ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: B
Rationale: High urinary output and thirst suggest diabetes insipidus, treated with desmopressin to reduce urine output.
Question 2 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Full-thickness burns cause edema due to vascular leakage and tissue damage within the first 12-24 hours.
Question 3 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall of fluid in the water-seal chamber, called tidaling, reflects normal breathing patterns.
Question 4 of 5
A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 100
Rationale:
To deliver 50 mL over 30 minutes, calculate: (50 mL / 0.5 hr) = 100 mL/hr.
Question 5 of 5
A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?
Correct Answer: A
Rationale: Nuchal rigidity is a hallmark sign of bacterial meningitis, assessed by checking neck stiffness.