ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A client diagnosed with a pulmonary embolism is placed on a continuous Heparin infusion. A nurse should notify the health care provider for which of the following findings?
Correct Answer: C
Rationale: Hematuria suggests excessive anticoagulation, requiring urgent reassessment. A. Minor bruising is expected. B. PTT is therapeutic. D. Starting Coumadin is standard.
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.
Extract:
Nurses' Notes
Medical History
Vital Signs
Client appears anxious and tachypneic. Respirations are labored and shallow. Lung sounds absent in the right lower lobe. Skin is cool and slightly cyanotic.
Question 3 of 5
A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?
Correct Answer: B,D,E
Rationale: B. IV access ensures emergency treatment readiness. D. ABGs guide oxygenation management. E. Chest tube treats pneumothorax. A, C, F are inappropriate or secondary.
Extract:
Question 4 of 5
A nurse is preparing to discharge a client who is a status post-operative laryngectomy. The nurse should recognize which of the following discharge teaching is the highest priority?
Correct Answer: C
Rationale: Emergency ID ensures safety by communicating inability to speak in crises. A, B, D are important but secondary to immediate safety.
Question 5 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.