Questions 52

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RN ATI Med Surg Exam Questions

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Question 1 of 5

A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25.000 units in dextrose 5% in water (DSW) 500 mL. 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: 32 mL

Rationale: mL/hr = (1600 units/hr x 500 mL) / 25,000 units = 32 mL/hr.

Question 2 of 5

A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

Correct Answer: A

Rationale: Hematuria (blood in the urine) can occur due to damage to the urinary structures in pelvic fractures, indicating potential injury to the bladder or urethra.

Question 3 of 5

A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

Correct Answer: A

Rationale: Removing the weights intermittently helps relieve pressure and prevents tissue damage around the edges of the splint.

Question 4 of 5

A nurse is preparing a client who is postoperative following a below-the-knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Wrapping the stump in a figure-eight configuration with an elastic bandage helps in shaping and reducing swelling, aiding in proper prosthesis fitting.

Question 5 of 5

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Correct Answer: B

Rationale: Pallor (pale color) of the toes is an early sign of compromised blood circulation due to constriction from a tight cast.

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A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?

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