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ATI Advanced Med Surg Final Exam 0924 Questions

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Question 1 of 5

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 250

Rationale:
Total volume of IV fluid: 2000 mL.
Total time for infusion: 8 hours. Infusion rate: 2000/8 = 250 mL/hr.

Question 2 of 5

A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?

Correct Answer: B

Rationale: Alcohol, especially beer and spirits, can trigger gout attacks by increasing the level of uric acid in the blood. Alcohol consumption should be limited or avoided to reduce the risk of gout flare-ups.

Question 3 of 5

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

Correct Answer: A

Rationale: Morphine can cause decreased gastrointestinal motility, which can exacerbate a paralytic ileus.

Question 4 of 5

A nurse is preparing to administer ticarcillin/clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin/clavulanate 3.1 g in 50 ml 0.9% sodium chloride (NSS). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: B

Rationale: First, determine the total volume to be infused: 50 mL. Next, calculate the time in hours: 30 minutes is 0.5 hours. 50/0.5 = 100 mL/hr.

Question 5 of 5

A nurse is teaching a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self-care strategies should the nurse recommend?

Correct Answer: B

Rationale: Intermittent ice and heat helps reduce inflammation and pain associated with acute bursitis.

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