ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hours with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculate: (1000 mL ÷ 480 min) × 15 gtts/mL ≈ 31.25 drops/min, rounded to 31 drops/min.
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 2 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.
Extract:
Question 3 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 4 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 5 of 5
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Avoiding triggers is a key part of asthma management to prevent attacks.