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. This is the correct infusion rate for the prescribed dose.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Elevating the head (typically 30°, but 20° here) reduces ICP by aiding venous drainage.
Question 3 of 5
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
Correct Answer: A
Rationale: A pulmonary artery catheter monitors hemodynamic status, including cardiac output and pressures.
Question 4 of 5
A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: Osmotic diuretics like mannitol reduce brain edema by drawing fluid into the bloodstream.
Question 5 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% is administered to reduce intracranial pressure, a key component of Cushing's triad (hypertension, bradycardia, irregular respirations).