ATI RN
ATI Nur 211 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.
Correct Answer: A
Rationale: Child weighs 9.09 kg (20/2.2). Dose is 90.9 mg (10 mg/kg * 9.09). Volume is 4.545 mL (90.9 mg * 5 mL / 100 mg), rounded to 4.5 mL.
Question 2 of 5
The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)
Correct Answer: C,E
Rationale: Honey treats hypoglycemia; glucagon is prepared for unconsciousness.
Question 3 of 5
The nurse is caring for an adolescent with a ruptured appendix. What assessment findings would support the diagnosis of peritonitis?
Correct Answer: C
Rationale: A hard, rigid abdomen indicates involuntary guarding due to peritoneal inflammation.
Question 4 of 5
A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?
Correct Answer: D
Rationale: Glucagon is a hormone that stimulates the liver to release glucose into the bloodstream, making it effective in treating severe hypoglycemia (low blood sugar) that can occur due to an insulin overdose.
Question 5 of 5
An eighth-grade student appears in the school office with a skin manifestation that itches. He states that it began on the way to school after he took a shortcut through a field. The nurse performs a skin assessment and finds areas of erythema with streaks and patches on both legs. She determines that he is exhibiting signs of contact dermatitis. What is the first action that the nurse should take?
Correct Answer: D
Rationale: Washing the area removes irritants, preventing worsening of contact dermatitis.