ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A client is prescribed a continuous infusion of IV Insulin at 7 units per hour. Pharmacy delivers a concentration of 100 units of regular insulin in 100 mL of NSS. At what rate should the nurse set the IV pump? (round to the nearest whole number)
Correct Answer: 7 mL/hour
Rationale: (7 units/hour × 100 mL) ÷ (100 units) = 7 mL/hour, the rate to deliver the prescribed insulin dose.
Question 2 of 5
The nurse notes serosanguinous drainage from the nasogastric tube in the immediate postoperative period of a client who had a gastrectomy for gastric cancer. Which nursing action is appropriate?
Correct Answer: B
Rationale: Serosanguinous drainage is common post-gastrectomy, and monitoring is appropriate to identify any concerning changes.
Question 3 of 5
The client has developed graft versus host disease (GVHD) during treatment for acute lymphoblastic leukemia (ALL). The client has a generalized pruritic rash on the trunk and the extremities. What nursing measures should the nurse use to address this problem?
Correct Answer: B,C,D
Rationale: B: Antihistamines relieve itching. C: Cool water and mild soap soothe skin. D: Clipping nails and using lotions prevent scratching and moisturize skin. A is incorrect as bacitracin is for infections, not GVHD rash.
Question 4 of 5
The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?
Correct Answer: D
Rationale: Oxycodone is an opioid analgesic that treats general pain but is not typically effective for the neuropathic pain of trigeminal neuralgia, which is better managed with anticonvulsants or muscle relaxants.
Question 5 of 5
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:
Correct Answer: C
Rationale: Consistently elevated blood glucose levels above 200 mg/dL indicate poor diabetes control and require prompt reporting to prevent complications like diabetic ketoacidosis.