ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is having chest pain. The healthcare provider prescribes an infusion of nitroglycerin. The initial dose is 12 mcg/min. The nitroglycerin is dispensed at a concentration of 100 mg/ 250 mL. How many mL/hr will the nurse set the infusion pump? (Round rate to the nearest tenth. Only enter numbers and decimals. Do not enter any letters in your answer.)
Correct Answer: 1.8
Rationale: Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr
Extract:
Nurses notes
Day 1:
Place the client on
Client reports fatigue, weight loss, and anorexia. Chemotherapy started as prescribed.
droplet precautions.
4 weeks later:
Client reports sore mouth and increased fatigue. Multiple bruises noted on elbows and legs.
Voided 350 mL of clear yellow urine.
Diagnostic results
Day 1:
Hematocrit (Hct) 38% (nl. 36-48%)
Hemoglobin (Hgb) 13 g/dL (nl. 12-16 g/dL)
Platelet 180,000/mm3 (nl. 150,000-400,000/mm3)
Total white blood cell (WBC) count 7000/mm3 (nl. 5,000-10,000/mm3)
4 weeks later:
Hct 35% (nl. 36-48%)
Hgb 11 g/dL (nl. 12-16 g/dL)
Platelet 100,000/mm3 (nl. 150,000-400,000/mm3)
Total WBC count 3000/mm3 (nl. 5,000-10,000/mm3)
with 0.9% sodium chloride every 4 hrs.
Question 2 of 5
For each potential healthcare provider's prescription at 4 weeks, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.
Correct Answer: A,C,E
Rationale: Placing the client on droplet precautions is anticipated to prevent infection in immunocompromised patients. A private room is anticipated to reduce infection risk. Rinsing the client's mouth with 0.9% sodium chloride is anticipated to manage sore mouth and maintain oral hygiene.
Extract:
Question 3 of 5
A nurse is the triage officer in the emergency department during a disaster when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?
Correct Answer: C
Rationale: The unconscious adult client with a sucking chest wound and low SpO2 (85%) is in immediate need of intervention. A sucking chest wound is a life-threatening injury that can lead to respiratory distress and compromised oxygenation. This client requires immediate attention to address the chest wound and improve oxygenation.
Question 4 of 5
A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Focusing on losing weight to achieve a normal BMI is important for managing gout, as obesity is a risk factor for gout and can exacerbate symptoms. Weight loss can help reduce uric acid levels and improve overall management of the condition.
Question 5 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: Administering the medications 5 minutes apart is correct because it allows each medication to be absorbed properly, preventing the second drop from washing out the first. This timing helps ensure that both medications are effective.