ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
A physician prescribes Vancomycin 20 mg/kg intravenous (IV). The patient weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial? (round to the nearest whole number)
Correct Answer: 16 mL
Rationale:
To calculate the dosage of Vancomycin, convert the patient's weight to kilograms (110 lbs / 2.2 = 50 kg). Multiply by the prescribed dosage (50 kg * 20 mg/kg = 1000 mg). The vials contain 500 mg per 8 mL, so 1000 mg requires 16 mL (1000 mg / (500 mg/8 mL)).
Question 2 of 5
The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?
Correct Answer: C
Rationale: Pulse oximetry is the priority assessment as IV lorazepam can depress the respiratory system, leading to hypoxia. Monitoring oxygen saturation helps ensure the patient maintains adequate respiratory function during administration.
Question 3 of 5
The nurse is the first person on the scene of a motor vehicle crash. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?
Correct Answer: D
Rationale: Stabilizing the cervical spine is crucial to prevent potential spinal cord damage in an unconscious trauma victim, particularly in a motor vehicle accident.
Question 4 of 5
The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?
Correct Answer: A
Rationale: Kaposi's Sarcoma is a cancer commonly associated with AIDS, characterized by purple or brown lesions on the skin and mucous membranes.
Question 5 of 5
The emergency department nurse is caring for a patient who has had a chemical splash in both eyes. What is the priority nursing action?
Correct Answer: D
Rationale: Irrigating both eyes with normal saline is the priority action to dilute and flush out the chemical, reducing the risk of further injury.