ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 minutes, the client states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering another nitroglycerin tablet is appropriate to further relieve residual chest pain, following standard angina management protocols.
Question 2 of 5
A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Repositioning can alleviate chest burning by adjusting the tube's position, a safe initial action.
Question 3 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 4 of 5
A nurse is caring for a client who has diabetic ketoacidosis and hypoxia. Which of the following interventions is most critical to perform immediately?
Correct Answer: D
Rationale: Ensuring a clear airway is the priority in hypoxia to facilitate oxygen delivery, critical in diabetic ketoacidosis.
Question 5 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.