ATI Med surg exam 1A
Total Questions : 42
Showing 25 questions, Sign in for more- A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To determine the mL/hr rate for the IV pump, we need to calculate the infusion rate of the
potassium chloride solution. Given:
Potassium chloride concentration: 40 mEq in 500 mL Infusion rate: 10 mEq/hr
We can set up a proportion to find the mL/hr rate:
(40 mEq / 500 mL) = (10 mEq / x mL) Cross-multiplying the equation:
40 mEq * x mL = 500 mL * 10 mEq Simplifying:
40x = 5000
Dividing both sides by 40:
x = 5000 / 40
x ≈ 125
Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr.
A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate?
No explanation
A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client is effectively responding to treatment?
No explanation
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
No explanation
A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?
No explanation
A nurse is assessing a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?
No explanation
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
No explanation
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
No explanation
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
No explanation
A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following
No explanation
A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?
No explanation
A nurse is caring for a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
No explanation
A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take?
No explanation
A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?
No explanation
A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
No explanation
- A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Explanation
The infusion rate for 0.45% NaCl 1000 mL over 8 hours is calculated as follows:
1000 mL / 8 hr = 125 mL/hr
A nurse is organizing interprofessional team members to meet the needs of a client. Which of the following roles is the nurse taking?
No explanation
A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the amount of potassium chloride suspension the nurse should administer, we can use the formula:
Amount of medication (mL) = Desired dose (mEq) / Concentration (mEq/mL)
In this case, the desired dose is 20 mEq, and the concentration of the potassium chloride suspension is 10 mEq/mL.
Amount of medication (mL) = 20 mEq / 10 mEq/mL Amount of medication (Ml) = 2 mL
Therefore, the nurse should administer 2 mL of the potassium chloride suspension.
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
No explanation
A nurse is providing teaching to a group of adult athletes about prevention of the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching?
No explanation
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?
No explanation
A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?
No explanation
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed
for the entire infusion and the time it takes to complete the infusion. Given:
- Ringer's lactate: 500 mL
- Infusion time: 3 hours
- Drop factor: 20 gtt/mL
First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)
Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt
Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:
Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour
Infusion time (min) = 180 min
Now, we can calculate the infusion rate in gtt/min:
Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min
Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)
A nurse is assessing a client who is at the end of life. Which of the following findings should the nurse expect?
No explanation
A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
No explanation
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