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Exam Review

Ati Med Surg NRSG 110 Exam

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Total Questions : 50

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Question 1:

You are instructed to administer tobramycin 35mg IM every 8 hours. The available supply is 40mg in a 1 mL vial.

How many mL’s should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies.

Do not use a trailing zero.

Answer and Explanation
Correct Answer: "0.9 " mL

Explanation

Step 1: We are instructed to administer tobramycin 35mg IM every 8 hours. The available supply is 40mg in a 1 mL vial.

Step 2: We need to find out how many mL’s should the nurse administer. Step 3: We can set up a proportion to solve this.

Step 4: If 40mg is equivalent to 1mL, then 35mg is equivalent to x mL. Step 5: Solving for x gives us x = (35mg ÷ 40mg) × 1mL.

Step 6: Calculating the above expression gives us x = 0.875 mL.

Step 7: Rounding our answer to the nearest tenth, we get 0.9 mL. So, the nurse should administer 0.9 mL.


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Question 2:

A nurse is caring for a client recently diagnosed with Guillain-Barre syndrome.
The client states, “It is getting harder to take a deep breath.”. Which action by the nurse is most appropriate?

Answer and Explanation

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Question 3:

The nurse is caring for a client who experienced a stroke in the right hemisphere of the brain. What should the nurse do to ensure the safety of the patient?

Answer and Explanation

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Question 4:

The nurse is caring for a client that has been diagnosed with aphasia. How can the nurse communicate effectively with the client?

Answer and Explanation

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Question 5:

The nurse is creating a plan of care for a client who has a recent diagnosis of multiple sclerosis. Which of the following should the nurse include in the client’s care plan?

Answer and Explanation

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Question 6:

The nurse is caring for a client who is suspected of meningitis.
After reviewing lab results, the nurse will anticipate that the provider will prescribe which medications to treat the meningitis?

Answer and Explanation

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Question 7:

The physician has ordered Amoxicillin 25mg/kg/day in 2 equally divided doses for a client weighing 70 kilograms. The supply of Amoxicillin is 125mg/5ml.

Calculate the correct dosage for one dose in milliliters. Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.

Answer and Explanation
Correct Answer: "35 " mL

Explanation

Step 1 is to calculate the total daily dosage in milligrams. This is done by multiplying the weight of the client by the ordered daily dosage. So, 70 kg × 25 mg/kg = 1750 mg/day.

Step 2 is to divide the total daily dosage by the number of doses per day to get the dosage per dose. So, 1750 mg ÷ 2 = 875 mg/dose.

Step 3 is to calculate the volume of the dose in milliliters. The supply of Amoxicillin is 125 mg/5 mL, which means there are 125 mg of Amoxicillin in every 5 mL. So, to find out how many milliliters contain 875 mg, we set up a proportion: (125 mg / 5 mL) = (875 mg / x mL). Solving for x gives x = (875 mg × 5 mL) ÷ 125 mg = 35 mL. Therefore, the correct dosage for one dose is 35 mL.


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Question 8:

In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome, which of the following symptoms would the nurse expect to observe?

Answer and Explanation

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Question 9:

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

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Question 10:

A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?

Answer and Explanation

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