ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Myelosuppression reduces platelets, increasing bleeding risk, such as from gums.
Question 2 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 3 of 5
The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering diphenhydramine first mitigates the risk of anaphylaxis from bee venom.
Question 4 of 5
A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Low platelet counts increase bleeding risk; limiting IM injections minimizes this risk.
Question 5 of 5
An unresponsive 79-yr-old patient is admitted to the emergency department (ED) during a summer heat wave. The patient's core temperature is 105.4° F (40.8° C), blood pressure (BP) is 88/50 mm Hg, and pulse is 112 beats/min. What action should the nurse plan to take?
Correct Answer: C
Rationale: Applying wet sheets and a fan rapidly lowers core temperature to prevent organ damage.