ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: Using the proportion: 3,800 units / 5,000 units/mL = 0.76 mL, rounded to 0.8 mL to the nearest tenth.
Question 2 of 5
A patient with asthma presents with daily peak flow rates consistently at 45% of their personal best. What is the most appropriate action the nurse should take?
Correct Answer: D
Rationale: Peak flow rates at 45% indicate poor asthma control, requiring initiation of an asthma action plan and oral corticosteroids to manage the exacerbation.
Question 3 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: D
Rationale: Carvedilol, a non-selective beta-blocker, can exacerbate asthma symptoms by causing bronchoconstriction. In clients with asthma, beta-1 selective blockers are preferred, so clarification is needed. Fluticasone, amoxicillin, and isosorbide dinitrate do not pose direct risks in this context.
Question 4 of 5
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Correct Answer: C
Rationale: Fat embolism syndrome is a serious complication of long bone fractures, presenting with respiratory distress and chest pain within 24-72 hours post-injury, matching the client's symptoms and timing.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 5 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
| Diarrhea |
| Hypocalcemia |
| Pulmonary embolism |
| Deep vein thrombosis |
| Diarrhea |
| Hypocalcemia |
| Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.