ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.2
Rationale: Volume to administer = 2,000 units / 5,000 units/mL = 0.4 mL.
Question 2 of 5
A nurse is caring for an 83-year-old client who asks for a warm blanket despite the room temperature being 80°F. The nurse understands that which of the following physiological changes experienced by older adults makes it more difficult for them maintain their body temperature?
Correct Answer: D
Rationale: Decreased subcutaneous fat is a key factor in temperature regulation. Subcutaneous fat acts as an insulator, helping to retain body heat. As people age, they often experience a decrease in subcutaneous fat, which reduces their ability to insulate and maintain body heat effectively.
Question 3 of 5
A client with a history of peptic ulcer disease is admitted with hematemesis. The nurse should anticipate which of the following interventions?
Correct Answer: A
Rationale: Proton pump inhibitors reduce gastric acid production, aiding in ulcer healing and stopping bleeding.
Extract:
Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.
SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3
Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air
Question 4 of 5
For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Begin broad spectrum IV antibiotics (Anticipated) | ||
| Transfuse 1 unit of packed red blood cells (Contraindicated) | ||
| Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated) | ||
| Administer morphine sulfate IV push for pain (Contraindicated) |
Correct Answer: A,C
Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.
Extract:
Question 5 of 5
A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
Correct Answer: A
Rationale: Increased energy levels indicate that levothyroxine is effectively treating hypothyroidism symptoms.