ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (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: (400 mL × 20 gtt/mL) ÷ (3 hr × 60 min/hr) = 44 gtt/min.
Question 3 of 5
A client presents to the emergency department with complaints of urinary frequency, dysuria, and fever. Which. Of the following orders should the nurse carry out first?
Correct Answer: A
Rationale: Obtaining urine samples first confirms UTI diagnosis and guides antibiotic therapy, critical before other interventions.
Question 4 of 5
Which of the following should be included in patient teaching after hip replacement surgery?
Correct Answer: D
Rationale: Keeping knees apart with a wedge or pillow prevents hip adduction, reducing dislocation risk, unlike the other options which increase risk of complications.
Question 5 of 5
The nurse is renewing laboratory results for a client admitted for renal failure and notes the following: Sodium 144 mEq/L, Potassium 6.6 mEq/L. Which of the following should be the priority intervention?
Correct Answer: A
Rationale: Hyperkalemia (6.6 mEq/L) risks cardiac arrhythmias, requiring an urgent ECG to assess heart activity, unlike other irrelevant interventions.