Questions 42

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ATI Advanced Med Surg Exam 4 Questions

Extract:


Question 1 of 4

A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 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: 21

Rationale: 3000 mL over 24 hr (1440 min) with 10 gtt/mL drop factor: 3000 ÷ 1440 × 10 = 20.8, rounded to 21 gtt/min.

Question 2 of 4

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: D

Rationale: Myelosuppression reduces platelets, increasing bleeding risk, such as from gums.

Question 3 of 4

A nurse is preparing to administer ceftriaxone 1 g via intermittent IV bolus over 30 min. Available is 1 g ceftriaxone sodium in 100 ml. dextrose 5% in water. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 200

Rationale: 100 mL over 30 min (0.5 hr): 100 ÷ 0.5 = 200 mL/hr.

Question 4 of 4

A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse expect for this patient?

Correct Answer: D

Rationale: Mycophenolate is an immunosuppressant used to manage acute rejection.

Question 5 of 4

A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?

Correct Answer: C

Rationale: A hissing chest wound indicates a life-threatening tension pneumothorax requiring immediate care.

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