2025 MED SURGE Respiratory
ATI EXIT NGN EXAM GRADED A
PLUS
1.A patient has been admitted to the critical care unit of the hospital with
bacterial septicemia that has failed to respond to initial antibiotic treatment.
The patient’s most recent blood cultures reveal the presence of
methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood.
The nurse
vancomycin
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common?
Breakthrough bleeding
A patient is pregnant and is at 7 weeks’ gestation. She has type 1 diabetes
and has been taking insulin since she was 13 years old. She asks the
nurse if the insulin will be harmful to her baby. The best response to the
patient by the nurse would be
, “Insulin is usually the drug of choice for controlling blood glucose
levels during pregnancy because it does not cross into the placenta.”
A female patient is prescribed oprelvekin therapy to treat thrombocytopenia.
Which of the following should the nurse continuously monitor to determine the
efficacy and duration of the ?
Fluid retention/weight gain
Question 59
Which of the following is critical to helping prevent development of resistant
strains of microbes?
Maintain the optimum duration of the antimicrobial agent
A 30-year-old woman who is in the first trimester of pregnancy has
presented to her primary care provider with a 4-day history of a reddened,
itchy left eye that is … The clinician suspects a bacterial, rather than viral,
etiology. How will the patient’s pregnancy affect the potential use …?
The use of ciprofloxacin is contraindicated in pregnancy
A 56-year-old woman will soon begin treatment of her …. What patient
teaching should the nurse provide to this woman?
you might find that you get a dry mouth or a headache but this does
not mean it has to be discontinued
A nurse is instructing a colleague on how an antimicrobial produces a
therapeutic effect. Which of the following should be included in the nurse's
teaching?
Penicillin interferes with synthesis of the bacteria cell wall.
A nurse is explaining to the parents of a 6-year-old child suffering from angina
why nitroglycerin patch for chest pain would not be appropriate. Which of the
following will the nurse include in an explanation?
A child has a greater body surface area, creating greater permeability
resulting in an increase inabsorption of topical agents, which may
result in more adverse effects.
Question 71
A patient is being discharged from the hospital and will be taking oxybutynin
(Ditropan) for overactive bladder. The nurse will instruct the patient that she
will be taking a medication
,that may be prescribed as a patch and which may cause dry mouth.
, MED SURGE Respiratory ATI
Question 72
A nurse is aware that the concept of selective toxicity is foundational to
antimicrobial therapy. Which of the following statements most accurately
describes selective toxicity?
e nurse receives notification of the admission of a client who is coughing frequently and whose
sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and weight
loss. Which of the following actions should the nurse take? (SATA)
-Assign the client to a private room with negative-pressure airflow
-Wear an N95 respirator when entering the client’s room.
1- A nurse is assisting a provider with a comprehensive physical examination of a client. When the
provider uses transillumination, the nurse should explain to the client that this technique help
evaluate which of the following structures?
-Maxillary sinuses
2- A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How
should the nurse assist the client with smoking cessation?
-Discuss ways the client can reduce the number of cigarettes smoked per day.
3- A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD) and
is malnourished. Which of the following recommendations to promote nutritional intake should
the nurse include in the plan?
-Eat high-calorie food first.
Rational: client who has COPD experience early satiety. Client should eat calorie-dense food first.
4- A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should
identify that which of the following findings is an adverse effect of this medication?
-Tinnitus.
Rational: An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.
ATI EXIT NGN EXAM GRADED A
PLUS
1.A patient has been admitted to the critical care unit of the hospital with
bacterial septicemia that has failed to respond to initial antibiotic treatment.
The patient’s most recent blood cultures reveal the presence of
methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood.
The nurse
vancomycin
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common?
Breakthrough bleeding
A patient is pregnant and is at 7 weeks’ gestation. She has type 1 diabetes
and has been taking insulin since she was 13 years old. She asks the
nurse if the insulin will be harmful to her baby. The best response to the
patient by the nurse would be
, “Insulin is usually the drug of choice for controlling blood glucose
levels during pregnancy because it does not cross into the placenta.”
A female patient is prescribed oprelvekin therapy to treat thrombocytopenia.
Which of the following should the nurse continuously monitor to determine the
efficacy and duration of the ?
Fluid retention/weight gain
Question 59
Which of the following is critical to helping prevent development of resistant
strains of microbes?
Maintain the optimum duration of the antimicrobial agent
A 30-year-old woman who is in the first trimester of pregnancy has
presented to her primary care provider with a 4-day history of a reddened,
itchy left eye that is … The clinician suspects a bacterial, rather than viral,
etiology. How will the patient’s pregnancy affect the potential use …?
The use of ciprofloxacin is contraindicated in pregnancy
A 56-year-old woman will soon begin treatment of her …. What patient
teaching should the nurse provide to this woman?
you might find that you get a dry mouth or a headache but this does
not mean it has to be discontinued
A nurse is instructing a colleague on how an antimicrobial produces a
therapeutic effect. Which of the following should be included in the nurse's
teaching?
Penicillin interferes with synthesis of the bacteria cell wall.
A nurse is explaining to the parents of a 6-year-old child suffering from angina
why nitroglycerin patch for chest pain would not be appropriate. Which of the
following will the nurse include in an explanation?
A child has a greater body surface area, creating greater permeability
resulting in an increase inabsorption of topical agents, which may
result in more adverse effects.
Question 71
A patient is being discharged from the hospital and will be taking oxybutynin
(Ditropan) for overactive bladder. The nurse will instruct the patient that she
will be taking a medication
,that may be prescribed as a patch and which may cause dry mouth.
, MED SURGE Respiratory ATI
Question 72
A nurse is aware that the concept of selective toxicity is foundational to
antimicrobial therapy. Which of the following statements most accurately
describes selective toxicity?
e nurse receives notification of the admission of a client who is coughing frequently and whose
sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and weight
loss. Which of the following actions should the nurse take? (SATA)
-Assign the client to a private room with negative-pressure airflow
-Wear an N95 respirator when entering the client’s room.
1- A nurse is assisting a provider with a comprehensive physical examination of a client. When the
provider uses transillumination, the nurse should explain to the client that this technique help
evaluate which of the following structures?
-Maxillary sinuses
2- A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How
should the nurse assist the client with smoking cessation?
-Discuss ways the client can reduce the number of cigarettes smoked per day.
3- A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD) and
is malnourished. Which of the following recommendations to promote nutritional intake should
the nurse include in the plan?
-Eat high-calorie food first.
Rational: client who has COPD experience early satiety. Client should eat calorie-dense food first.
4- A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should
identify that which of the following findings is an adverse effect of this medication?
-Tinnitus.
Rational: An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.
