ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in pulmonary edema, leading to weight loss from diuresis. A 1.8 kg loss indicates effective fluid removal, unlike persistent high respiratory rate, adventitious sounds, or elevated blood pressure, which suggest ongoing edema.
Question 2 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 3 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia, common in leukemia, increasing bleeding risk. Bleeding precautions (e.g., avoiding invasive procedures, using soft brushes) are essential to prevent hemorrhage, unlike the other options, which are irrelevant to this finding.
Question 4 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation, preceding more severe signs like posturing, vomiting, or papilledema, which indicate advanced neurological compromise.
Question 5 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation, leading to cold, clammy skin from sweating. Increased urine output, acetone breath, and Kussmaul respirations are associated with hyperglycemia or ketoacidosis.