ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspnoeic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea, hypertension, and low urine output suggest fluid overload. Slowing the infusion and notifying the provider prevent worsening symptoms. Changing fluids, giving steroids, or lowering the bed don't address overload directly.
Question 2 of 5
A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale:
To deliver 50 mL over 30 min, calculate: (50 mL / 0.5 hr) = 100 mL/hr, matching the required infusion rate for ceftazidime administration.
Question 3 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: B
Rationale: Laryngeal edema indicates airway compromise from an anaphylactic reaction to captopril, an ACE inhibitor. Fever, hypertension, and arrhythmias are not typical anaphylactic responses.
Question 4 of 5
A nurse is caring for a client who has diabetic ketoacidosis secondary to an infection. Which of the following prescriptions is the highest priority?
Correct Answer: B
Rationale: Insulin reverses diabetic ketoacidosis by lowering glucose and stopping ketogenesis, addressing the life-threatening metabolic crisis. Cultures, fluids, and catheters support treatment but are secondary.
Question 5 of 5
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open their eyes, displays decerebrate posturing, and makes incomprehensible sounds. The nurse should assign the client which of the following Glasgow Coma Scale scores?
Correct Answer: D
Rationale: Glasgow Coma Scale: No eye opening (1), decerebrate posturing (abnormal extension, 2), incomprehensible sounds (2) = 1+2+2 = 5, reflecting severe neurological impairment.