ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
The nurse is evaluating the following rhythm strip on a client in the telemetry unit. The client is alert and oriented but complains of slight nausea after eating breakfast. What is the nurse's best action?
Correct Answer: D
Rationale: Sinus tachycardia with mild symptoms warrants continued monitoring and assessment rather than immediate intervention.
Question 2 of 5
A patient is prescribed 250 mL of packed red blood cells to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)
Correct Answer: 31
Rationale: The calculation is (250 mL × 15 gtt/mL) / 120 min = 31.25 gtt/min, rounded to 31 gtt/min.
Question 3 of 5
The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: A: Fluid intake prevents dehydration and kidney issues. C: Fragrance-free soap reduces skin irritation risk. D: Analgesics manage bone pain. E: Grab bars prevent falls due to weakened bones. B is incorrect as aspirin increases bleeding risk.
Question 4 of 5
The nurse is admitting a client who reports symptoms of dyspnea. The nurse notes edema of the upper arms, face, and neck. What is the nurse's priority assessment?
Correct Answer: C
Rationale: Blood pressure and heart rate are critical to assess in dyspnea and edema, as they may indicate respiratory distress or cardiac issues requiring immediate intervention.
Question 5 of 5
The nurse administers atropine 0.5 mg IV to a client. Which action should be performed after the client has received this medication?
Correct Answer: D
Rationale: Atropine causes dry mouth, necessitating frequent oral care to prevent discomfort.