ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Blood Cell Normal Ranges
Red blood cells (mature, circulating)
• Male 4.51-6.01 million/mm3
• Female: 4.01-5.51 million/mm3
Hemoglobin
• Adult (15-64 yr)
• Male 14-17.3 g/dL
• Female 11.7-15.5 g/dL
Hematocrit
• 42% -52% in males
• 36% -48% in females
Reticulocytes 0.5% -2.5% of total RBC count
White blood cells (total) 4.5-11.1 103/mm3
Neutrophils
• 59%
• Bands 3%
• Segs-56%
Eosinophils 2.7%
Basophils 0.5%
Lymphocytes 34%
Monocytes 4%
Platelets 150,000-450,000/mm3
Question 1 of 5
A client is post-op nephrectomy for renal cancer. Which lab results would cause most concern for the nurse?
Correct Answer: C
Rationale: An elevated WBC count (normal 4.5-11.1 x 10³/mm³) post-nephrectomy suggests possible infection or inflammation, a critical concern requiring further investigation.
Extract:
Question 2 of 5
The nurse teaches a diabetic client how to perform foot care. Which action by the client would indicate that they can correctly perform foot care?
Correct Answer: C
Rationale: Using a mirror to check foot soles promotes early detection of injuries in diabetic clients.
Question 3 of 5
A patient is to receive a continuous infusion of Diltiazem at 5 mg/hr for Atrial fibrillation. The medication is supplied 125 mg of Diltiazem in 125 mL of Iv fluid. At what rate should the nurse set the IV pump? (round to the nearest whole number)
Correct Answer: 5
Rationale: The infusion rate is 5 mg/hr ÷ 1 mg/mL = 5 mL/hr, as the concentration is 125 mg/125 mL (1 mg/mL).
Question 4 of 5
The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will guide the provider to a diagnosis of DIC?
Correct Answer: C
Rationale: D-dimer, fibrinogen, and fibrin degradation products are key markers for DIC, indicating clot formation and breakdown.
Question 5 of 5
A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?
Correct Answer: 12 mL/h
Rationale: Calculate dilution factor (150 mL / 75 units = 2 mL/unit), then volume (6 units/h * 2 mL/unit = 12 mL/h).