ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 08:00 am. After checking the client's morning glucose level, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering insulin at 07:30 allows it to take effect before breakfast, preventing hyperglycemia.
Question 2 of 5
A patient with right lower-lobe pneumonia has been treated with intravenous antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the infection is resolving, showing antibiotic effectiveness.
Question 3 of 5
A nurse is caring for a client diagnosed with a fractured tibia and fibula. Which data should the nurse report to the healthcare provider immediately?
Correct Answer: A
Rationale: An absent dorsalis pedis pulse with increasing pain suggests compromised circulation, requiring immediate reporting.
Question 4 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Question 5 of 5
A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Correct Answer: B
Rationale: Faint pulses and a cool foot suggest compartment syndrome, a medical emergency. Notifying the provider is the priority to ensure prompt intervention.