ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: 125 mcg = 0.125 mg. Available is 0.25 mg/tablet. 0.125 ÷ 0.25 = 0.5 tablets.
Extract:
Physical Examination
January:
Weight 70.5 kg (155 lb)
BMI 24
February:
Weight 69 kg (152 lb)
BMI 23
Diagnostic Results
January:
Complete Blood Count:
RBC count 4.2 (4.2 to 5.4)
WBC count 5,500/mm3 (5,000 to 10,000/mm3)
Hgb 12 g/dl (12 g/dL to 16 g/dL)
Het 37% (37% to 47%)
Platelet count: 150,000/mm2 (150,000 to 400,000/mm
February:
Complete Blood Count
WBC count: 4,500/mm2 (5,000 to 10.000/mm3)
RBC count 4 (4.2 to 5.4)
Hgb: 14 g/dL (15 g/dl to 16 g/dl
Het 36 (376 to 4796)
Platelet count: 140,000/mm(150.000 to 400,000/mm3)
Nurses' Notes
January:
Client reports fatigue and nausea following chemotherapy treatments. States, "It just makes me not want to eat. When I do eat, the food taste funny."
Client teaching: Instructed client to attempt to eat small meals several times daily, to eat food cold or at room temperature, to avoid fried foods. Encourage client to rest before eating meals.
Oral mucosa is inflamed.
Client teaching: Instructed client to avoid mouthwashes that contain alcohol, to increase water intake to 2 or more liters daily, and to avoid hot foods.
Reviewed laboratory findings and stressed the need to protect self from illness due to immunosuppression.
Client teaching: Instructed client to not eat raw or undercooked meat, to drink only pasteurized milk, and to boil water before drinking it take temperature daily and report fever, avoid crowds, wash hands frequently with antimicrobial soap.
Reviewed laboratory findings and stressed need for bleeding precautions. Client states, "I’ve had bleeding from these ulcers in my mouth.”
Client teaching Use an electric razor take a stool softener if constipation occurs, avoid coarse-textured foods.
February
Client has experienced weight loss of 1.5 kg (3 B), has experienced decrease in hct and high, WBC and platelet count.
Client reports still not able to consume much food has increased intake
of water. Oral mucosa with less inflammation.
Client reports no bleeding episodes.
Question 2 of 5
A nurse is caring for a client who has cancer and is undergoing chemotherapy. Which of the following assessments indicates an improvement in the client's condition? (Select all that apply.)
Correct Answer: A,C,D
Rationale: A: A decrease in WBC count may indicate reduced chemotherapy-induced immunosuppression. C: Absence of bleeding episodes suggests improved mucosal integrity. D: Reduced oral inflammation indicates effective interventions. E: Weight loss does not indicate improvement.
Extract:
Question 3 of 5
A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 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: 21
Rationale: 3000 mL over 24 hr (1440 min) with 10 gtt/mL drop factor: 3000 ÷ 1440 × 10 = 20.8, rounded to 21 gtt/min.
Question 4 of 5
A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?
Correct Answer: B
Rationale: Drinking extra fluids is a key preventive measure for heat-related illness.
Question 5 of 5
A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Annual fecal occult blood testing is recommended starting at age 45 for colorectal cancer screening.