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Exam Review

ATI Custom Fletcher NRSG 106 Exam 1 Spring 2024

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Total Questions : 46

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Question 1:

A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation.

The available methylnaltrexone is 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.

Use a leading zero if it applies.

Answer and Explanation
Correct Answer: "0.6 " mL

Explanation

Answer and explanation

The question is about calculating the volume of methylnaltrexone to administer to a client. The client needs a dose of 12 mg, and the available methylnaltrexone is 8 mg/0.4 mL.

Let’s calculate the volume step by step:

Step 1: Identify the given values:

  • Desired dose (D) = 12 mg
  • Available dose (A) = 8 mg
  • Volume for available dose (V) = 0.4 mL

Step 2: Use the given values in the formula for calculating the volume to administer:

Volume to administer=Available doseDesired dose×Volume for available dose Step 3: Substitute the given values into the formula:

Volume to administer=(12*0.4)/8

Step 4: Perform the multiplication and division:

Volume to administer=4.8mL/8

Step 5: Simplify the division to find the volume to administer:

Volume to administer=0.6mL

So, the nurse should administer 0.6 mL of methylnaltrexone to the client.


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Question 2:

A nurse is caring for a client who was exposed to anthrax.
Which of the following antibiotics should the nurse plan to administer?

Answer and Explanation

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Question 3:

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin
Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Answer and Explanation

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Question 4:

When given a scheduled morning medication, the patient states, “I haven’t seen that pill before.

Are you sure it’s correct?” The nurse checks the medication administration record and verifies that it is listed.

Which is the nurse’s best response?

Answer and Explanation

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Question 5:

Phenytoin has a narrow therapeutic index.
The nurse recognizes that this characteristic indicates which of these?

Answer and Explanation

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Question 6:

During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction. Which of these assessment findings may be an indication of a hypersensitivity reaction? (Select all that apply.)

Answer and Explanation

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Question 7:

A patient has a urinary tract infection.
The nurse knows that which class of drugs is especially useful for such infections?

Answer and Explanation

A
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Question 8:

A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?

Answer and Explanation

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Question 9:

A nurse is caring for a client who has diabetes insipidus.
Which of the following findings should the nurse expect?

Answer and Explanation

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Question 10:

A 6-year-old child who has chickenpox also has a fever of 102.9 F (39.4 C). The child’s mother asks the nurse if she should use aspirin to reduce the fever.
What is the best response by the nurse?

Answer and Explanation

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