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Exam Review

Ati medical surgical nursing final exam

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Total Questions : 70

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Question 1:

A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Answer and Explanation

A
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Question 2:

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

Answer and Explanation

A
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Question 3:

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

Answer and Explanation

A
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Question 4:

A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD?
(Select All that Apply.)

Answer and Explanation

A
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Question 5:

A nurse is caring for a patient who has just experienced a tonic-clonic seizure. Which of the following actions should the nurse perform first after ensuring the patient's safety?

Answer and Explanation

A
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Question 6:

A nurse is assessing a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate?
(Select All that Apply.)

Answer and Explanation

A
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Question 7:

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Answer and Explanation

A
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Question 8:

A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient?
(Select All that Apply.)

Answer and Explanation

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Question 9:

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Answer and Explanation

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Question 10:

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Answer and Explanation
Correct Answer: "1440" units

Explanation

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.


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