ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the client on their side during a seizure protects the airway and prevents aspiration, ensuring safety.
Question 2 of 5
The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)
Correct Answer: A,D,E
Rationale: Rheumatologic conditions, deep sleep deprivation, and physical/emotional trauma are linked to fibromyalgia due to immune dysregulation, pain sensitivity, and stress-related changes. Nutritional deficiencies and bone injuries lack strong evidence as direct risk factors.
Question 3 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 4 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Assuming phenytoin can be stopped indicates a misunderstanding, as abrupt cessation risks seizures, requiring further teaching.
Question 5 of 5
What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV-related pneumonia?
Correct Answer: A
Rationale: Coughing, deep breathing, and hydration directly clear airway secretions in pneumonia, making them the priority intervention.