ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A greenstick fracture, common in children, involves the bone breaking on one side and bending on the other due to bone flexibility.
Question 2 of 5
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Correct Answer: C
Rationale: Administering a short-acting B2-agonist (SAB
A) is the priority to rapidly relieve bronchospasm and improve airflow in status asthmaticus, a life-threatening condition.
Question 3 of 5
The nurse is caring for a patient with a long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: C
Rationale: Peripheral edema is a key sign of right-sided heart failure in cor pulmonale, resulting from fluid accumulation due to impaired cardiac pumping.
Question 4 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
Correct Answer: A
Rationale: Using the formula: (
Total volume in mL × Drop factor) /
Total infusion time in minutes = Drops/minute, we calculate (1000 mL × 15 gtts/mL) / 480 minutes = 31.25 gtts/minute, which rounds to 31 gtts/minute.
Question 5 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.