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Ati n400 ew med surg final proctored exam

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Total Questions : 56

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Question 1:

A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?

Answer and Explanation

A
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Question 2:

A registered nurse is educating a newly license nurse about risk factors associated with gestational diabetes mellitus (GDM) and gestational hypertension (GH). The nurse presents four possible risk factors and asks the new nurse to categorize each one correctly.

Categorize each risk factor to the appropriate condition. Some risk factors may apply to only one condition, while others may not apply to either

Answer and Explanation

Explanation

Chronic renal disease. Gestational Hypertension: Pre-existing renal pathology impairs systemic vascular regulation and increases peripheral resistance. Chronic kidney dysfunction often correlates with underlying hypertensive disorders or secondary vascular damage. This physiological strain predisposes the patient to elevated blood pressure during the metabolic demands of pregnancy.

Maternal age older than 25. Gestational Diabetes Mellitus: Advanced maternal age starting at 25 increases insulin resistance risk during pregnancy. Pancreatic beta-cell function may decline with age, failing to compensate for placental hormones like human placental lactogen. This threshold is a primary clinical screening indicator for metabolic testing.

Maternal age older than 40. Both: Patients over 40 exhibit decreased vascular compliance and higher incidences of baseline endothelial dysfunction. The cardiovascular system faces increased workload, which frequently manifests as hypertension in later maternal years. This age group carries a significantly higher risk profile for preeclampsia development. Even higher risk due to stronger association with impaired glucose tolerance and type 2 diabetes tendencies.

Previous birth of an infant that was large gestational age or stillborn. Gestational Diabetes Mellitus: A history of fetal macrosomia suggests prior undiagnosed glucose intolerance or poorly regulated glycemic levels. Stillbirths can occur due to placental insufficiency or metabolic derangements associated with hyperglycemia. This history indicates a high risk for recurrent insulin dysfunction in current pregnancies.


A
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Question 3:

During shift report the nurse is told that there is 450 mL left in a client's IV and it has to run for 2 more hours, if the drip factor is 15 gtt/mL what is the current IV rate? (Round to a whole number)

Enter text here.

_______ gtts/min

Answer and Explanation
Correct Answer: "56" gtts/min

Explanation

Step 1: Find mL per hour

You have 450 mL that must infuse over 2 hours.

450÷2=225mL

Step 2: Convert mL/hr to gtt/min

gtt/min=ml/hr ×drop factor60



=225×1560


= 56.25

Step 3: Round to whole number

Correct answer: 56 gtts/min


A
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Question 4:

A newborn is delivered by vaginal birth at 40 weeks of gestation. Which of the following findings should the nurse report to the provider?

Answer and Explanation

A
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Question 5:

A nurse is providing teaching to the parent of a child who has a new diagnosis of scabies. Which of the following information should the nurse include?

Answer and Explanation

A
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Question 6:

Which of the following sexually transmitted diseases is caused by a protozoal infection?

Answer and Explanation

A
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Question 7:

A nurse is caring for four adult clients on a medical-surgical unit. Which client should the nurse assess first based on the ABCDE priority framework?

Answer and Explanation

A
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Question 8:

A child weighs 36kg. What is the child's weight in pounds? (Round to the tenth place)
Enter text here..
_____lbs.

 

Answer and Explanation
Correct Answer: "79.2" lbs

Explanation

To convert kilograms to pounds, the weight in kilograms is multiplied by the conversion factor of 2.2. Multiplying 36 by 2.2 yields a product of 79.2.

Correct answer: 79.2 lbs.


A
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Question 9:

A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do?

Answer and Explanation

A
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Question 10:

Multiple casualties are expected to present to the emergency department within the next hour. The charge nurse is responsible for coordinating care for the casualties presenting to the hospital for care. What task should the nurse assign to the unlicensed assistive personnel (UAP)? To:

Answer and Explanation

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