ATI Med Surg 102 | Nurselytic

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ATI Med Surg 102 Questions

Question 1 of 5

A home health nurse is seeing an elderly male client for the first time. During the physical assessment of the skin on the lower legs the skin is pale and cool to touch. The nurse notes small circular ulcers on the soles of his feet. From these findings, the nurse knows that the client has a problem with circulation. Which of the circulation condition does the nurse suspect?

Correct Answer: D

Rationale: Pale, cool skin and circular ulcers on the feet indicate arterial insufficiency, characterized by reduced blood flow leading to tissue ischemia and ulceration.

Question 2 of 5

A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg subcutaneous. The client weighs 185 lb. How many mg should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 84.1 mg

Rationale: 185 lb ÷ 2.2 ≈ 84.1 kg; 84.1 kg × 1 mg/kg = 84.1 mg, the dose to administer.

Question 3 of 5

A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5-2.5mg/kg subcutaneous. The client weighs 245 lbs. How many mg should the nurse administer for the low range of the dosage range?(Round the answer to the nearest whole number.)

Correct Answer: 165 mg

Rationale: 245 lb × 0.45 ≈ 110.25 kg; 110.25 kg × 1.5 mg/kg = 165.375 mg, rounded to 165 mg.

Question 4 of 5

The nurse understands that certain patients are more susceptible to pressure ulcer development. Which clients should the nurse identify as being at an increased risk for this health problem? Select all that apply.

Correct Answer: A,C,E

Rationale: A: Restricted activity increases pressure on skin. C: Casts create pressure points. E: Incontinence causes moisture-related skin breakdown. B and D reduce risk.

Question 5 of 5

A nurse is to administer one 1L bag of normal saline to a client over 5 hours. At what rate should the nurse program the pump in milliliters per hour? (Round to the whole number. Assume no interruptions.)

Correct Answer: 200 mL/hr

Rationale: 1000 mL ÷ 5 hours = 200 mL/hr, the infusion rate.

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