ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer levofloxacin 750 mg via intermittent IV infusion over 90 min to a client. Available is levofloxacin 750 mg/150 mL. How many mL/hr should the nurse set the IV pump to administer?
Correct Answer: 100
Rationale: Rate = 150 mL / 1.5 hr = 100 mL/hr, calculated to deliver the dose over 90 minutes.
Question 2 of 5
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?
Correct Answer: D
Rationale: A flat lesion with irregular borders suggests melanoma, characterized by asymmetry, color variation, and changing appearance. Other lesions are more typical of other skin cancers.
Question 3 of 5
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A calcium level of 11.5 mg/dL indicates hypercalcemia, a TPN complication that may require formula adjustment or diuretics. Other findings are within normal or expected ranges for TPN.
Question 4 of 5
A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: ST segment elevation or depression indicates myocardial infarction due to ischemia. Other components reflect different cardiac functions.
Question 5 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: A
Rationale: Narrowed airways in asthma trap carbon dioxide, worsening symptoms and causing acidosis. Alveolar elasticity loss is COPD-related, and decreased responsiveness or suppressed inflammation are treatment goals.