ATI RN
ATI Nur 285 Med Surg Exam Questions
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow. B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon. D. Using sterile technique helps prevent infection in a postoperative patient. E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.
Question 2 of 5
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 65 mg/dL on the glucometer, he should give the client which of the following?
Correct Answer: D
Rationale: Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.
Question 3 of 5
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
Correct Answer: D
Rationale: Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.
Question 4 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1L to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 100
Rationale:
To calculate the manual IV infusion rate in drops per minute (gtt/min) when using microtubing, you can use the following formula: IV Drip Rate (gtt/min) = (Volume to be infused (mL) x Drop factor (gtt/mL)) / Time (min). Since microtubing typically has a drop factor of 60 gtt/mL, and the nurse is looking to infuse 1L (1000 mL) of solution at a rate of 100 mL/hr, the time to infuse 100 mL would be 60 minutes. Plugging these values into the formula gives: IV Drip Rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min, which simplifies to 100 gtt/min.
Question 5 of 5
A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:
Correct Answer: B
Rationale: Acute pain related to bladder spasms is a common postoperative issue for TURP patients due to the urinary catheter and bladder irrigation. Managing pain is a priority for patient comfort and recovery.