ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 2 of 5
The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)
Correct Answer: A,D,E
Rationale: Rheumatologic conditions, deep sleep deprivation, and physical/emotional trauma are linked to fibromyalgia due to immune dysregulation, pain sensitivity, and stress-related changes. Nutritional deficiencies and bone injuries lack strong evidence as direct risk factors.
Question 3 of 5
A nurse is caring for a patient who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose the disease? (Select all that apply)
Correct Answer: A,D,E
Rationale: ANA titer, ESR, and WBC count support rheumatoid arthritis diagnosis by indicating autoimmunity and inflammation, while BUN and urinalysis are not specific to it.
Question 4 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 5 of 5
A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A malar (butterfly) rash across the nose and cheeks is a classic SLE sign, caused by skin vessel inflammation, often worsened by sun exposure.