ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV 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: 125
Rationale: Calculation: (10 mEq/hr ÷ 40 mEq) × 500 mL = 125 mL/hr, ensuring the correct potassium infusion rate.
Question 2 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: B
Rationale: Airway obstruction is the priority due to the risk of swelling from burns to the head and neck, which can compromise breathing, aligning with the ABCs of trauma care.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury. The nurse notes that the client has a widening pulse pressure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Widening pulse pressure suggests increased ICP; elevating the head to 30° reduces it.
Question 4 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: B
Rationale: Dysphagia poses an immediate risk of aspiration and airway compromise, making it the priority.
Question 5 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face Hokkaido, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: D
Rationale: Face burns raise concern for inhalation injury; inspecting the mouth assesses airway risk.