ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Limiting family visits to 30 minutes per day reduces radiation exposure. Sharing dosimeter badges, touching dislodged implants, or removing linens after each change are unsafe.
Question 2 of 5
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Inserting a large-bore nasogastric tube allows for gastric lavage and diagnosis of bleeding sources in upper GI bleeding. A 22-gauge IV is too small, ketorolac increases bleeding risk, and nitroprusside is not indicated.
Question 3 of 5
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A nosebleed in a client with thrombocytopenia indicates a risk of significant bleeding due to low platelets, requiring immediate attention. COPD with 89% saturation, stable stroke symptoms, and MS symptoms are less urgent.
Question 4 of 5
A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-thickness burns cause fluid loss and hypovolemia, leading to hypotension. Urinary diuresis, decreased respiratory rate, and bradycardia are not typical findings.
Question 5 of 5
A nurse is preparing to administer piperacillin 3.375 g by intermittent IV bolus every 6 hr. Available in piperacillin 3.375 g in dextrose 5% in water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: C
Rationale:
To infuse 100 mL over 30 min, calculate: (100 mL ÷ 30 min) × 60 min/hr = 200 mL/hr.