Questions 81

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ATI N 1201222 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is developing a plan of care for a client who has a stage pressure ulcer. Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: Repositioning every 2 hours prevents further ulcers. Hydrogen peroxide damages tissue, massaging reddened areas risks harm, and heat lamps can burn skin.

Question 2 of 5

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Correct Answer: B

Rationale: For children under 3, pulling the auricle down and back straightens the ear canal for eardrop administration. Upward/outward is for older patients, and cotton balls or sitting up are secondary.

Question 3 of 5

A nurse is preparing to administer phenytoin 75 mg PO every 6 hours. Available is phenytoin 25 mg/5 mL. How many mL should the nurse administer?

Correct Answer: B

Rationale: Calculate: 25 mg/5 mL = 5 mg/mL. For 75 mg, 75 ÷ 5 = 15 mL.

Question 4 of 5

A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize which laboratory result identifies this client as being at risk for delayed wound healing?

Correct Answer: C

Rationale: Low serum albumin (3.2 g/dL) indicates malnutrition, delaying wound healing. Normal WBC, hemoglobin, and INR don't directly affect healing.

Question 5 of 5

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

Correct Answer: D

Rationale: Rotating transdermal patch sites prevents irritation and ensures absorption. Stopping antibiotics early risks resistance, skipping doses is incorrect, and parenteral drugs don't require food.

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