ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1L to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 100
Rationale:
To calculate the manual IV infusion rate in drops per minute (gtt/min) when using microtubing, you can use the following formula: IV Drip Rate (gtt/min) = (Volume to be infused (mL) x Drop factor (gtt/mL)) / Time (min). Since microtubing typically has a drop factor of 60 gtt/mL, and the nurse is looking to infuse 1L (1000 mL) of solution at a rate of 100 mL/hr, the time to infuse 100 mL would be 60 minutes. Plugging these values into the formula gives: IV Drip Rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min, which simplifies to 100 gtt/min.
Question 2 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 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: 56
Rationale:
To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.
Question 3 of 5
The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.
Correct Answer: B,D
Rationale: B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions. D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
Question 4 of 5
A nurse is caring for a client who has developed diseases of large and medium-sized blood vessels because of diabetes. Which of the following should the nurse anticipate if the client has cerebrovascular disease, cardiovascular disease, and peripheral vascular disease?
Correct Answer: A
Rationale: Macrovascular angiopathy refers to damage in large and medium-sized vessels, which is associated with cerebrovascular, cardiovascular, and peripheral vascular disease in diabetic patients.
Question 5 of 5
A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?
Correct Answer: C
Rationale: A midstream urine culture is often the initial diagnostic test for suspected urinary tract infections or pyelonephritis, based on symptoms of chills, fever, and flank pain.