaction ais amost
aimportant afor athe anurse ato aimplement aprior ato a administering athe afirst adose?
A. Review athe aclient's ahemoglobin aresults.
B. Notify athe ahealthcare aprovider.
C. Inquire aabout athe areaction ato asulfa.
D. Record athe aclient's avital asigns. a- aB. aNotify athe ahealthcare aprovider.
A aclient ais aadmitted ato athe ahospital afor aa anew aonset aof asupraventricular atachycardia a(SVT)
aand ais aprescribed adigoxin. aFor awhich alaboratory a finding ashould athe anurse anotify athe
ahealthcare aprovider aimmediately?
A. Potassium alevel aof a3.1 amEq/L.
B. Sodium alevel aof a132 amEq/L.
C. Calcium alevel aof a8.6 amg/dL.
D. Magnesium alevel aof a1.2 amEq/L. a- aA. aPotassium alevel aof a3.1 amEq/L.
The anurse ais atranscribing aa anew aprescription afor aspironolactone a(Aldactone) afor aa aclient awho
areceives aan a angiotensin-converting aenzyme a(ACE) ainhibitor. aWhich aaction a should athe anurse
aimplement?
A. Verify aboth aprescriptions awith athe ahealthcare aprovider.
B. Report athe amedication ainteractions ato athe anurse amanager.
C. Hold athe aACE ainhibitor aand agive athe anew aprescription.
D. Transcribe aand asend athe aprescription ato athe apharmacy. a- aA. aVerify aboth aprescriptions awith
athe ahealthcare aprovider.
a a a a a
The anurse ais acaring afor aa aclient awho ahas ataken aatenolol afor a2 ayears. aThe ahealthcare aprovider
arecently achanged athe amedication ato aenalapril ato a manage athe aclient's ablood apressure. aWhich
ainstruction ashould athe anurse aprovide athe aclient aregarding athe anew amedication?
A. Take athe amedication aat abedtime.
B. Report apresence aof aincreased abruising.
C. Check apulse abefore ataking amedication.
D. Rise aslowly awhen agetting aout aof abed aor achair. a- aD. aRise aslowly awhen agetting aout aof abed
aor achair.
A afemale aclient acalls athe aclinic aand atalks awith athe anurse ato ainquire aabout aa apossible areaction
aafter ataking aamoxicillin afor a5 adays. aShe areports a having avaginal adiscomfort, aitching, aand aa
awhite adischarge. aThe anurse a should adiscuss awhich aaction a with athe aclient?
A. Discontinue athe aantibiotic abecause aoriginal asymptoms ahave asubsided.
B. Continue ataking amedication auntil afinished auntil athe asymptoms asubside.
C. Consult awith ahealthcare aprovider aabout aanother atreatment afor athis aeffect.
D. Use aan aover-the-counter a(OTC) avaginal awash ato aflush aout athe asecretions. a- aC. aConsult
awith ahealthcare aprovider aabout aanother atreatment afor athis aeffect.
The anurse ais amaking aearly amorning arounds aon aa agroup aof aclients awhen aa aclient abegins
aexhibiting asymptoms aof aan aacute aasthma a attack. a The anurse a administers a a aPRN aprescription
afor aa aBeta a2 areceptor a agonist a agent. aWhich aclient aresponse a should athe anurse aexpect?
A. Tachycardia.
B. Increased ablood apressure.
C. Rapid aresolution aof awheezing.
D. Improved apulse aoximetry avalues.
E. Reduce afever aairway ainflammation. a- aC, aD
A aclient aprescribed aatenolol ahas aa ablood apressure aof a120/68 ammHg, adisplaying aa asinus
abradycardia awith a a arate aof a58 abeats/minute, a and a a aP-R ainterval aof a0.24. aWhich aaction a should
athe anurse atake?
A. Lower athe ahead aof athe abed aand aassess athe aclient afor aorthostatic avital asign achanges.
B. Give athe amedication aas aprescribed aand acontinue ato amonitor athe aclient.
,C. Prepare ato aadminister aatropine asulfate aIV apush.
D. Hold athe aprescribed adose aand acontact athe ahealthcare aprovider. a- aB. aGive athe amedication aas
aprescribed aand acontinue ato amonitor athe aclient.
The anurse ais apreparing athe a0900 adose aof alosartan a(Cozaar), aan aangiotensin aII areceptor
ablocker a(ARB), afor aa aclient awith ahypertension aand aheart afailure. aThe anurse areviews athe
aclient's alaboratory aresults aand anotes athat athe aclient's aserum apotassium alevel ais a5.9 amEq/L.
aWhich aaction ashould athe anurse atake afirst?
