ATI NUR 250 Summer 1 2025 Midpoint Assessment
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Free ATI NUR 250 Summer 1 2025 Midpoint Assessment Questions
A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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0.3 mL
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0.5 mL
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0.6 mL
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0.8 mL
Explanation
Correct Answer: C. 0.6 mL
Explanation:
To find the correct dose, use the formula:
(Desired dose ÷ Available dose) × Volume = Amount to administer
(30 mg ÷ 50 mg) × 1 mL = 0.6 mL
The nurse should administer 0.6 mL of diphenhydramine. This ensures accurate dosing for an immediate (stat) intramuscular injection to treat the allergic reaction safely and effectively.
Which of the following tasks can the nurse delegate to an assistive personnel (AP)
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Obtaining a blood pressure for a client who is to be discharged later in the day.
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Providing tracheostomy care for a client.
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Teaching a client who is preoperative how to use an incentive spirometer.
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Assessing a client who just returned from surgery.
Explanation
Correct Answer A: Obtaining a blood pressure for a client who is to be discharged later in the day.
Explanation:
Obtaining vital signs, including blood pressure, is within the scope of practice for assistive personnel (AP) and can be safely delegated as long as the client is stable. The nurse remains responsible for interpreting the findings and following up as needed.
Why the Other Options Are Incorrect:
B. Providing tracheostomy care for a client
Tracheostomy care is a sterile and complex procedure that requires nursing judgment and must be performed by a licensed nurse, not an AP.
C. Teaching a client who is preoperative how to use an incentive spirometer
Client teaching requires nursing knowledge and clinical judgment. It cannot be delegated to an AP.
D. Assessing a client who just returned from surgery
Client assessment is a nursing responsibility that requires critical thinking and must be done by a licensed nurse, especially after surgery when complications are possible.
Which of the following findings should the nurse expect in an older adult client who is experiencing age-related changes
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Increased muscle mass
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Increased balance
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Increased calcification of bones
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Increased joint stiffness
Explanation
Correct Answer D: Increased joint stiffness
Explanation:
Aging commonly results in increased joint stiffness due to decreased synovial fluid production, cartilage degeneration, and reduced flexibility of ligaments and tendons. These musculoskeletal changes can limit mobility, contribute to discomfort, and increase the risk of falls. Joint stiffness is a typical, expected age-related physical change.
Why the Other Options Are Incorrect:
A. Increased muscle mass
Older adults typically experience decreased muscle mass and strength (a condition known as sarcopenia), not an increase. This decline affects mobility and function.
B. Increased balance
Balance usually declines with age due to changes in the vestibular system, vision, and proprioception, which increases the risk of falls. An increase in balance would not be expected.
C. Increased calcification of bones
Aging leads to bone demineralization, not increased calcification. Bones become less dense and more fragile, raising the risk of fractures, especially in postmenopausal women.
A nurse is preparing to administer potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5 mL. 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.)
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10 mL
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12 mL
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14 mL
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15 mL
Explanation
Correct Answer: D. 15 mL
Explanation:
Step 1: Determine the amount needed per dose.
40 mEq ÷ 2 = 20 mEq per dose
Step 2: Use the formula:
(Desired ÷ Available) × Volume = Amount to administer
(20 ÷ 6.7) × 5 = 14.9 mL
Step 3: Round to the nearest whole number.
14.9 = 15 mL
The nurse should administer 15 mL per dose of potassium chloride every 12 hours.
Which of the following concepts of cultural competence is demonstrated when a community health nurse reflects on unconscious feelings they may have toward some of the clients they care for
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Explicit bias
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Color discrimination
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Stereotyping
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Implicit bias
Explanation
Correct Answer D: Implicit bias
Explanation:
Implicit bias refers to unconscious attitudes or stereotypes that affect a person's understanding, actions, and decisions in an unintentional manner. When a nurse reflects on these hidden biases, they are engaging in self-awareness, a key component of developing cultural competence. Recognizing implicit bias is crucial in reducing health disparities and delivering equitable care.
Why the Other Options Are Incorrect:
A. Explicit bias
Explicit bias involves conscious attitudes and beliefs that are deliberately held and expressed. The nurse in this scenario is reflecting on unconscious feelings, not openly held or stated beliefs.
B. Color discrimination
Color discrimination involves treating individuals differently based on skin color, often in a legal or systemic context. The scenario is about internal reflections, not actions or treatment based on skin color.
C. Stereotyping
Stereotyping is the generalization of characteristics about a group. While it may stem from bias, the nurse is not applying generalized traits to clients but rather examining internal feelings, making this an example of implicit bias.
