ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
Which intervention is most important for the nurse to implement to prevent complications from tumor lysis syndrome during chemotherapy?
Correct Answer: C
Rationale: High fluid intake (3000-5000 mL/day) dilutes electrolytes, reducing tumor lysis syndrome complications.
Question 2 of 5
The nurse would assess the client diagnosed with disseminated intravascular coagulation (DIC) for which manifestation of the disorder?
Correct Answer: A
Rationale: Petechiae result from microvascular bleeding in DIC due to clotting factor consumption.
Question 3 of 5
A client asks the nurse to explain risk factors for uterine cancer. The nurse explains that the number one risk factor is:
Correct Answer: C
Rationale: Prolonged unopposed estrogen exposure, such as in obesity or hormone therapy, is the primary risk factor for uterine cancer.
Question 4 of 5
The client diagnosed with acute heart failure is prescribed an infusion of dopamine at a low dose. Which assessment parameter should the nurse use to best evaluate the effectiveness of this medication?
Correct Answer: A
Rationale: Low-dose dopamine increases renal perfusion, improving urine output, a key indicator of effectiveness.
Question 5 of 5
A client is prescribed a continuous infusion of IV Insulin at 7 units per hour. Pharmacy delivers a concentration of 100 units of regular insulin in 100 mL of NSS. At what rate should the nurse set the IV pump? (round to the nearest whole number)
Correct Answer: 7 mL/hour
Rationale: (7 units/hour × 100 mL) ÷ (100 units) = 7 mL/hour, the rate to deliver the prescribed insulin dose.