A. Withhold athe ascheduled adose.
B. Check athe aclient's aapical apulse.
C. Notify athe ahealthcare aprovider.
D. Repeat athe aserum apotassium alevel. a- aA. aWithhold athe ascheduled adose.
Upon aadmission ato athe aemergency acenter, aan aadult aclient awith aacute astatus aasthmaticus ais
aprescribed athis aseries aof amedications. aIn awhich a order ashould athe anurse aadminister athe
aprescribed amedications? a(Arrange afrom afirst ato alast.) a- a1. aAlbuterol a(Proventil) apuffs.
2. Salmeterol a(Serevent aDiskus).
3. Prednisone a(Deltasone) aorally.
4. Gentamicin a(Garamycin) aIM.
An aadult aclient ais agiven aa aprescription afor aa ascopolamine apatch a(Transderm aScop) ato aprevent
amotion asickness awhile aon aa acruise. aWhich ainformation ashould athe anurse aprovide ato athe
aclient?
A. Apply athe apatch aat aleast a4 ahours aprior ato adeparture.
B. Change athe apatch aevery aother aday awhile aon athe acruise.
C. Place athe apatch aon aa ahairless aarea aat athe abase aof athe askull.
D. Drink ano amore athan a2 aalcoholic adrinks aduring athe acruise. a- aA. aApply athe apatch aat aleast a4
ahours aprior ato adeparture.
A aclient awith agiardiasis ais ataking ametronidazole a(Flagyl) a2 agrams aPO. aWhich ainformation
ashould athe anurse ainclude ain athe aclient's ainstruction?
A. Notify athe aclinic aof aany achanges ain athe acolor aof aurine.
B. Avoid aoverexposure ato athe asun.
C. Stop athe amedication aafter athe adiarrhea aresolves.
D. Take athe amedication awith afood. a- aD. aTake athe amedication awith afood.
, A afemale aclient awith arheumatoid aarthritis atakes aibuprofen a(Motrin) a600 amg aPO a4 atimes aa
aday. aTo aprevent agastrointestinal ableeding, amisoprostol a(Cytotec) a100 amcg aPO ais aprescribed.
aWhich ainformation ais amost aimportant afor athe anurse ato ainclude ain aclient ateaching?
A. Use acontraception aduring aintercourse.
B. Ensure athe aCytotec ais ataken aon aan aempty astomach.
C. Encourage aoral afluid aintake ato aprevent aconstipation.
D. Take aCytotec a30 aminutes aprior ato aMotrin. a- aA. aUse acontraception aduring aintercourse.
A aclient awith aosteoarthritis areceives aa anew aprescription afor acelecoxib a(Celebrex) aorally afor
asymptom amanagement. aThe anurse anotes athe aclient ais aallergic ato asulfa. aWhich aaction ais amost
aimportant afor athe anurse ato aimplement aprior ato a administering athe afirst adose?
A. Review athe aclient's ahemoglobin aresults.
B. Notify athe ahealthcare aprovider.
C. Inquire aabout athe areaction ato asulfa.
D. Record athe aclient's avital asigns. a- aB. aNotify athe ahealthcare aprovider.
A aclient ais aadmitted ato athe ahospital afor aa anew aonset aof asupraventricular atachycardia a(SVT)
aand ais aprescribed adigoxin. aFor awhich alaboratory a finding ashould athe anurse anotify athe
ahealthcare aprovider aimmediately?
A. Potassium alevel aof a3.1 amEq/L.
B. Sodium alevel aof a132 amEq/L.
C. Calcium alevel aof a8.6 amg/dL.
D. Magnesium alevel aof a1.2 amEq/L. a- aA. aPotassium alevel aof a3.1 amEq/L.
The anurse ais atranscribing aa anew aprescription afor aspironolactone a(Aldactone) afor aa aclient awho
areceives aan a angiotensin-converting aenzyme a(ACE) ainhibitor. aWhich aaction a should athe anurse
aimplement?
A. Verify aboth aprescriptions awith athe ahealthcare aprovider.
B. Report athe amedication ainteractions ato athe anurse amanager.
C. Hold athe aACE ainhibitor aand agive athe anew aprescription.
D. Transcribe aand asend athe aprescription ato athe apharmacy. a- aA. aVerify aboth aprescriptions awith
athe ahealthcare aprovider.
