ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
An unresponsive 79-yr-old patient is admitted to the emergency department (ED) during a summer heat wave. The patient's core temperature is 105.4° F (40.8° C), blood pressure (BP) is 88/50 mm Hg, and pulse is 112 beats/min. What action should the nurse plan to take?
Correct Answer: C
Rationale: Applying wet sheets and a fan rapidly lowers core temperature to prevent organ damage.
Question 2 of 5
A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Low platelet counts increase bleeding risk; limiting IM injections minimizes this risk.
Question 3 of 5
A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?
Correct Answer: A
Rationale: A guarded prognosis reflects uncertainty due to advanced disease and treatment intensity.
Question 4 of 5
A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Immunocompromised clients need negative airflow rooms to minimize infection risk.
Question 5 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: 125 mcg = 0.125 mg. Available is 0.25 mg/tablet. 0.125 ÷ 0.25 = 0.5 tablets.