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Exam Review

ATI RN Med Surg Custom Exam 2

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Total Questions : 50

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Question 1:

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus.

When mixing the two types of insulin, which of the following actions should the nurse take first?

Answer and Explanation

A
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Question 2:

A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions.

(Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.).

Answer and Explanation

Explanation

The correct answer is choice C, A, D, E, B. Here are the rationales for each choice: Choice C rationale: Stop the infusion. The first step when an infiltration is identified is to stop the infusion. This is to prevent further infiltration of the IV fluid into the surrounding tissue. Choice A rationale: Remove the IV catheter. After stopping the infusion, the next step is to remove the IV catheter. This is to prevent any more fluid from being infused into the infiltrated area. Choice D rationale: Apply a sterile dressing. Once the IV catheter is removed, a sterile dressing should be applied to the site. This helps to prevent infection. Choice E rationale: Elevate the extremity. The affected extremity should be elevated. This helps to reduce swelling and discomfort. Choice B rationale: Apply warm or cold compresses. Finally, warm or cold compresses should be applied as per the facility’s policy. This can help to alleviate pain and reduce swelling.

A
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Question 3:

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounding tissues are hard.

Which of the following actions should the nurse take first?

Answer and Explanation

A
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Question 4:

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease.

Which of the following sets of values should the nurse expect?.

Answer and Explanation

A
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Question 5:

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients.

Which of the following nonmodifiable risk factors should the nurse include?.

Answer and Explanation

A
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Question 6:

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness.

Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?

Answer and Explanation

A
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Question 7:

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows.

Which of the following responses should the nurse make?

Answer and Explanation

A
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Question 8:

A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain.

The amount available is gabapentin 300 mg/capsule.

How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.).

Answer and Explanation
Correct Answer: "3" capsules

Explanation

The correct answer is3 capsules. Calculation: 900 mg (desired dose) / 300 mg (available dose) = 3 capsules.


A
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Question 9:

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.

Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Answer and Explanation

A
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Question 10:

A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump.

Which of the following actions should the nurse take?

Answer and Explanation

A
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