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Ati nsg232 med surg exam

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Total Questions : 97

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Question 1:

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hours.

At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag.

At what time should the nurse administer the next bag of IV solution?.

Answer and Explanation
Correct Answer: "1800" hrs

Explanation

Step 1 is to calculate the infusion rate for the 1000 mL IV bag over 8 hours. 1000 mL ÷ 8 hours = 125 mL/hour.

Step 2 is to calculate the remaining infusion time for the 500 mL left in the current IV bag. 500 mL ÷ 125 mL/hour = 4 hours.

Step 3 is to determine the time the current IV bag will be finished. 1400 + 4 hours = 1800.

Step 4 is to determine when the nurse should administer the next bag. Since the current bag will finish at 1800, the next bag should be administered at 1800. Answer: 1800.


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Question 2:

A nurse on a telemetry unit is caring for a client who has a history of premature ventricular contractions (PVCs). The client reports feeling lightheaded and feeling heartbeats in their chest.
In a client having PVCs, which of the following findings would the nurse expect when auscultating the client's apical pulse?

Answer and Explanation

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Question 3:

A clinic nurse is caring for a large number of clients diagnosed with the common cold.
The nurse should recognize that which factor contributes to the high communicability of the common cold?

Answer and Explanation

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Question 4:

A nurse is caring for a client diagnosed with HIV and receiving antiretroviral therapy.
The nurse should assess for which potential adverse effects of long-term antiretroviral therapy?

Answer and Explanation

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Question 5:

A nurse is administering an intravenous antineoplastic drug to a client with cancer and recognizes that an extravasation is developing.
Which of the following actions should the nurse initiate first?

Answer and Explanation

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Question 6:

A nurse suspects impending respiratory failure in a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should recognize that which assessment finding supports the presence of hypoxemia?

Answer and Explanation

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Question 7:

A nurse is caring for a client diagnosed with valvular heart disease and is at risk for developing left-sided heart failure.
Which of the following manifestations should alert the nurse that the client is developing left-sided heart failure?

Answer and Explanation

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Question 8:

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice and swollen lips and tongue.
In which order should the nurse take the following actions?

Answer and Explanation

Explanation

The correct answer is Assess the client’s airway, Apply high-flow oxygen, Administer IV epinephrine, Call the emergency response team.

Step 1 is: Assess the client’s airway.

Step 2 is: Apply high-flow oxygen.

Step 3 is: Administer IV epinephrine.

Step 4 is: Call the emergency response team.


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Question 9:

The nurse manager is negotiating a conflict between the staff nurses and nursing assistants. The nurse manager talked to everyone involved and created a list of the main issues.
Which step in the negotiation process does this best describe?

Answer and Explanation

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Question 10:

A nurse is providing discharge instructions to a client who is severely immunocompromised by HIV.
Which of the following should the nurse include in the discharge instructions? (Select all that apply.)

Answer and Explanation

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