ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Flushing the catheter with 0.9% sodium chloride removes potential blood clots causing spasms and reduced output. Removing the catheter, decreasing traction, or giving ibuprofen do not address the blockage.
Question 2 of 5
A nurse is preparing to administer piperacillin 3.375 g by intermittent IV bolus every 6 hr. Available in piperacillin 3.375 g in dextrose 5% in water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: C
Rationale:
To infuse 100 mL over 30 min, calculate: (100 mL ÷ 30 min) × 60 min/hr = 200 mL/hr.
Question 3 of 5
A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)
Correct Answer: 2.5 mL.
Rationale: Converting 220 lb to 100 kg, the dose is 10 mcg/kg × 100 kg = 1000 mcg = 1 mg. With 0.4 mg/mL, 1 mg ÷ 0.4 = 2.5 mL, which is already rounded to the nearest tenth.
Question 4 of 5
A nurse is assessing a client who has pericarditis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Fever is a common finding in pericarditis due to inflammation of the pericardium. Petechiae, heart murmurs, and chest erythema are not typical symptoms.
Question 5 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: B
Rationale: Expecting lesions to resolve in 6 weeks aligns with the healing timeline for genital herpes. Antibiotics are ineffective, natural skin condoms don't prevent transmission, and medication duration varies.