ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client in the emergency department who is experiencing facial droop and slurred speech orally. The physician ordered aspirin to be given orally. What should the nurse do?
Correct Answer: C
Rationale: Evaluating the patient's ability to swallow is critical due to potential dysphagia indicated by facial droop and slurred speech, which could lead to aspiration if medications are given orally without assessment.
Question 2 of 5
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 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: A
Rationale: Calculation: (400 mL × 20 gtt/mL) ÷ (3 hr × 60 min/hr) = 44 gtt/min.
Question 3 of 5
The nurse is preparing a client for surgery in ine pre-operative setting. Which of the following is not the responsibility of the RN?
Correct Answer: A
Rationale: Explaining surgery details is the surgeon's responsibility, not the RN's, unlike witnessing consent, assessments, and checklists.
Question 4 of 5
A client presents to the emergency department complaining of headaches and blurred vision. The client's vital signs are as follows, Pulse 102 beats/minute, BP 172/92. RR 20 breaths/minute, SpO2.97% on room air temperature of 98.64. Which of the following interventions would be most appropriate for this patient?
Correct Answer: A
Rationale: High BP with headaches and blurred vision suggests hypertensive emergency; IV hydralazine addresses this, unlike irrelevant oxygen, acetaminophen, or fluids.
Question 5 of 5
A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?
Correct Answer: D
Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.