ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient with fluid volume deficit must receive a 250 mL IV bolus of NS over 25 minutes via a peripherally inserted central line (PICC) on an IV pump. At what rate will the nurse program the pump? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 600 mL/hr
Rationale: Calculate the desired flow rate (mL/hr): Desired flow rate (mL/hr) =
Total volume (mL) / Infusion time (hours). Desired flow rate (mL/hr) = 250 mL / 25 minutes. Desired flow rate (mL/hr) = 10 mL/minute. Convert mL/minute to mL/hour: 10 mL/minute * 60 minutes/hour = 600 mL/hour.
Therefore, the nurse should program the IV pump to deliver the 250 mL bolus of NS at a rate of 600 mL/hour.
Question 2 of 5
A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, 'Something is not right. I felt something 'pop' in my hip.' What would cause the nurse to suspect that the client has dislocated the hip?
Correct Answer: B
Rationale: Increased incisional drainage is not a typical sign of dislocation. A painful, abnormally rotated leg is a classic sign of hip dislocation. Reddened incision may indicate infection but not dislocation. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.
Question 3 of 5
A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?
Correct Answer: D
Rationale: A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.
Question 4 of 5
A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?
Correct Answer: D
Rationale: This description is more characteristic of osteoarthritis, where cartilage wear and tear occur. This explanation is more related to chronic pain syndromes, not specifically RA. The presence of crystals in the joint is a characteristic of gout, not RA. Rheumatoid arthritis (R
A) is an autoimmune condition in which the body's immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.
Question 5 of 5
The nurse is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)
Correct Answer: C,D
Rationale: Warmed IV fluids (
C) and warm blankets (
D) address mild hypothermia. Blood transfusion (
A) is unrelated, warm irrigation (
B) is not standard, and acetaminophen (E) is for fever, not hypothermia.