ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is planning a staff education session about hepatitis. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Hepatitis A vaccine is recommended for travelers to high-risk areas. It is transmitted via contaminated food/water, not blood; antibiotics are ineffective; incubation is 2-6 weeks.
Question 3 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.
Question 4 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Using a 10-mL syringe to flush a PICC line prevents catheter damage. Hydrogen peroxide is not used, dressings are changed every 3-7 days, and arm elevation is not restricted.
Question 5 of 5
A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?
Correct Answer: C
Rationale: Extreme fatigue, such as being too tired to brush teeth, indicates significant functional limitation in heart failure, warranting cardiac rehabilitation. Daily weighing and low-sodium diets are standard management, and vague complaints are less specific.