ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 8 hours. 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: 21
Rationale: Infusing 500 mL over 8 hours (480 minutes): (500 ÷ 480) × 20 = 20.83 gtt/min, rounded to 21 gtt/min.
Question 2 of 5
The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute?
Correct Answer: 25
Rationale: Infusing 100 mL over 60 minutes with a 15 gtt/mL drip factor: (100 ÷ 60) × 15 = 1.6667 × 15 = 25 gtt/min.
Question 3 of 5
An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Walking promotes bowel function, stool softeners prevent straining, and increased fluids aid hydration and soft stools. Frequent enemas can irritate the rectal area and disrupt healing.
Question 4 of 5
The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, 'I:
Correct Answer: A
Rationale: Avoiding beverages with meals prevents dumping syndrome, a common post-gastrectomy complication. Large meals, bread with every meal, and lying down (especially on the left side) can exacerbate symptoms and are not recommended.
Question 5 of 5
The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?
Correct Answer: B
Rationale: Adequate hydration (2000 mL daily) prevents crystalluria and kidney stones, a side effect of sulfasalazine. Bruising, once-daily dosing, and stool assessment are not primary concerns.