ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)
Correct Answer: 2.5 mL.
Rationale: Converting 220 lb to 100 kg, the dose is 10 mcg/kg × 100 kg = 1000 mcg = 1 mg. With 0.4 mg/mL, 1 mg ÷ 0.4 = 2.5 mL, which is already rounded to the nearest tenth.
Question 2 of 5
A nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Monitoring for urinary retention is important as opioids can cause this side effect. Itching is a common side effect, not necessarily allergic; restricting fluids worsens constipation; antiemetics help with nausea.
Question 3 of 5
A nurse is preparing to administer piperacillin 3.375 g by intermittent IV bolus every 6 hr. Available in piperacillin 3.375 g in dextrose 5% in water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: C
Rationale:
To infuse 100 mL over 30 min, calculate: (100 mL ÷ 30 min) × 60 min/hr = 200 mL/hr.
Question 4 of 5
A nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Obtaining a blood culture and sensitivity test is the priority to identify the causative organism and guide treatment. WBC count, history, and antibiotics are secondary.
Question 5 of 5
A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?
Correct Answer: B
Rationale: Administering diazepam IV is the priority to stop seizure activity in status epilepticus. Phenytoin, oxygen, and lateral positioning are important but secondary.