ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?
Correct Answer: B
Rationale: Continuous IV insulin infusion is the priority in DKA to lower glucose and reverse ketosis, correcting metabolic imbalances. Other interventions support but follow insulin.
Question 2 of 5
A nurse is checking a client's ventilator settings. The nurse should understand that positive end-expiratory pressure has which of the following purposes?
Correct Answer: D
Rationale: Positive end-expiratory pressure (PEEP) prevents alveolar collapse by maintaining airway pressure at expiration, improving oxygenation. It does not affect tidal volume, inspiratory pressure, or ventilation rate.
Question 3 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Weight gain of 1.1 kg in 24 hours indicates fluid retention, worsening kidney failure, and requires reporting. Other findings are normal or expected.
Question 4 of 5
A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Repositioning the arm addresses common infusion pump alarms caused by tubing occlusion from arm position, the most likely issue.
Question 5 of 5
A nurse is preparing to administer levofloxacin 750 mg via intermittent IV infusion over 90 min to a client. Available is levofloxacin 750 mg/150 mL. How many mL/hr should the nurse set the IV pump to administer?
Correct Answer: 100
Rationale: Rate = 150 mL / 1.5 hr = 100 mL/hr, calculated to deliver the dose over 90 minutes.