ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
When caring for a client with a chest tube, the nurse would avoid the practice
Correct Answer: B
Rationale: Stripping the chest tube can increase intrathoracic pressure, risking tension pneumothorax, and is an outdated practice.
Question 2 of 5
A patient is prescribed 500 ml of Normal Saline to be infused over 90 minutes. The drop factor on the tubing is 10 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (Round to the nearest whole number)
Correct Answer: A
Rationale: The infusion rate is calculated as 500 mL / 90 min = 5.5556 mL/min. With a drop factor of 10 gtt/mL, the drip rate is 5.5556 mL/min x 10 gtt/mL = 55.556 gtt/min, rounded to 56 gtt/min.
Question 3 of 5
The client tells the nurse, 'My physician told me that I had a non-ST elevation myocardial infarction (NSTEMI). ' I thought all heart attacks were the same. Can you explain this to me?' The nurse's best response to the client's question would be: 'NSTEMI is
Correct Answer: D
Rationale: NSTEMI involves partial coronary blockage and is less severe than STEMI, which involves full blockage and ST elevation on ECG.
Question 4 of 5
The nurse is reviewing the arterial blood gas (ABG) result for a client currently on a 100% non-rebreather mask. The nurse is able to interpret which of the following results as hypoxemic respiratory failure?
Correct Answer: A
Rationale: PaO2 of 44 mmHg and O2 saturation of 76% despite 100% oxygen indicate hypoxemic respiratory failure, characterized by severe hypoxemia.
Question 5 of 5
To achieve the outcome of fall prevention at home in the client diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?
Correct Answer: C
Rationale: Adequate lighting reduces fall risk in Parkinson's disease by improving visibility of obstacles, addressing balance and coordination issues.