ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client newly diagnosed with Parkinson's disease who is prescribed carbidopa/levodopa. What should be included in client teaching?
Correct Answer: C
Rationale: Orthostatic hypotension is a common side effect of carbidopa/levodopa. Educating the client to change positions slowly helps prevent dizziness or falls, which is critical for safety.
Question 2 of 5
The nurse is caring for a client who is 3 hours post-operative following a right lobectomy for lung cancer. The client has shallow respirations at a rate of 14/minute with guarding of the operative site. The breath sounds are diminished throughout the left lung field. The nurse assigns the highest priority to which intervention to prevent acute respiratory failure?
Correct Answer: D
Rationale: Adequate pain relief is critical to promote deep breathing and prevent shallow respirations, reducing the risk of atelectasis and respiratory failure.
Question 3 of 5
A client with an acute stroke must receive Alteplase 0.9 mg/kg (maximum dose 90 mg) over 60 minutes. The client weighs 220 pounds. How many mg should the client receive? (Round to the nearest tenth, do not use trailing zeros)
Correct Answer: A
Rationale: Weight is 99.7664 kg (220 lbs x 0.453592). Dose is 0.9 mg/kg x 99.7664 kg = 89.8 mg, which is below the maximum of 90 mg.
Question 4 of 5
The nurse caring for a critically ill client would suspect the development of acute respiratory distress syndrome (ARDS) in which of the following situations? The client with:
Correct Answer: D
Rationale: Hypoxemia refractory to oxygen therapy is a hallmark of ARDS, indicating severe lung injury and impaired gas exchange.
Question 5 of 5
A client is receiving a continuous infusion of IV insulin at 8 mL/hour. Pharmacy makes an infusion of 75 units of regular insulin in 150 mL of Normal Saline for thisONTINUOUS infusion. How many units per hour is the client receiving? (Round to the nearest whole number)
Correct Answer: A
Rationale: The infusion concentration is 75 units / 150 mL = 0.5 units/mL. At 8 mL/hour, the client receives 8 mL x 0.5 units/mL = 4 units/hour.