ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The nurse is administering 40mg/10ml of pantoprazole IV over 4 minutes. How many ml per minute with the nurse administer?
Correct Answer: 2.5 ml/min
Rationale: Rate (ml/min) =
Total Volume (ml) / Time (min). The total volume of the pantoprazole IV is 10 ml, and the time frame for administration is 4 minutes.
Therefore, the calculation would be: Rate = 10 ml / 4 min, which equals 2.5 ml per minute. So, the nurse should administer 2.5 ml of pantoprazole IV per minute to deliver a total of 40 mg over the 4-minute period.
Question 2 of 5
The nurse is administering 40mg/10ml of pantoprazole IV over 4 minutes. How many ml per minute with the nurse administer?
Correct Answer: 2.5 ml/min
Rationale: Rate (ml/min) =
Total Volume (ml) / Time (min). The total volume of the pantoprazole IV is 10 ml, and the time frame for administration is 4 minutes.
Therefore, the calculation would be: Rate = 10 ml / 4 min, which equals 2.5 ml per minute. So, the nurse should administer 2.5 ml of pantoprazole IV per minute to deliver a total of 40 mg over the 4-minute period.
Question 3 of 5
The nurse is caring for a patient with suspected cholecystitis. Which of the following is not a manifestation of cholecystitis?
Correct Answer: C
Rationale: Epigastric pain is common in cholecystitis. Murphy's sign indicates gallbladder inflammation. Green stool is not typical for cholecystitis, which may cause pale stools if bile flow is obstructed. Nausea and vomiting are common symptoms.
Question 4 of 5
The patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?
Correct Answer: D
Rationale: Dressing changes are not the highest priority immediately post-op. Bowel sounds are assessed later. NG tube repositioning addresses nausea but is not primary. Elevating the head reduces aspiration risk and improves breathing.
Question 5 of 5
What assessment findings support the diagnosis of peritonitis?
Correct Answer: D
Rationale: Abdominal cramping can occur with various gastrointestinal conditions, including peritonitis. However, it is not specific to peritonitis and may also be present in conditions like gastroenteritis or bowel obstruction. Profuse diarrhea is typically associated with gastrointestinal infections or inflammatory bowel diseases rather than peritonitis. In fact, peritonitis often leads to reduced bowel activity, potentially resulting in constipation rather than diarrhea. Hyperactive bowel sounds can occur in early stages of peritonitis but are not a classic finding. In many cases of peritonitis, bowel sounds may be diminished or absent due to the body’s response to inflammation. A hard, rigid abdomen indicates muscle guarding, which is the body’s response to inflammation and irritation of the peritoneum. This rigidity is often referred to as 'board-like' and is a key indicator of peritonitis.