ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?
Correct Answer: B
Rationale: Mohs surgery focuses on local skin removal, not lymph node biopsies, indicating a misunderstanding.
Question 2 of 5
A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?
Correct Answer: 62.5 mL/h
Rationale:
To determine the IV pump rate, divide the total volume (500 mL) by the infusion time (8 hours): 500 mL / 8 hours = 62.5 mL/h.
Question 3 of 5
The nurse is caring for a client diagnosed with acute heart failure on the telemetry unit. Which laboratory result does the nurse know is most indicative of this diagnosis?
Correct Answer: B
Rationale: Elevated BNP (410 pg/mL) is a specific marker for heart failure, indicating cardiac stress and fluid overload.
Question 4 of 5
The client with heart failure exhibits bibasilar crackles, dyspnea and a respiratory rate of 26/min. The physician prescribes furosemide 40 mg IV. Which parameter would the nurse use to best evaluate if the client is responding to this medication?
Correct Answer: B
Rationale: A decreased respiratory rate (16/min) indicates reduced pulmonary edema, showing furosemide's effectiveness.
Question 5 of 5
When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:
Correct Answer: C
Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 is the fastest method to estimate heart rate.