ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 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: 56
Rationale:
Total drops = 500 mL × 20 gtt/mL = 10,000 gtt. Infusion time = 3 hr × 60 min = 180 min. Rate = 10,000 / 180 ≈ 55.6, rounded to 56 gtt/min.
Question 2 of 5
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Diarrhea causes fluid loss, leading to dehydration.
Question 3 of 5
A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following as an expected finding?
Correct Answer: C
Rationale: Y tubing with normal saline is standard for blood transfusions to flush the line and prevent clotting.
Question 4 of 5
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess?
Correct Answer: A,B,C
Rationale: Crackles, bounding pulse, and pitting edema are signs of fluid volume excess.
Question 5 of 5
A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Divide desired dose (20 mEq) by concentration (10 mEq/mL): 20 / 10 = 2 mL.