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ATI 24 Spns 126 Med Surg Final Exam Questions

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Question 1 of 5

A nurse is preparing to administer digoxin 1 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))

Correct Answer: 2 tablets

Rationale: 1 mg ÷ 0.5 mg/tablet = 2 tablets. The nurse should administer 2 tablets.

Question 2 of 5

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

Correct Answer: C

Rationale: Wiping from back to front can transfer bacteria to the urethra, increasing UTI risk, indicating a need for further teaching on proper hygiene.

Question 3 of 5

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))

Correct Answer: 2 tablets

Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.

Question 4 of 5

A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO₂ of 53, and an HCO₃ of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?

Correct Answer: C

Rationale: Low pH (7.24) and high PaCO₂ (53) indicate respiratory acidosis due to CO₂ accumulation from inadequate ventilation.

Question 5 of 5

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Monitoring for black, tarry stools is crucial as clopidogrel increases bleeding risk, indicating potential gastrointestinal bleeding.

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