Questions 49

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ATI Nur285 Med Surg Fall Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 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: B

Rationale: Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 35 mg / 75 mg/mL = 0.4 mL.

Question 2 of 5

A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 6 L/min via nasal cannula. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A humidifier prevents dryness and irritation of mucous membranes at high oxygen flow rates like 6 L/min.

Question 3 of 5

A client is admitted to the nursing unit with a diagnosis of gastric ulcer. Which assessment finding by the nurse supports the client's diagnosis of gastric ulcer?

Correct Answer: D

Rationale: Epigastric pain that worsens with eating is a hallmark symptom of a gastric ulcer, aggravated by increased acid during digestion.

Question 4 of 5

A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?

Correct Answer: C

Rationale: Confusion is a classic symptom of pneumonia in older adults, often due to hypoxia or infection-related mental status changes.

Question 5 of 5

A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:

Correct Answer: B

Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.

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