ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: B
Rationale:
Total intake is calculated as: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL, half volume), 150 mL IV bolus, 8 oz broth (240 mL), summing to 740 mL. 700 mL is closest, accounting for practical rounding.
Question 2 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork to compare air and bone conduction. Earphones, probes, and electrodes are unrelated.
Question 3 of 5
A nurse is caring for a 75-year-old client with aspiration pneumonia. The nurse should recognize what age-related change can contribute to the development of aspiration pneumonia?
Correct Answer: D
Rationale: A diminished cough reflex in older adults increases aspiration pneumonia risk by failing to clear airway secretions. Joint changes, gastric secretions, and smell sense are less relevant.
Question 4 of 5
A nurse receives an order from the provider for a client requiring the highest oxygen concentration with a one-way valve. What type of mask should the nurse apply to the client?
Correct Answer: C
Rationale: A non-rebreather mask delivers nearly 100% oxygen with a one-way valve to prevent rebreathing. Simple and partial rebreather masks lack this, and Venturi delivers precise, lower concentrations.
Question 5 of 5
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
Correct Answer: B
Rationale: For children under 3, pulling the auricle down and back straightens the ear canal for eardrop administration. Upward/outward is for older patients, and cotton balls or sitting up are secondary.