ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A physician prescribes Vancomycin 20 mg/kg IV. The client weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial?
Correct Answer: 16 mL
Rationale: Convert weight (110 lbs / 2.2 = 50 kg), calculate dose (20 mg/kg * 50 kg = 1000 mg), then determine volume (1000 mg * 8 mL / 500 mg = 16 mL).
Question 2 of 5
The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?
Correct Answer: C,D
Rationale: C: Fever above 100.2°F indicates possible infection in immunocompromised patients. D: Raw vegetables pose infection risk. A and B are less critical or risky.
Question 3 of 5
A patient is to receive a bolus of Heparin 20 units/kg. The patient weighs 121 Ibs. The medication is supplied as 25,000 units/250 mL. How many Ml will the nurse give? (round to the nearest whole number)
Correct Answer: 11
Rationale: For 55 kg (121 lbs ÷ 2.2), 20 units/kg = 1100 units; 1100 units × 250 mL ÷ 25,000 units = 11 mL.
Question 4 of 5
The nurse is aware that radiation therapy is most effective for which type of client?
Correct Answer: C
Rationale: Radiation therapy is most effective for localized cancers, allowing targeted treatment with minimal damage to surrounding tissues.
Question 5 of 5
The nurse is caring for a 27-year-old female client diagnosed with acute lymphoblastic leukemia (ALL). She and her husband are concerned about the ability to eventually have children. What should the nurse include in the discussion with this client and her husband?
Correct Answer: A
Rationale: Egg donation preserves fertility by collecting eggs before treatment, allowing future biological children despite chemotherapy risks.