ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
Correct Answer: A
Rationale: Using the formula: (
Total volume in mL × Drop factor) /
Total infusion time in minutes = Drops/minute, we calculate (1000 mL × 15 gtts/mL) / 480 minutes = 31.25 gtts/minute, which rounds to 31 gtts/minute.
Question 2 of 5
A patient with asthma presents with daily peak flow rates consistently at 45% of their personal best. What is the most appropriate action the nurse should take?
Correct Answer: D
Rationale: Peak flow rates at 45% indicate poor asthma control, requiring initiation of an asthma action plan and oral corticosteroids to manage the exacerbation.
Question 3 of 5
A nurse is providing teaching to a client about manifestations of pulmonary embolism (PE). Which of the following findings should the nurse include in the teaching? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Chest pain that worsens with deep breathing (pleuritic pain), shortness of breath, and bloody sputum are hallmark symptoms of pulmonary embolism due to inflammation, reduced oxygenation, and possible pulmonary infarction. Facial weakness and difficulty speaking are more indicative of neurological conditions like stroke or myasthenia gravis and are not typical of PE.
Question 4 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation of the fluid level within the water seal chamber (tidaling) indicates proper chest tube function, reflecting changes in intrapleural pressure during respiration. Continuous bubbling suggests an air leak, and absence of fluid or equal drainage amounts are not specific indicators of functionality.
Question 5 of 5
A 70-year-old client in a nursing home is found wandering in the hall and has a new onset confusion. Which action should the registered nurse implement first?
Correct Answer: D
Rationale: Assessing the client's lung fields and temperature is the first priority because new onset confusion in an older adult is often a symptom of an underlying medical issue, such as infection or hypoxia. Early assessment helps identify the cause and guide appropriate interventions.