ATI RN
ATI RN VATI Adult Medical Surgical S 2019 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer potassium chloride 10 mEq IV over 1 hr to a client. Available in potassium chloride 10 mEq in 100 mL of 0.9% sodium chloride. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 100 mL/hr.
Rationale: 10 mEq in 100 mL over 1 hr requires an infusion rate of 100 mL/hr.
Question 2 of 5
A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the lips and fingers. The client's ABGs are pH 7.48, PCO2 30 mm Hg, HCO3 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is experiencing?
Correct Answer: A
Rationale: The elevated pH and decreased PCO2 suggest respiratory alkalosis, caused by excessive ventilation leading to decreased carbon dioxide levels.
Question 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of osteoporosis. Which of the following information should the nurse include as a risk factor in the teaching?
Correct Answer: A,D
Rationale: Prolonged sun exposure can lead to vitamin D deficiency, and exposure to second-hand tobacco smoke is linked to decreased bone density, both increasing osteoporosis risk.
Question 4 of 5
A nurse is reviewing the medical history of a client who has osteoarthritis. The client asks the nurse about taking the supplement chondroitin with glucosamine. The nurse should instruct the client to use this supplement with caution because of which of the following findings in the client's history?
Correct Answer: D
Rationale: Chondroitin and glucosamine may have mild anticoagulant effects, increasing bleeding risk when combined with anticoagulant therapy.
Question 5 of 5
A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The provider performing the procedure is responsible for ensuring the client understands all aspects, ensuring informed consent.