ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for an elderly female client who has an indwelling catheter. Which data in the assessment warrants notification of the health care provider?
Correct Answer: A
Rationale: Change in mental status in an elderly patient may indicate infection or other acute issues, requiring immediate provider notification.
Question 2 of 5
A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?
Correct Answer: 12 mL/h
Rationale: Calculate dilution factor (150 mL / 75 units = 2 mL/unit), then volume (6 units/h * 2 mL/unit = 12 mL/h).
Question 3 of 5
A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?
Correct Answer: B
Rationale: Thrombocytopenia increases bleeding and bruising risk, making safety measures to prevent falls and injuries the most critical intervention.
Question 4 of 5
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?
Correct Answer: B
Rationale: A penlight is used to assess CN III (oculomotor) by evaluating the pupil's response to light and the ability to move the eye, as this nerve controls pupil constriction and most eye movements.
Question 5 of 5
A client has numerous skin lesions. Which one will the nurse evaluate first?
Correct Answer: D
Rationale: An irregular, blue mole with white specks suggests possible melanoma, requiring immediate evaluation due to its malignant potential.