ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To determine the number of tablets, divide the prescribed dose by the dose per tablet: 1.5 mg ÷ 0.5 mg/tablet = 3 tablets. The answer is a whole number, so no rounding is needed.
Question 2 of 5
A client is admitted to the emergency room with chest pain and a suspected diagnosis of acute myocardial infarction (MI). Which test would the nurse expect the physician to order to make a definitive diagnosis of MI?
Correct Answer: D
Rationale: Troponin levels are the most specific marker for myocardial damage, confirming an MI diagnosis.
Question 3 of 5
A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Correct Answer: B
Rationale: Faint pulses and a cool foot suggest compartment syndrome, a medical emergency. Notifying the provider is the priority to ensure prompt intervention.
Question 4 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 5 of 5
A patient with right lower-lobe pneumonia has been treated with intravenous antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the infection is resolving, showing antibiotic effectiveness.