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Ati 24 spns 126 med surg final exam

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Total Questions : 87

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Question 1:

A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

Answer and Explanation

A
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Question 2:

A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?

Answer and Explanation

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Question 3:

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, “What is the purpose of this test?” Which of the following responses should the nurse give?

Answer and Explanation

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Question 4:

A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets.

How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.(Do not use a trailing zero.=) 

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Step 1: Determine the total dosage required. 100 mcg Step 2: Determine the dosage per tablet. 50 mcg per tablet Step 3: Calculate the number of tablets needed. 100 mcg ÷ 50 mcg/tablet = 2 tablets The nurse should administer 2 tablets.


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Question 5:

A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

Answer and Explanation

A
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Question 6:

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Answer and Explanation

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Question 7:

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?

Answer and Explanation

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Question 8:

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

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Question 9:

A nurse is reinforcing dietary instructions with a client who has episodes of biliary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?

Answer and Explanation

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Question 10:

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/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)

Answer and Explanation
Correct Answer: "0.6" mL

Explanation

Step 1: Calculate the dose required. 30 mg ÷ (50 mg/mL) = 0.6 mL The nurse should administer 0.6 mL per dose. 1: [Memorial Sloan Kettering Cancer Center]


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