ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?
Correct Answer: C
Rationale: Erythema indicates phlebitis due to vein inflammation. Pallor suggests reduced flow, coolness infiltration, and drainage infection, not primarily phlebitis.
Question 2 of 5
A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours. The drop factor of the manual IV tubing is 60 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver?
Correct Answer: 50
Rationale: Calculating 400 mL over 480 minutes (8 hours) gives 0.8333 mL/min. Multiplying by 60 gtt/mL yields 50 gtt/min, the correct infusion rate.
Question 3 of 5
An athlete has been practicing twice a day in the heat and reports being dizzy. The patient's vital signs are blood pressure of 100/2 mm Hg, pulse rate of 100 beats/min, and respiratory rate of 26 breaths/min; the patient does not remember the last voiding time. The skin is cool to touch and pale in color. Which type of shock is the patient experiencing?
Correct Answer: A
Rationale: Hypovolemic shock from fluid loss due to heat and exercise matches the symptoms of low BP, tachycardia, tachypnea, and pale skin. Neurogenic involves spinal injury, cardiogenic heart failure, and anaphylactic allergic reaction.
Question 4 of 5
A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?
Correct Answer: C
Rationale: Erythema indicates phlebitis due to vein inflammation. Pallor suggests reduced flow, coolness infiltration, and drainage infection, not primarily phlebitis.
Question 5 of 5
A 79-year-old patient reports a pain level of 3 out of 10 and states, "Don't worry, this is just part of getting old." What is the best response?
Correct Answer: C
Rationale: Investigating further validates the patient's pain and rules out causes, countering the misconception that pain is a normal part of aging. Other responses dismiss or delay addressing the pain.