ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)
Correct Answer: B,C,D
Rationale: Handheld metal detectors can interfere with pacemaker function, so requesting a manual search is appropriate. Monitoring the pulse daily ensures pacemaker functionality. Avoiding tight clothing prevents discomfort and interference with the pacemaker.
Question 2 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: D
Rationale: Continuing the rate at 125 mL/hr is appropriate for maintaining the current IV fluid regimen unless there are specific orders or conditions that require a change.
Question 3 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Administering oxygen therapy is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.
Question 4 of 5
A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hepatomegaly is a common finding in right ventricular failure due to increased pressure in the venous system.
Question 5 of 5
A nurse is preparing to administer ticarcillin/clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin/clavulanate 3.1 g in 50 ml 0.9% sodium chloride (NSS). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: First, determine the total volume to be infused: 50 mL. Next, calculate the time in hours: 30 minutes is 0.5 hours. 50/0.5 = 100 mL/hr.