ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: D
Rationale: Dopamine is used to treat hypovolemic shock by increasing blood pressure through vasoconstriction and improved cardiac output. A blood pressure of 90/50 mm Hg indicates hypotension, suggesting the current dose is insufficient, necessitating an increase.
Question 2 of 5
A nurse enters a client's room and discovers the client's abdominal incision is open with the large intestine protruding through the opening. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Covering a dehiscence with saline-soaked gauze prevents tissue drying and infection, the first priority. Notifying the team, adjusting the bed, or preparing for surgery follow after stabilizing the wound.
Question 3 of 5
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open their eyes, displays decerebrate posturing, and makes incomprehensible sounds. The nurse should assign the client which of the following Glasgow Coma Scale scores?
Correct Answer: D
Rationale: Glasgow Coma Scale: No eye opening (1), decerebrate posturing (abnormal extension, 2), incomprehensible sounds (2) = 1+2+2 = 5, reflecting severe neurological impairment.
Question 4 of 5
A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr? (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:
To deliver 50 mL over 30 min, calculate: (50 mL / 0.5 hr) = 100 mL/hr, matching the required infusion rate for ceftazidime administration.
Question 5 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Urine contaminates fecal occult blood tests, giving false results, so such samples are discarded. Samples are taken from different stool areas, non-sterile gloves suffice, and multiple movements are preferred.