ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Question 1 of 5
A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?
Correct Answer: A
Rationale: Dobutamine improves cardiac output, leading to increased urine output in heart failure.
Question 2 of 5
A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which of the following interpretations of a low CVP should the nurse make?
Correct Answer: C
Rationale: Low CVP in trauma suggests hypovolemia from blood or fluid loss.
Question 3 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Clear nasal drainage may be CSF; allowing it to drip onto gauze avoids contamination.
Question 4 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slow, steady bubbling in the suction control chamber is normal; monitoring is appropriate.
Question 5 of 5
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5 mg/kg/dose subcutaneously every 12 hours. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 167
Rationale: Calculation: 245 lbs ÷ 2.2 = 111.36 kg; 111.36 kg × 1.5 mg/kg = 167 mg, the correct dose.