ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60 min. Available is moxifloxacin 400 mg in 250 mL dextrose 5% (DSW). The drop factor of the manual IV tubing is 15 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: 63 gtt/min
Rationale: gtt/min = (250 mL x 15 gtt/mL) / 60 min = 62.5, rounded to 63.
Question 2 of 5
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: Examining the skin under the traction splint is important to assess for any skin breakdown or irritation. C: Monitoring peripheral pulses in the affected extremity is crucial to ensure adequate circulation distal to the traction. D: Assessing the temperature of the affected extremity is important to detect changes that might indicate circulatory compromise.
Question 3 of 5
A nurse is preparing a client who is postoperative following a below-the-knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Wrapping the stump in a figure-eight configuration with an elastic bandage helps in shaping and reducing swelling, aiding in proper prosthesis fitting.
Question 4 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Repositioning the client by log rolling every 4 hours helps maintain alignment and prevent complications after spinal surgery.
Question 5 of 5
A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?
Correct Answer: D
Rationale: Inability to flex the toes could indicate compartment syndrome or nerve damage, which requires immediate attention to prevent further complications like tissue damage or loss of function.