ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse receives an order to administer drug R 300 mg IVPB over one hour. Drug R is available as 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. At what rate should the nurse regulate the IV flow?
Correct Answer: 25 gtts/min.
Rationale: Flow rate: (100 mL × 15 gtts/mL) ÷ 60 min = 25 gtts/min (
A).
Question 2 of 5
A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?
Correct Answer: D
Rationale: Symptoms suggest tuberculosis, requiring airborne precautions (
D) to prevent spread. Droplet precautions (
A) are insufficient, standard precautions (
B) are inadequate, and positive pressure rooms (C, E) are inappropriate.
Question 3 of 5
The nurse has applied a client problem of ineffective gas exchange for a client diagnosed with chronic bronchitis. Which intervention would the nurse include in the plan of care?
Correct Answer: D
Rationale: Coughing and deep breathing (
D) improve gas exchange. High SpO2 (
A), Sims position (
B), and peak flow (
C) are less effective.
Question 4 of 5
A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?
Correct Answer: D
Rationale: Obtaining a walker does not address the acute neurological symptoms. Applying a diaper addresses the incontinence but not the underlying cause. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.
Question 5 of 5
What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?
Correct Answer: D
Rationale: Pressing PCA when pain begins (
D) prevents severe pain. Delaying (
A), others pressing (
B), or routine pressing (
C) risks inadequate/excessive dosing.