Questions 81

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ATI n120 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

Correct Answer: A

Rationale: Calculation: 120 mL/hr × 2.5 hr (0330 to 0600) = 300 mL.

Question 2 of 5

A nurse is discussing the benefits of early ambulation after surgery with a preoperative client. Which of the following statements would be incorrect?

Correct Answer: C

Rationale: Early ambulation promotes wound healing by improving circulation, not delaying it or increasing infection risk.

Question 3 of 5

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?

Correct Answer: D

Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.

Question 4 of 5

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer: A

Rationale: Phenytoin causes gingival hyperplasia, necessitating regular dental check-ups, unlike incorrect antacid, alcohol, or urine color advice.

Question 5 of 5

The nurse in a clinic reviewing laboratory results for a patient suspected of having undiagnosed diabetes mellitus. Which of the following results would be diagnostic for diabetes

Correct Answer: B

Rationale: An HbA1C of 7.2% is diagnostic for diabetes per ADA criteria, reflecting elevated blood glucose over time, unlike the other normal or prediabetes results.

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