ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
Which of the following would not be an appropriate nursing intervention when preparing to administer a blood transfusion?
Correct Answer: C
Rationale: Blood transfusions require specific blood administration tubing with a filter, not regular primary and secondary IV tubing, which lacks necessary filtration.
Question 2 of 5
A nurse is monitoring a client receiving an infusion of IV magnesium sulfate. Which of the following findings would indicate to the nurse that the client is experiencing hypermagnesemia?
Correct Answer: D
Rationale: Hypermagnesemia causes depressed reflexes and lethargy due to CNS depression, unlike hypocalcemia, hypomagnesemia, or other symptoms.
Question 3 of 5
The nurse is renewing laboratory results for a client admitted for renal failure and notes the following: Sodium 144 mEq/L, Potassium 6.6 mEq/L. Which of the following should be the priority intervention?
Correct Answer: A
Rationale: Hyperkalemia (6.6 mEq/L) risks cardiac arrhythmias, requiring an urgent ECG to assess heart activity, unlike other irrelevant interventions.
Question 4 of 5
The nurse is assessing a patient in the immediate post-operative phase. Which of the following assessment findings would be most indicative of post-operative hemorrhage?
Correct Answer: D
Rationale: Tachycardia and hypotension are classic signs of hemorrhage due to compensatory mechanisms, unlike respiratory changes, fever, or confusion.
Question 5 of 5
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculation: (250 mg ÷ 25 mg/5 mL) = 50 mL, the correct dose to administer.