ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reviewing the facility's policies ensures the nurse follows standardized, safe procedures specific to the institution.
Question 2 of 5
A nurse is preparing to administer Ringer's lactate 500 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: 56
Rationale:
Total drops = 500 mL × 20 gtt/mL = 10,000 gtt. Infusion time = 3 hr × 60 min = 180 min. Rate = 10,000 / 180 ≈ 55.6, rounded to 56 gtt/min.
Question 3 of 5
A nurse is assessing a client who is at the end of life. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Irregular respirations, including apnea, are common at end of life due to declining respiratory function.
Question 4 of 5
A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypovolemia reduces blood volume, leading to oliguria as the body conserves fluid.
Question 5 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-base imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: D
Rationale: Shallow, slow respirations cause CO2 retention, increasing the risk of respiratory acidosis.