ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg 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: 43.2 mg
Rationale:
To calculate the dose: 95 lbs / 2.2 = 43.18 kg.
Then, 43.18 kg x 1 mg/kg = 43.18 mg, rounded to 43.2 mg.
Question 2 of 5
A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client's bedside?
Correct Answer: B
Rationale: Wire cutters are essential in case of emergency airway obstruction or any other urgent situation necessitating the removal of the fixation wires.
Question 3 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Suctioning the nose gently with a bulb syringe helps clear the nasal passage without causing further trauma.
Question 4 of 5
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: Examining the skin under the traction splint is important to assess for any skin breakdown or irritation. C: Monitoring peripheral pulses in the affected extremity is crucial to ensure adequate circulation distal to the traction. D: Assessing the temperature of the affected extremity is important to detect changes that might indicate circulatory compromise.
Question 5 of 5
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?
Correct Answer: A
Rationale: Preoperative teaching should be realistic and focus on managing pain expectations post amputation. Gradual reduction in severe pain might be an achievable goal.