ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?
Correct Answer: A
Rationale: Flu-like symptoms are the initial presentation of inhalation anthrax, including fever, cough, and malaise, which can progress to severe respiratory distress.
Question 2 of 5
A nurse is preparing to administer Ringer lactate 500 mL intravenous (IV) bolus to infuse over 3 hours. The drop factor of the manual IV tubing is 2 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 56
Rationale: The infusion rate is calculated as (500 mL ÷ 180 min) × 20 gtt/mL = 55.6 gtt/min, rounded to 56 gtt/min.
Question 3 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: Hormone therapy is contraindicated in clients with a history of breast cancer due to the risk of cancer recurrence.
Question 4 of 5
A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first?
Correct Answer: C
Rationale: Direct pressure is the first step to control severe bleeding and stabilize the wound.
Question 5 of 5
A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?
Correct Answer: A
Rationale: Drooling and difficulty swallowing indicate potential airway obstruction, requiring immediate attention.