ATI RN
ATI n200 Med Surg Exam Questions
Question 1 of 5
A client in DKA is ordered regular insulin at 5 units per hour for the current blood glucose level. The institution protocol is to add 125 units of regular insulin to a 250 mL bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL/hr.
Rationale: 125 units in 250 mL = 0.5 units/mL; 5 units ÷ 0.5 units/mL = 10 mL/hr (
A).
Question 2 of 5
A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:
Correct Answer: B
Rationale: Rinsing after beclomethasone (
B) prevents oral thrush. Coughing (
A) isn't needed, beclomethasone is regular (
C), and albuterol goes first (
D).
Question 3 of 5
A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?
Correct Answer: D
Rationale: Symptoms suggest tuberculosis, requiring airborne precautions (
D) to prevent spread. Droplet precautions (
A) are insufficient, standard precautions (
B) are inadequate, and positive pressure rooms (C, E) are inappropriate.
Question 4 of 5
Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Gradually increasing activity helps in recovery and prevents complications like blood clots. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed. Open-toed house shoes are not recommended as they do not provide adequate support or protection. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.
Question 5 of 5
Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?
Correct Answer: B
Rationale: Counting sponges and instruments (
B) is a shared responsibility. Blood products (
A), traffic (
C), and cardiopulmonary status (
D) are not.