ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370 mL
Rationale:
Total output is calculated as: 400 mL (urine) + 350 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (Jackson-Pratt) = 1370 mL.
Question 2 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Assuming phenytoin can be stopped indicates a misunderstanding, as abrupt cessation risks seizures, requiring further teaching.
Question 3 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4 T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: A
Rationale: A low CD4 count in AIDS increases susceptibility to opportunistic infections like candidiasis, a fungal infection causing oral thrush, due to a weakened immune system.
Question 4 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 5 of 5
A client has a prescription for seizure precaution. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping seizure medication at the bedside ensures immediate access to control seizures, a critical precaution for safety.