1|Page
ATI RN MEDICAL SURGICAL WITH NGN
2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse accidentally administers 10 mg of morphine
intravenously to a client who had been given another dose of
morphine, 5 mg IV, about 30 minutes earlier. What action must
the nurse be prepared to take?
A) Assist with intubation.
B) Monitor pain level.
C) Administer oxygen.
D) Administer naloxone (Narcan). - ANSWER- D
Rationale; A combined dose of 15 mg of morphine may
cause severe respiratory depression in some clients.
Naloxone is an opioid antagonist that can be used
(intravenously) as the first intervention to reverse
respiratory depression due to a morphine overdose. Then
,2|Page
administration of oxygen may be needed if the client's
oxygen saturation decreases. Intubation may occur if the
client does not respond to the Narcan, and respiratory
depression becomes a respiratory arrest. Naloxone may be
repeated, but the pain level of the client needs to be
monitored because Narcan can promote withdrawal
symptoms.
Which action does the nurse teach a client to reduce the risk for
dehydration?
A) Avoiding the use of glycerin suppositories to manage
constipation
B) Maintaining a daily oral intake approximately equal to daily
fluid loss
C) Restricting sodium intake to no greater than 4 g/day
D) Maintaining an oral intake of at least 1500 mL/day -
ANSWER- B
Rationale; Although a fixed oral intake of 1500 mL daily is
good, the key to prevention of dehydration is to match all
fluid losses with the same volume for fluid intake. This is
especially true in warm or dry environments, or when
conditions result in greater than usual fluid loss through
perspiration or ventilation.
,3|Page
A client is taking furosemide (Lasix) and becomes confused.
Which potassium level does the nurse correlate with this
condition?
A) 2.9 mEq/L
B) 5.0 mEq/L
C) 6.0 mEq/L
D) 3.8 mEq/L - ANSWER- A
Rationale; Hypokalemia decreases cerebral function and is
manifested by lethargy, confusion, inability to perform
problem-solving tasks, disorientation, and coma. Normal
potassium levels are 3.5 to 5.0 mEq/L. At 2.9 mEq/L,
potassium is too low, and this could lead to neurologic
manifestations.
The most appropriate measure for a nurse to use in assessing
core body temperature when there are suspected problems with
thermoregulation is a(n)
A) rectal thermometer.
B) tympanic membrane sensor.
C) temporal thermometer scan.
D) oral thermometer. - ANSWER- A
, 4|Page
Rationale; The most reliable means available for assessing
core temperature is a rectal temperature, which is
considered the standard of practice. An oral temperature is
a common measure but not the most reliable. A temporal
thermometer scan has some limitations and is not the
standard. The tympanic membrane sensor could be used as
a second source for temperature assessment.
A client presents to the emergency department after prolonged
exposure to the cold. The client is shivering, has slurred speech,
and is slow to respond to questions. Which intervention will the
nurse prepare for this client FIRST?
A) Continuous arteriovenous rewarming
B) Dry clothing and warm blankets
C) Peritoneal lavage with warmed normal saline
D) Administration of warmed IV fluids - ANSWER- B
Rationale; Mild hypothermia is manifested by shivering,
slurred speech, poor muscular coordination, and impaired
cognitive abilities. Mild hypothermia may be treated with
dry clothing and warm blankets. Rewarming should occur
slowly by removing wet clothing and providing dry warm
ATI RN MEDICAL SURGICAL WITH NGN
2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse accidentally administers 10 mg of morphine
intravenously to a client who had been given another dose of
morphine, 5 mg IV, about 30 minutes earlier. What action must
the nurse be prepared to take?
A) Assist with intubation.
B) Monitor pain level.
C) Administer oxygen.
D) Administer naloxone (Narcan). - ANSWER- D
Rationale; A combined dose of 15 mg of morphine may
cause severe respiratory depression in some clients.
Naloxone is an opioid antagonist that can be used
(intravenously) as the first intervention to reverse
respiratory depression due to a morphine overdose. Then
,2|Page
administration of oxygen may be needed if the client's
oxygen saturation decreases. Intubation may occur if the
client does not respond to the Narcan, and respiratory
depression becomes a respiratory arrest. Naloxone may be
repeated, but the pain level of the client needs to be
monitored because Narcan can promote withdrawal
symptoms.
Which action does the nurse teach a client to reduce the risk for
dehydration?
A) Avoiding the use of glycerin suppositories to manage
constipation
B) Maintaining a daily oral intake approximately equal to daily
fluid loss
C) Restricting sodium intake to no greater than 4 g/day
D) Maintaining an oral intake of at least 1500 mL/day -
ANSWER- B
Rationale; Although a fixed oral intake of 1500 mL daily is
good, the key to prevention of dehydration is to match all
fluid losses with the same volume for fluid intake. This is
especially true in warm or dry environments, or when
conditions result in greater than usual fluid loss through
perspiration or ventilation.
,3|Page
A client is taking furosemide (Lasix) and becomes confused.
Which potassium level does the nurse correlate with this
condition?
A) 2.9 mEq/L
B) 5.0 mEq/L
C) 6.0 mEq/L
D) 3.8 mEq/L - ANSWER- A
Rationale; Hypokalemia decreases cerebral function and is
manifested by lethargy, confusion, inability to perform
problem-solving tasks, disorientation, and coma. Normal
potassium levels are 3.5 to 5.0 mEq/L. At 2.9 mEq/L,
potassium is too low, and this could lead to neurologic
manifestations.
The most appropriate measure for a nurse to use in assessing
core body temperature when there are suspected problems with
thermoregulation is a(n)
A) rectal thermometer.
B) tympanic membrane sensor.
C) temporal thermometer scan.
D) oral thermometer. - ANSWER- A
, 4|Page
Rationale; The most reliable means available for assessing
core temperature is a rectal temperature, which is
considered the standard of practice. An oral temperature is
a common measure but not the most reliable. A temporal
thermometer scan has some limitations and is not the
standard. The tympanic membrane sensor could be used as
a second source for temperature assessment.
A client presents to the emergency department after prolonged
exposure to the cold. The client is shivering, has slurred speech,
and is slow to respond to questions. Which intervention will the
nurse prepare for this client FIRST?
A) Continuous arteriovenous rewarming
B) Dry clothing and warm blankets
C) Peritoneal lavage with warmed normal saline
D) Administration of warmed IV fluids - ANSWER- B
Rationale; Mild hypothermia is manifested by shivering,
slurred speech, poor muscular coordination, and impaired
cognitive abilities. Mild hypothermia may be treated with
dry clothing and warm blankets. Rewarming should occur
slowly by removing wet clothing and providing dry warm
