ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review?
Correct Answer: B
Rationale: Workplace procedures and protocols are directly relevant to investigating injury circumstances.
Question 2 of 5
A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?
Correct Answer: B
Rationale: Drinking extra fluids is a key preventive measure for heat-related illness.
Question 3 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
Total volume (1000 mL) divided by infusion rate (200 mL/hr) equals 5 hours.
Question 4 of 5
A patient arrives in the emergency department (ED) several hours after taking "25 to 30" acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?
Correct Answer: C
Rationale: N-acetylcysteine prevents liver damage in acetaminophen overdose.
Extract:
Nurses' Notes
Day 1
Client reports fatigue, weight loss, and anorexia, Chemotherapy started as prescribed.
4 weeks later
Client reports sore mouth and increased fatigue. Multiple bruises noted on elbows and legs.
Voided 350 mL of clear yellow urine.
Diagnostic Results
Day 1
Hct 38% (37% to 4796)
Hgb 13 g/dL (12 g/dL to 16 g/dL)
Platelet 180,000/mm3 (150,000 to 400,000/mm3)
Total WBC count 7000/mm? (5,000 to 10,000/mm3)
4 weeks later
Hct 35% (37% to 4796)
Hgb 11 g/dl. (12 g/dl to 16 g/dL)
Platelet 100,000/mm2 (150,000 to 400,000/mm)
Total WBC count 3000mm (5000 to 10,000/mm3).
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of lung cancer. For each potential provider's prescription at 4 weeks, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Rinse the client's mouth with 0.9% sodium chloride every 4 hr. | |||
| Check the client's rectal temperature once daily. | |||
| Place the client in a private room. | |||
| Insert an indwelling urinary catheter. | |||
| Place the client on droplet precautions |
Correct Answer: A,C
Rationale: A: Mouth rinses prevent mucositis. C: Private rooms reduce infection risk in immunocompromised clients. B, D, E are not indicated.