ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Assessing vital signs and telemetry first helps determine the cause of chest pain and rules out serious complications.
Question 2 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 3 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 4 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.
Extract:
Question 5 of 5
A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Assessing vital signs and telemetry first helps determine the cause of chest pain and rules out serious complications.