Questions 78

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ATI Adult Med Surg Nurs 4292 Exam Questions

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Question 1 of 5

A nurse is preparing to administer digoxin at a dosage of 8 mcg/kg/day orally, divided equally every 12 hours, to a preschooler who weighs 33 lbs. Digoxin elixir is available at a concentration of 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 1.2

Rationale: Calculation: 33 lbs ÷ 2.2 = 15 kg; 15 kg × 8 mcg/kg/day = 120 mcg/day; 120 mcg ÷ 2 = 60 mcg/dose; 60 mcg = 0.06 mg; 0.06 mg ÷ 0.05 mg/mL = 1.2 mL

Question 2 of 5

A nurse is caring for a client who has a pulmonary embolism and has been on a heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?

Correct Answer: B

Rationale: Overlap therapy is needed because warfarin has delayed onset (3-5 days) while heparin provides immediate anticoagulation.

Question 3 of 5

A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply).

Correct Answer: A,B,C,D,E

Rationale: All options are common findings in gastric ulcer patients due to gastric acid secretion patterns and mucosal irritation.

Question 4 of 5

The nurse is monitoring a client who just finished a meal for vasomotor manifestations of dumping syndrome. Which of the following findings indicate this occurrence?

Correct Answer: A

Rationale: Vasomotor symptoms (dizziness, pallor, diaphoresis) occur from rapid fluid shifts in dumping syndrome.

Question 5 of 5

A client is being admitted to the emergency department with a possible dissecting abdominal aortic aneurysm. Which of the following clinical manifestations are not signs and symptoms of hypovolemic shock?

Correct Answer: C

Rationale: Hypertension is not typical in hypovolemic shock (hypotension is expected).

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