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ATI n300 Med Surg Exam Questions

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Question 1 of 5

A heparin IV bolus is ordered: 80 units per kilogram. The unit's pharmacist prepares & labels a dose of heparin that is 5600 units. What is the patient's weight in kilograms?

Correct Answer: A

Rationale: 5600 units ÷ 80 units/kg = 70 kg.

Question 2 of 5

The nurse is caring for a client who has completed a blood product transfusion for the treatment of thrombocytopenia. How would the nurse know that treatment has been successful?

Correct Answer: B

Rationale: The primary goal of platelet transfusion is to increase platelet count to reduce bleeding risk in thrombocytopenia.

Question 3 of 5

A client has sustained a crush injury to the abdomen as the result of an industrial accident. The initial assessment and interventions have been carried out. The vital signs are stable and the family is at the bedside. The client is complaining of bilateral flank pain. What is the priority nursing action for this client now?

Correct Answer: D

Rationale: Flank pain after a crush injury suggests possible rhabdomyolysis or kidney damage. Testing urine for myoglobinuria or hematuria is the priority.

Question 4 of 5

An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused, malnourished, and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts, not allowing the client to answer. Which of the following nursing interventions is a priority?

Correct Answer: B

Rationale: The client's reluctance and daughter's interruptions suggest potential elder abuse, making private assessment the priority.

Question 5 of 5

The client admitted with sickle cell anemia crisis is being treated with a transfusion of 2 units of packed red blood cells (PRBC's) for a low hemoglobin. The client demonstrating a new onset of chest pain, low back pain, tachycardia and anxiety. The nurse's immediate intervention is

Correct Answer: A

Rationale: Symptoms suggest an acute hemolytic transfusion reaction, requiring immediate cessation of the transfusion and administration of normal saline.

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