ATI RN
ATI Nur 285 Med Surg Exam 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:
To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.
Question 2 of 5
Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?
Correct Answer: D
Rationale: Bright orange-red urine is a well-known and harmless side effect of phenazopyridine, and patients should be informed to avoid alarm.
Extract:
History and Physical
Day 1: Hypertension
Medication Administration Record
Furosemide 40 mg po bid
Trimethoprim/sulfamethoxazole 160 mg/800 mg po q12h
Nurses’ notes
Day 3:
Client reports frequent watery diarrhea
Question 3 of 5
A nurse is caring for a client who has a urinary tract infection. Drag words from the choices below to fill in each blank in the following sentence. The client is at an increased risk for developing..... and.....
Correct Answer: B,C
Rationale: Fluid volume deficit: The client is taking furosemide, a diuretic, which can lead to increased urine output and dehydration. Additionally, the client reports frequent watery diarrhea, further increasing the risk of fluid loss. Hypokalemia: Furosemide can cause potassium loss through increased urinary excretion. Diarrhea can also lead to potassium depletion, putting the client at an increased risk for hypokalemia.
Extract:
Question 4 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?
Correct Answer: C
Rationale: Hemorrhage is a serious and potentially life-threatening complication after TURP, making it the priority for monitoring in the immediate postoperative period.
Question 5 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.