ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next?
Correct Answer: D
Rationale: Observing respiratory effort ensures adequate breathing in the primary survey.
Question 2 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 125
Rationale:
Total volume (1000 mL) divided by infusion time (8 hours) equals 125 mL/hr.
Question 3 of 5
A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 21
Rationale: 3000 mL over 24 hr (1440 min) with 10 gtt/mL drop factor: 3000 ÷ 1440 × 10 = 20.8, rounded to 21 gtt/min.
Question 4 of 5
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Myelosuppression reduces platelets, increasing bleeding risk, such as from gums.
Question 5 of 5
A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Serving cooked fruit with meals can help minimize the risk of foodborne illnesses, which is critical for a client with a low WBC count due to chemotherapy-induced immunosuppression.