ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?
Correct Answer: C
Rationale: Extreme fatigue, such as being too tired to brush teeth, indicates significant functional limitation in heart failure, warranting cardiac rehabilitation. Daily weighing and low-sodium diets are standard management, and vague complaints are less specific.
Question 2 of 5
A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)
Correct Answer: 2.5 mL.
Rationale: Converting 220 lb to 100 kg, the dose is 10 mcg/kg × 100 kg = 1000 mcg = 1 mg. With 0.4 mg/mL, 1 mg ÷ 0.4 = 2.5 mL, which is already rounded to the nearest tenth.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Using a 10-mL syringe to flush a PICC line prevents catheter damage. Hydrogen peroxide is not used, dressings are changed every 3-7 days, and arm elevation is not restricted.
Question 4 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: Assessing respiratory status is the priority in the PACU due to the risk of respiratory depression from anesthesia. Surgical site, consciousness, and pain are important but secondary.
Question 5 of 5
A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Atrial flutter shows a saw-tooth pattern with an atrial rate of 250-400/min on ECG. Longer PR durations, undetectable P waves, and absent PR intervals indicate other arrhythmias.