ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?
Correct Answer: C
Rationale: Hyperkalemia (5.8 mEq/L) is life-threatening and requires immediate intervention with sodium polystyrene sulfonate.
Question 2 of 5
A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?
Correct Answer: B
Rationale: In DIC, PT, aPTT, and INR are prolonged due to consumption of clotting factors.
Question 3 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: 0.9% sodium chloride IV bolus corrects dehydration and hypotension in DKA.
Question 4 of 5
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak, a potential complication.
Question 5 of 5
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5 mg/kg/dose subcutaneously every 12 hours. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 167
Rationale: Calculation: 245 lbs ÷ 2.2 = 111.36 kg; 111.36 kg × 1.5 mg/kg = 167 mg, the correct dose.