ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client receiving an infusion of IV magnesium sulfate. Which of the following findings would indicate to the nurse that the client is experiencing hypermagnesemia?
Correct Answer: D
Rationale: Hypermagnesemia causes depressed reflexes and lethargy due to CNS depression, unlike hypocalcemia, hypomagnesemia, or other symptoms.
Question 2 of 5
The nurse is assessing a patient in the immediate post-operative phase. Which of the following assessment findings would be most indicative of post-operative hemorrhage?
Correct Answer: D
Rationale: Tachycardia and hypotension are classic signs of hemorrhage due to compensatory mechanisms, unlike respiratory changes, fever, or confusion.
Question 3 of 5
A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?
Correct Answer: D
Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.
Question 4 of 5
A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?
Correct Answer: A
Rationale: Calculation: 120 mL/hr × 2.5 hr (0330 to 0600) = 300 mL.
Question 5 of 5
The nurse is caring for a client in the emergency department who is experiencing facial droop and slurred speech orally. The physician ordered aspirin to be given orally. What should the nurse do?
Correct Answer: C
Rationale: Evaluating the patient's ability to swallow is critical due to potential dysphagia indicated by facial droop and slurred speech, which could lead to aspiration if medications are given orally without assessment.