ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
A client with an acute stroke must receive Alteplase 0.9 mg/kg (maximum dose 90 mg) over 60 minutes. The client weighs 220 pounds. How many mg should the client receive? (Round to the nearest tenth, do not use trailing zeros)
Correct Answer: A
Rationale: Weight is 99.7664 kg (220 lbs x 0.453592). Dose is 0.9 mg/kg x 99.7664 kg = 89.8 mg, which is below the maximum of 90 mg.
Question 2 of 5
When caring for a client with a chest tube, the nurse would avoid the practice
Correct Answer: B
Rationale: Stripping the chest tube can increase intrathoracic pressure, risking tension pneumothorax, and is an outdated practice.
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
Which of the following clients diagnosed with myasthenia gravis would the nurse identify as most at risk for developing a cholinergic crisis? A client who
Correct Answer: A
Rationale: Taking an extra dose of anticholinesterase medication increases the risk of cholinergic crisis due to excessive acetylcholine stimulation.
Question 5 of 5
Correct Answer:
Rationale: