ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 675
Rationale: The client's weight is converted to 90 kg (198 lb ÷ 2.2). The total daily dose is 15 mg/kg/day × 90 kg = 1350 mg/day, divided into two doses: 1350 mg ÷ 2 = 675 mg/dose.
Question 2 of 5
A nurse is presenting educational materials to a group of middle-aged clients about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the education?
Correct Answer: B
Rationale: Hormone therapy helps maintain bone density, reducing the risk of osteoporotic fractures post-hysterectomy.
Question 3 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen addresses hypoxia and respiratory distress in a sucking chest wound.
Question 4 of 5
A nurse is presenting educational materials to a group of middle-aged clients about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the education?
Correct Answer: B
Rationale: Hormone therapy can prevent osteoporotic fractures by maintaining bone density post-hysterectomy.
Question 5 of 5
A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gathering a sensitive history ensures appropriate care and evidence collection without causing further distress.