ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is ordered 1 unit of packed red blood cells (250mL) to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)
Correct Answer: A
Rationale: Flow rate = (
Total volume × Drop factor) ÷ Time in minutes = (250 × 15) ÷ 120 = 31.25, rounded to 31 gtt/min.
Question 2 of 5
The nurse is caring for a client who has completed a blood product transfusion for the treatment of thrombocytopenia. How would the nurse know that treatment has been successful?
Correct Answer: B
Rationale: The primary goal of platelet transfusion is to increase platelet count to reduce bleeding risk in thrombocytopenia.
Question 3 of 5
The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information, it is most important that the nurse reinforces discharge teaching about:
Correct Answer: C
Rationale: Hypertension increases pressure on the aneurysm, increasing the risk of expansion and rupture. Strict adherence to antihypertensive medications is essential for preventing complications.
Question 4 of 5
What is the goal of treatment for the client diagnosed with cardiogenic shock?
Correct Answer: B
Rationale: Reducing cardiac workload and improving systemic perfusion are key to managing cardiogenic shock.
Question 5 of 5
The nurse is testing the function of cranial nerve XI (Spinal accessory nerve). Which finding would the nurse expect if the nerve is intact?
Correct Answer: C
Rationale: Cranial nerve XI controls the sternocleidomastoid and trapezius muscles, enabling head turning and shoulder shrugging against resistance.