ATI PN medical surgical exam 2023 | Nurselytic

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ATI PN medical surgical exam 2023 Questions

Question 1 of 5

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. Which of the following findings should the nurse identify as an indication that the client should receive diphenhydramine?

Correct Answer: C

Rationale: Urticaria (hives) is an allergic reaction that can occur during a blood transfusion, and diphenhydramine is an antihistamine used to treat such reactions.

Question 2 of 5

A nurse is preparing to administer heparin 250 units/kg subcutaneously to a client who weighs 150 lb. The heparin is available in a prefilled syringe containing 10,000 units/mL. How many mL should the nurse administer?

Correct Answer: 1.7

Rationale: The client's weight is 150 lb, which is 68.18 kg (150 ÷ 2.2). Heparin dose = 250 units/kg × 68.18 kg = 17,045 units. Volume = 17,045 units ÷ 10,000 units/mL = 1.7045 mL, rounded to 1.7 mL.

Question 3 of 5

A nurse is collecting data from a client about her current pain status. Which of the following Questions should the nurse ask to determine the quality of the client's pain?

Correct Answer: C

Rationale: Asking 'What does your pain feel like?' directly assesses the quality (e.g., sharp, dull) of the pain, which is essential for a comprehensive pain assessment.

Question 4 of 5

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Correct Answer: A,B

Rationale: Current medications and the primary health problem are critical for continuity of care in the ICU; other options are less relevant or outdated.

Question 5 of 5

A nurse is reinforcing teaching with a client who has herpes simplex virus type 2. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Herpes simplex virus type 2 can recur during stress due to immune system changes; the other statements are incorrect as the virus can still spread with treatment or without visible lesions.

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