ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Confusion is a common finding in older adults with pneumonia, often due to hypoxia, dehydration, or infection-related changes in mental status.
Question 2 of 5
A client diagnosed with type II diabetes is prescribed prednisone for an acute exacerbation of inflammatory bowel disease. Which management strategy should the nurse discuss with the client?
Correct Answer: B
Rationale: Taking prednisone as prescribed is essential to manage inflammation and prevent complications like adrenal insufficiency, especially in a client with diabetes.
Question 3 of 5
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 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: C
Rationale: Drip rate (gtt/min) = (
Total volume (mL) × Drop factor (gtt/mL)) /
Total minutes = (1000 mL × 10 gtt/mL) / 360 minutes ‰ˆ 28 gtt/min.
Question 4 of 5
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:
Correct Answer: B
Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.
Question 5 of 5
A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?
Correct Answer: D
Rationale: Dextrose 10% in water provides glucose to maintain blood sugar levels and prevent hypoglycemia until the TPN solution is available.