ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A patient is receiving 3% NaCl solution for correction of hyponatremia. For which of the following will the nurse assess?
Correct Answer: C
Rationale: Hypertonic saline (3% NaCl) poses a risk of fluid overload, requiring monitoring for edema and pulmonary congestion.
Question 2 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma symptoms and requires clarification in patients with asthma.
Question 3 of 5
A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Weight-bearing exercises help improve bone density and prevent osteoporosis-related fractures.
Question 4 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.
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 5 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.