ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?
Correct Answer: D
Rationale: Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.
Question 2 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 56
Rationale:
To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.
Question 3 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1L to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 100
Rationale:
To calculate the manual IV infusion rate in drops per minute (gtt/min) when using microtubing, you can use the following formula: IV Drip Rate (gtt/min) = (Volume to be infused (mL) x Drop factor (gtt/mL)) / Time (min). Since microtubing typically has a drop factor of 60 gtt/mL, and the nurse is looking to infuse 1L (1000 mL) of solution at a rate of 100 mL/hr, the time to infuse 100 mL would be 60 minutes. Plugging these values into the formula gives: IV Drip Rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min, which simplifies to 100 gtt/min.
Question 4 of 5
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
Correct Answer: D
Rationale: Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.
Extract:
History and Physical
Day 1: Hypertension
Medication Administration Record
Furosemide 40 mg po bid
Trimethoprim/sulfamethoxazole 160 mg/800 mg po q12h
Nurses’ notes
Day 3:
Client reports frequent watery diarrhea
Question 5 of 5
A nurse is caring for a client who has a urinary tract infection. Drag words from the choices below to fill in each blank in the following sentence. The client is at an increased risk for developing..... and.....
Correct Answer: B,C
Rationale: Fluid volume deficit: The client is taking furosemide, a diuretic, which can lead to increased urine output and dehydration. Additionally, the client reports frequent watery diarrhea, further increasing the risk of fluid loss. Hypokalemia: Furosemide can cause potassium loss through increased urinary excretion. Diarrhea can also lead to potassium depletion, putting the client at an increased risk for hypokalemia.