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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0.2 mL
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0.25 mL
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0.3 mL
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0.5 mL
Explanation
Correct Answer: A. 0.2 mL
Explanation:
Use the formula:
Volume to administer=Desired dose ÷ Available dose× Volume on hand
=50 mg ÷ 200 mg/mL×1 mL
=0.25 mL
Rounded to the nearest tenth: 0.3 mL
Final Answer: 0.3 mL per dose
(Correct rounding: 50 ÷ 200 = 0.25 mL → 0.3 mL)
A charge nurse in the emergency department is assigning acuity levels to four clients. To which of the following clients should the nurse assign an acuity level of 1?
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A client who has COPD and an oxygen saturation of 93%.
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A client who has a cough and a fever of 38.4° C (101.1° F).
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A client who is having stroke-like symptoms that began 30 min ago.
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A client who twisted their ankle playing soccer.
Explanation
Correct Answer: C. A client who is having stroke-like symptoms that began 30 min ago.
Explanation:
A client with stroke-like symptoms that began 30 minutes ago requires immediate and life-saving intervention, qualifying for an acuity level of 1 (emergent). Early recognition and treatment of a stroke are critical because the therapeutic window for interventions such as thrombolytic therapy is limited to a few hours. Rapid evaluation and management can prevent permanent neurological damage and improve outcomes.
. Which of the following is the correct amount in milliliters (mL) the nurse should administer per dose of lidocaine 50 mg IV bolus? The available concentration is 200 mg/mL
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0.1 mL
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0.3 mL
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0.2 mL
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0.5 mL
Explanation
Correct Answer B: 0.3 mL
Explanation:
Use the formula:
(Desired dose ÷ Available concentration) = Volume to administer
50 mg ÷ 200 mg/mL = 0.25 mL
Rounded to the nearest tenth: 0.3 mL
Why the Other Options Are Incorrect:
A. 0.1 mL
This would only provide 20 mg of lidocaine (0.1 mL × 200 mg/mL), which is insufficient.
C. 0.2 mL
This is correct based on rounding 0.25 mL to the nearest tenth.
D. 0.5 mL
This would deliver 100 mg of lidocaine (0.5 mL × 200 mg/mL), which is double the prescribed dose.
Which of the following statements by a school-age child with a new diagnosis of type 1 diabetes mellitus indicates an understanding of the teaching
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I can store unopened bottles of insulin in the freezer.
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I should not take my regular insulin when I am sick.
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I should eat a snack half an hour before playing soccer.
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My morning blood glucose should be between 90 and 130
Explanation
Correct Answer C: I should eat a snack half an hour before playing soccer.
Explanation:
This statement shows correct understanding. Physical activity like soccer can lower blood glucose levels, increasing the risk of hypoglycemia. Eating a carbohydrate-containing snack before exercise helps maintain stable glucose levels and prevents hypoglycemia during or after physical activity. Children with type 1 diabetes are often taught to plan snacks around exercise to manage their energy and insulin needs.
Why the Other Options Are Incorrect:
A. I can store unopened bottles of insulin in the freezer.
This is incorrect. Insulin should never be frozen. Unopened insulin should be stored in the refrigerator, not the freezer, as freezing can damage its effectiveness.
B. I should not take my regular insulin when I am sick.
This is incorrect. Children with type 1 diabetes should usually continue taking insulin even when they are sick because illness can raise blood glucose levels. They may even need more frequent monitoring and insulin adjustments during illness.
D. My morning blood glucose should be between 90 and 130.
This range is more appropriate for adults. The target fasting blood glucose for school-age children with type 1 diabetes is typically 90 to 180 mg/dL, depending on their individual care plan. This response reflects a misunderstanding of the appropriate target range.
Which of the following clients should the nurse assist first
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A client who is postoperative and is reporting nausea.
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A client who is requesting a bedpan.
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A client who reports they have fallen while ambulating.
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A client who reports their IV pump is beeping.
Explanation
Correct Answer C: A client who reports they have fallen while ambulating
Explanation:
A client who reports having fallen is the highest priority because they are at immediate risk for injury, such as fractures or head trauma. According to the ABC (Airway, Breathing, Circulation) and safety priority framework, ensuring the client’s safety and assessing for injury must come first. The nurse should assess the client immediately to determine the extent of the fall and provide necessary interventions.
Why the Other Options Are Incorrect:
A. A client who is postoperative and is reporting nausea
While postoperative nausea should be addressed promptly to prevent complications like aspiration, it is not as urgent as assessing a potential fall injury.
B. A client who is requesting a bedpan
This is a non-urgent request and can be safely delayed while addressing more critical issues.
D. A client who reports their IV pump is beeping
A beeping IV pump may indicate an issue such as occlusion or completion, but it is not life-threatening and can be addressed after ensuring client safety.
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