ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
A client is receiving a continuous infusion of IV insulin at 8 mL/hour. Pharmacy makes an infusion of 75 units of regular insulin in 150 mL of Normal Saline for thisONTINUOUS infusion. How many units per hour is the client receiving? (Round to the nearest whole number)
Correct Answer: A
Rationale: The infusion concentration is 75 units / 150 mL = 0.5 units/mL. At 8 mL/hour, the client receives 8 mL x 0.5 units/mL = 4 units/hour.
Question 2 of 5
The nurse is caring for a client diagnosed with multiple sclerosis (MS) who is complaining of diplopia. Which intervention would be appropriate for the client with this problem?
Correct Answer: C
Rationale: Alternating an eye patch on each eye reduces diplopia in MS by preventing double vision caused by eye muscle misalignment.
Question 3 of 5
What is the first action the nurse should take with the accidental dislodgement of a chest tube?
Correct Answer: C
Rationale: Applying a sterile dressing taped on three sides prevents air entry into the pleural space, reducing pneumothorax risk until further intervention.
Question 4 of 5
The nurse is caring for a client receiving mechanical ventilation. The nurse hears the low-pressure alarm sound. After checking the client and ventilator, the nurse cannot determine the source of the alarm. What should the nurse do next?
Correct Answer: D
Rationale: Using a manual resuscitation bag ensures continued ventilation while investigating the low-pressure alarm, prioritizing client oxygenation.
Question 5 of 5
The nurse is analyzing a client's arterial blood gas (ABG) values with the following results: pH 7.44, PaCO2 30 mmHg, Pa02 90 mmHg, and HCO3 18mEg/L. Which acid base Imbalance should the nurse associate with these results?
Correct Answer: B
Rationale: Normal pH (7.44), low HCO3 (18 mEq/L), and low PaCO2 (30 mmHg) indicate partially compensated metabolic acidosis with respiratory compensation.