ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
Correct Answer: A
Rationale: Urine specific gravity of 1.035 indicates concentrated urine, consistent with fluid volume deficit.
Question 2 of 5
A nurse is caring for a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Dextrose 10% provides glucose, which can increase blood glucose levels, leading to hyperglycemia.
Question 3 of 5
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A potassium level of 5.2 mEq/L is slightly elevated; notifying the physician ensures safe administration or adjustment.
Extract:
Client is admitted following cerebrovascular accident (CVA). Client is alert and oriented. Heart rate regular. Respirations rapid and non-labored. Wheezing auscultated in upper lobes of the lungs. Client is receiving 2 U/min of oxygen via nasal cannula. Right upper and lower extremities flaccid with decreased muscle tone and strength. Client sitting up in a chair for lunch. Client states they are right-handed and are having difficulty feeding themselves.
Question 4 of 5
For which of the following interprofessional team members should the nurse anticipate a provider's referral?
Correct Answer: D,E
Rationale: Physical therapy addresses mobility and strength issues, while occupational therapy helps with daily activities like feeding.
Extract:
Question 5 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:
Total drops = 500 mL × 20 gtt/mL = 10,000 gtt. Infusion time = 3 hr × 60 min = 180 min. Rate = 10,000 / 180 ≈ 55.6, rounded to 56 gtt/min.