ATI RN
ATI n232 Med Surg Exam Questions
Question 1 of 5
A nurse is preparing to administer potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5 mL. How many mL 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: 15 mL
Rationale: Desired dose: 20 mEq (40/2). Concentration: 6.7 mEq/5 mL = 1.34 mEq/mL. Volume = 20 / 1.34 ≈ 15 mL.
Question 2 of 5
Which of the following are considered barriers to appropriate communication with clients? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Cultural incompetence hinders understanding. C. Implicit bias causes disparities. E. Lack of diversity limits cultural familiarity. B. Training improves communication. D. High health literacy aids interaction.
Question 3 of 5
A 65-year-old client with a history of diabetes mellitus was admitted to the hospital for a scheduled knee replacement surgery. During the postoperative period, the client developed a surgical site infection that required prolonged antibiotic therapy and wound care. This event is categorized as:
Correct Answer: A
Rationale: A surgical site infection is an adverse event, a complication from care. B. Never events are preventable errors like wrong-site surgery. C. Near misses don't cause harm. D. Sentinel events involve severe harm or death.
Question 4 of 5
A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should prioritize which precaution when administering nasal oxygen therapy to the client?
Correct Answer: C
Rationale: Low-flow oxygen (1-2 L/min) prevents CO2 narcosis in COPD clients with hypoxic drive. A. Breaks risk hypoxemia. B. Skin checks are secondary. D. Self-adjusting oxygen is dangerous.
Question 5 of 5
A nurse is reviewing the arterial blood gas (ABG) result for a client diagnosed with progressive chronic obstructive pulmonary disease (COPD). The nurse should expect which of the following ABG findings for a client diagnosed with progressive COPD?
Correct Answer: B
Rationale: Progressive COPD shows respiratory acidosis (low pH, high PaCO2) with compensatory high HCO3. A. Indicates alkalosis. C, D are normal or mild.