ATI RN
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.