ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
The client tells the nurse, 'I am about to have a seizure.' Which of the actions should the nurse implement? (Select all that apply)
Correct Answer: A,B,E
Rationale: Loosening clothing aids breathing, easing to the floor prevents falls, and providing privacy protects dignity. Restraining or using a tongue blade can cause harm and is not recommended.
Question 2 of 5
A client has a prescription for seizure precaution. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping seizure medication at the bedside ensures immediate access to control seizures, a critical precaution for safety.
Question 3 of 5
Phenytoin (Dilantin) suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 ml. How much solution should the nurse administer? Record your answer using a whole number.
Correct Answer: 8 mL
Rationale: The document's explanation is incorrect.
To find the volume: (200 mg / 125 mg) * 5 mL = 8 mL. The suspension is 125 mg per 5 mL, so 200 mg requires 8 mL. The explanation's calculation (200 / 125 = 1.6 mL) and subsequent rounding to 8 mL are inconsistent with the proportion method and clinical practice. The correct volume, based on the proportion, is exactly 8 mL, which aligns with the answer provided.
Question 4 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 5 of 5
A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A malar (butterfly) rash across the nose and cheeks is a classic SLE sign, caused by skin vessel inflammation, often worsened by sun exposure.