ATI RN
ATI Med Surg Final Exam I 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? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Question 2 of 5
A patient is receiving 3% NaCl solution for correction of hyponatremia. For which of the following will the nurse assess?
Correct Answer: C
Rationale: Hypertonic saline (3% NaCl) poses a risk of fluid overload, requiring monitoring for edema and pulmonary congestion.
Question 3 of 5
A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Correct Answer: B
Rationale: Faint pulses and a cool foot suggest compartment syndrome, a medical emergency. Notifying the provider is the priority to ensure prompt intervention.
Question 4 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 5 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks is the first step to ensure no obstruction is preventing urine flow.