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Exam Review

ATI Med Surg 102

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Total Questions : 50

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Question 1:

A client is brought to the emergency department by ambulance after stepping in a hole and falling. During the assessment, the nurse notes that the right leg is shorter than the left leg the right hip is noticeably deformed and acute pain is noted. Imaging does not reveal a fracture. What is the most likely explanation for this client's signs and symptoms?

Answer and Explanation

A
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Question 2:

A home health nurse is seeing an elderly male client for the first time. During the physical assessment of the skin on the lower legs the skin is pale and cool to touch. The nurse notes small circular ulcers on the soles of his feet. From these findings, the nurse knows that the client has a problem with circulation. Which of the circulation condition does the nurse suspect?

Answer and Explanation

A
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Question 3:

A nurse is completing a risk assessment on a new admission. Which standardized scale will the nurse use to calculate the client's risk for pressure ulcers?

Answer and Explanation

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Question 4:

A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

Answer and Explanation

A
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Question 5:

A nurse educator is providing an in-service to nursing staff about urinary tract infections (UTP). Which statements made by the staff validate they understand the etiology and pathophysiology of UTIs? Select all that apply.

Answer and Explanation

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Question 6:

A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO for 5 days. The client weighs 88 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number)

Answer and Explanation
Correct Answer: "200" mg

Explanation

Weightinkg=Weightinlb÷2.2

Weightinkg=88÷2.2≈40

Calculate the dose of cefpodoxime:

The prescribed dose is 5 mg/kg.

Doseinmg=Weightinkg×Doseperkg

Doseinmg=40×5=200

The nurse should administer 200 mg of cefpodoxime.


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Question 7:

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?

Answer and Explanation

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Question 8:

A nurse needs to infuse three 1L bags over 12 hours. At what rate should the nurse program the pump to run in millilitres per hour? Round to the nearest whole number.

Answer and Explanation
Correct Answer: "250ml\/h"

Explanation

To calculate the infusion rate, you first need to determine the total volume to be infused and the total time over which the infusion will occur.

Three 1L bags need to be infused over 12 hours.

Total volume = 3 bags * 1000 mL/bag = 3000 mL

Total time = 12 hours

Now, to find the rate in milliliters per hour (mL/h), divide the total volume by the total time:

Infusion rate = Total volume / Total time

Infusion rate = 3000 mL / 12 hours = 250 mL/h


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Question 9:

A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?

Answer and Explanation

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Question 10:

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be rodded in surgery. For what early complications should the nurse monitor this client? Select all that apply.

Answer and Explanation

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