ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)?
Correct Answer: A,D,E
Rationale: Incentive spirometry, aseptic dressing changes, and TEDS/SCDs reduce infection risk by preventing pneumonia, protecting the surgical site, and improving circulation.
Question 2 of 5
The nurse is caring for a patient and is monitoring the level of consciousness hourly per hospital mandated policy. The nurse initially assesses the patient be awake with forgetfulness and difficulty following commands without prompting or reminders. 1 hour later, the nurse assesses the patient to be sleepy with slow and delayed responses to stimuli. Describe the two assessments of level of consciousness:
Correct Answer: A
Rationale: Initial forgetfulness and difficulty following commands indicate confusion, while later sleepiness and slow responses indicate lethargy.
Question 3 of 5
Which of the following interventions would the nurse emphasize during education to assist the patient diagnosed with trigeminal neuralgia in managing their pain?
Correct Answer: A
Rationale: Chewing on the unaffected side prevents triggering pain in trigeminal neuralgia, aiding effective pain management.
Question 4 of 5
In assessing a client with esophageal cancer being treated with radiation therapy, which finding(s) would alert the nurse to a possible side effect of this treatment?
Correct Answer: A
Rationale: Fatigue is a common side effect of radiation therapy due to the body's response to treatment and cancer.
Question 5 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).