ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?
Correct Answer: B
Rationale: A STAT CT scan differentiates ischemic from hemorrhagic stroke, guiding appropriate intervention.
Question 2 of 5
A nurse is calculating the intake of a client during the past 9 hours. The client's intake includes: Lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL, two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
Correct Answer: 2525 mL
Rationale:
Total intake is calculated as follows: Lactated Ringer's (150 mL/hr × 9 hrs = 1350 mL), cefazolin (100 mL), packed RBCs (275 mL + 250 mL = 525 mL), IV boluses (250 mL × 2 = 500 mL), ranitidine (50 mL). Summing these: 1350 + 100 + 525 + 500 + 50 = 2525 mL.
Question 3 of 5
The nurse knows that an important contraindication for valproic acid use is:
Correct Answer: B
Rationale: Pre-existing liver disease contraindicates valproic acid due to increased risk of hepatic toxicity.
Question 4 of 5
A patient is prescribed metoprolol in the treatment of stable angina. What is the best outcome measure of decreased cardiac workload due to metoprolol for the nurse to evaluate?
Correct Answer: A
Rationale: Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action.
Question 5 of 5
A client with a severe stroke has been prescribed enteral feedings via a jejunostomy tube. For safe administration, the nurse should:
Correct Answer: C
Rationale: Abdominal distention, hypoactive bowel sounds, and RLQ tenderness suggest possible ileus or obstruction, requiring discussion with the prescriber for safe feeding.