ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is calculating the intake of a client during the past 9 hours. The client's intake includes: Lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL, two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
Correct Answer: 2525 mL
Rationale:
Total intake is calculated as follows: Lactated Ringer's (150 mL/hr × 9 hrs = 1350 mL), cefazolin (100 mL), packed RBCs (275 mL + 250 mL = 525 mL), IV boluses (250 mL × 2 = 500 mL), ranitidine (50 mL). Summing these: 1350 + 100 + 525 + 500 + 50 = 2525 mL.
Question 2 of 5
A nurse is caring for a client who has had repeated instances of cystitis. When considering possible ascending progression of the infection, the client should be taught to monitor for:
Correct Answer: C
Rationale: Flank pain and fever indicate pyelonephritis, signaling ascending infection from the bladder to the kidneys, requiring immediate attention.
Question 3 of 5
A client with homonymous hemianopsia resulting from a stroke has a disturbed sensory perception. An appropriate nursing intervention to help the client learn to compensate for this deficit during the rehabilitation period would be to:
Correct Answer: D
Rationale: Scanning techniques teach clients to consciously move their head or eyes to view their surroundings, compensating for hemianopsia.
Question 4 of 5
The nurse isa caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury affects balance and coordination; ensuring bed alarm use prioritizes safety for patients at high fall risk due to impaired motor control.
Question 5 of 5
The nurse is caring for a patient with epilepsy who has recently had a change in their prescribed medication combination. Which of the following options are priority to institute?
Correct Answer: C
Rationale: Suction equipment and oxygen are vital in epilepsy management to clear secretions and maintain oxygenation during seizures. Patent IV access allows rapid administration of emergency medications.