ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute?
Correct Answer: 25
Rationale: Infusing 100 mL over 60 minutes with a 15 gtt/mL drip factor: (100 ÷ 60) × 15 = 1.6667 × 15 = 25 gtt/min.
Question 2 of 5
The nurse assesses a client admitted 4 hours ago with a diagnosis of diverticulitis. Which assessment finding must be reported immediately to the healthcare provider?
Correct Answer: C
Rationale: A temperature of 102.6°F indicates a significant infection or abscess, requiring immediate reporting. Fecal incontinence and hematoma are concerning but not directly related to diverticulitis, and unchanged abdominal girth suggests no acute worsening.
Question 3 of 5
The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 688
Rationale: From 1400 to 1930 is 5.5 hours (330 minutes). At 125 mL/hour, the total volume infused is 125 × 5.5 = 687.5 mL, rounded to 688 mL.
Question 4 of 5
The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Aspirin and ibuprofen irritate the stomach lining, and smoking impairs ulcer healing. Coffee and dairy increase acid production, worsening symptoms.
Question 5 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.