ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the oximeter first assesses oxygenation status, which is critical post-surgery and aligns with the priority of ensuring adequate breathing.
Question 2 of 5
A nurse is caring for a client who had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring for increased intracranial pressure is the priority after subdural hematoma evacuation, as it can indicate life-threatening complications like re-bleeding or swelling.
Question 3 of 5
A nurse is monitoring a client who was admited with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: B
Rationale: A decrease in heart rate indicates adequate fluid replacement, as tachycardia is a compensatory response to hypovolemia in burn patients.
Question 4 of 5
A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Mannitol 25% is an osmotic diuretic used to reduce intracranial pressure by drawing fluid out of the brain tissue.
Question 5 of 5
A nurse is caring for a client who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 24
Rationale: Calculation: (1,200 units/hr ÷ 25,000 units) × 500 mL = 24 mL/hr. This is the correct infusion rate for the prescribed dose.