ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?
Correct Answer: D
Rationale: Smoking and birth control pills significantly increase stroke risk, particularly in women, due to thrombotic effects.
Question 2 of 5
The nurse notes serosanguinous drainage from the nasogastric tube in the immediate postoperative period of a client who had a gastrectomy for gastric cancer. Which nursing action is appropriate?
Correct Answer: B
Rationale: Serosanguinous drainage is common post-gastrectomy, and monitoring is appropriate to identify any concerning changes.
Question 3 of 5
The nurse is reviewing the laboratory values for the client diagnosed with heart failure and notes the sodium level is 128 mEq/L (normal 135-145mEq/L). How should the nurse interpret this finding?
Correct Answer: B
Rationale: Hyponatremia in heart failure results from fluid retention, diluting sodium levels.
Question 4 of 5
A physician prescribes Vancomycin 20 mg/kg IV. The client weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial?
Correct Answer: 16 mL
Rationale: Convert weight (110 lbs / 2.2 = 50 kg), calculate dose (20 mg/kg * 50 kg = 1000 mg), then determine volume (1000 mg * 8 mL / 500 mg = 16 mL).
Question 5 of 5
A patient is to receive a bolus of Heparin 20 units/kg. The patient weighs 121 Ibs. The medication is supplied as 25,000 units/250 mL. How many Ml will the nurse give? (round to the nearest whole number)
Correct Answer: 11
Rationale: For 55 kg (121 lbs ÷ 2.2), 20 units/kg = 1100 units; 1100 units × 250 mL ÷ 25,000 units = 11 mL.