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ATI EW N300 med surg exam

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Total Questions : 59

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Question 1:
The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body.
Which opportunistic infection does the nurse suspect?
Answer and Explanation

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Question 2:
The nurse knows that a common presentation that happens early in HIV infections is:
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Question 3:
The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder.
The nurse would provide discharge education to the patient and family regarding which bladder management technique?
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Question 4:
The nurse is caring for a patient diagnosed with a traumatic head injury secondary to a work accident.
In the morning assessment, the patient opened his eyes in response to noxious stimuli.
Two hours later, what assessment finding would warrant immediate action by the nurse? The patient:
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Question 5:

A nurse is calculating the intake of a client during the past 9 hours.

The client's intake includes:

  • Lactated Ringer's IV at 150 mL/hr
  • cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride
  • two units of packed RBCs of 275 mL and 250 mL
  • two IV bolus infusions of 250 mL of 0.9% sodium chloride
  • ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water.

How many mL of intake should the nurse record?

Answer and Explanation
Correct Answer: "2525" mL

Explanation

Step 1 is calculate intake from lactated Ringer’s: 150 mL/hr × 9 hrs = 1350 mL.

Step 2 is calculate cefazolin intake: 100 mL × 1 dose = 100 mL.

Step 3 is calculate intake from two units of packed RBCs: 275 mL + 250 mL = 525 mL.

Step 4 is calculate intake from two IV boluses: 250 mL × 2 = 500 mL.

Step 5 is calculate intake from ranitidine infusion: 50 mL × 1 dose = 50 mL.

Step 6 is calculate total intake: 1350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2525 mL. Final calculated intake is 2525 mL.


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Question 6:
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures.
The nurse is aware these symptoms indicate:
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Question 7:
A client, who has tested positive for human immunodeficiency virus (HIV), now presents with a CD4+ count of less than 200 cells/mm and pneumocystic pneumonia.
A normal range for a CD4+ count is 500-1500 cells/mm.
How would the nurse evaluate these findings? The client:
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Question 8:
The nurse is developing a teaching plan for the client with glaucoma.
Which of the following instructions would the nurse include in the plan of care?
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Question 9:
The nurse is performing an admission assessment on a client with a diagnosis of detached retina.
Which of the following is associated with this eye disorder?
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Question 10:
The nurse is caring for a patient with epilepsy who has recently had a change in their prescribed medication combination.
Which of the following options are priority to institute?
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