ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets
Rationale: 235 mcg = 0.235 mg; 0.235 รท 0.5 mg/tablet = 0.47, rounded to 0.5 tablets (
A).
Question 2 of 5
The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can't remember what to take before exercising. The best response by the nurse would be:
Correct Answer: C
Rationale: Albuterol (
C) prevents exercise-induced bronchoconstriction. Beclomethasone (
B) and zafirlukast (
D) are long-term, not immediate (
A).
Question 3 of 5
The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:
Correct Answer: C
Rationale: Malignant hyperthermia (
C) is a rare but serious anesthetic reaction. Tachycardia (
A) and decreased respirations (
B) are less severe, and hypokalemia (
D) is unrelated.
Question 4 of 5
A patient with fluid volume deficit must receive a 250 mL IV bolus of NS over 25 minutes via a peripherally inserted central line (PICC) on an IV pump. At what rate will the nurse program the pump? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 600 mL/hr
Rationale: Calculate the desired flow rate (mL/hr): Desired flow rate (mL/hr) =
Total volume (mL) / Infusion time (hours). Desired flow rate (mL/hr) = 250 mL / 25 minutes. Desired flow rate (mL/hr) = 10 mL/minute. Convert mL/minute to mL/hour: 10 mL/minute * 60 minutes/hour = 600 mL/hour.
Therefore, the nurse should program the IV pump to deliver the 250 mL bolus of NS at a rate of 600 mL/hour.
Question 5 of 5
A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?
Correct Answer: D
Rationale: A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.