ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is receiving a blood transfusion, The nurse observes that the client is experiencing flank and lower back pain. Which of the following orders does the nurse anticipate receiving?
Correct Answer: C
Rationale: Flank and lower back pain during a transfusion suggest a hemolytic reaction; high-volume IV fluids help prevent kidney damage by flushing hemoglobin.
Question 2 of 5
A client presents to the emergency department complaining of headaches and blurred vision. The client's vital signs are as follows, Pulse 102 beats/minute, BP 172/92. RR 20 breaths/minute, SpO2.97% on room air temperature of 98.64. Which of the following interventions would be most appropriate for this patient?
Correct Answer: A
Rationale: High BP with headaches and blurred vision suggests hypertensive emergency; IV hydralazine addresses this, unlike irrelevant oxygen, acetaminophen, or fluids.
Question 3 of 5
The nurse is assessing a patient in the immediate post-operative phase. Which of the following assessment findings would be most indicative of post-operative hemorrhage?
Correct Answer: D
Rationale: Tachycardia and hypotension are classic signs of hemorrhage due to compensatory mechanisms, unlike respiratory changes, fever, or confusion.
Question 4 of 5
A nurse is preparing to administer ceftriaxone 1g via intermittent IV bolus over 60 min. Available is 1 g ceftriaxone sodium in 250 mL dextrose 5% in water. The nurse should set the pump can deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculation: 250 mL ÷ 60 min × 60 min/hr = 250 mL/hr.
Question 5 of 5
The nurse recognizes which of the following as signs and symptoms of hyperglycemia type I diabetes mellitus? Select all that apply,
Correct Answer: B,D
Rationale: Hyperglycemia causes polyuria and polydipsia due to glucose excretion and dehydration, unlike unconsciousness, anorexia, or respiratory changes.