ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The constant urge to void is common due to bladder irritation from the catheter and irrigation.
Question 2 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: Hormone therapy is contraindicated in clients with a history of breast cancer due to the risk of cancer recurrence.
Question 3 of 5
A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?
Correct Answer: B
Rationale: Nurses and emergency medical personnel are trained to assess and prioritize care, making them suitable triage officers.
Question 4 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen addresses hypoxia and respiratory distress in a sucking chest wound.
Question 5 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 675
Rationale: The client's weight is converted to 90 kg (198 lb ÷ 2.2). The total daily dose is 15 mg/kg/day × 90 kg = 1350 mg/day, divided into two doses: 1350 mg ÷ 2 = 675 mg/dose.