ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV related pneumonia?
Correct Answer: A
Rationale: Coughing and deep breathing mobilize secretions, and hydration thins them, directly addressing airway clearance in pneumonia, making it the priority intervention.
Question 2 of 5
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
Correct Answer: C
Rationale: Antibiotics, like fluoroquinolones, can interact with naproxen, increasing risks like tendonitis. This warrants discussion to ensure safety.
Question 3 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370 mL
Rationale:
Total output is calculated as: 400 mL (urine) + 350 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (Jackson-Pratt) = 1370 mL.
Question 4 of 5
Phenytoin (Dilantin) suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 ml. How much solution should the nurse administer? Record your answer using a whole number.
Correct Answer: 8 mL
Rationale: The document's explanation is incorrect.
To find the volume: (200 mg / 125 mg) * 5 mL = 8 mL. The suspension is 125 mg per 5 mL, so 200 mg requires 8 mL. The explanation's calculation (200 / 125 = 1.6 mL) and subsequent rounding to 8 mL are inconsistent with the proportion method and clinical practice. The correct volume, based on the proportion, is exactly 8 mL, which aligns with the answer provided.
Question 5 of 5
A mother with a diagnosis of AIDS states that she has been caring for her baby even though she has not been feeling well. What important information should the nurse determine?
Correct Answer: D
Rationale: Breastfeeding is a significant HIV transmission route, requiring assessment of the mother's viral load and baby's status to guide interventions.