ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 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, ensuring the correct heparin dose is delivered.
Question 2 of 5
A nurse is caring for a client who is experiencing Cushing's triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Mannitol 25% reduces intracranial pressure, addressing the critical components of Cushing's triad.
Question 3 of 5
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?
Correct Answer: D
Rationale: Cranial nerve III (oculomotor) controls pupil constriction, so checking pupillary response to light assesses its function.
Question 4 of 5
A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Type AB clients can safely receive type B blood because AB has no antibodies against B antigens, making administration appropriate.
Question 5 of 5
The nurse in a trauma unit has received a report on a client who has multiple injuries following a motor vehicle crash. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Evaluating chest expansion assesses breathing, a priority in trauma care per the ABCs.