Questions 78

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ATI PN medical surgical exam 2023 Questions

Extract:


Question 1 of 5

A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Direct pressure is the next step to control bleeding in hemophilia, given the clotting deficiency.

Question 2 of 5

A nurse is preparing to administer heparin 250 units/kg subcutaneously to a client who weighs 150 lb. The heparin is available in a prefilled syringe containing 10,000 units/mL. How many mL should the nurse administer?

Correct Answer: 1.7

Rationale: The client's weight is 150 lb, which is 68.18 kg (150 ÷ 2.2). Heparin dose = 250 units/kg × 68.18 kg = 17,045 units. Volume = 17,045 units ÷ 10,000 units/mL = 1.7045 mL, rounded to 1.7 mL.

Question 3 of 5

A nurse is caring for a client who is 6 hr postoperative following a bowel resection. Which of the following findings is the priority for the nurse to report?

Correct Answer: D

Rationale: Excessive sleepiness could indicate a neurological complication or oversedation, making it the priority to report.

Question 4 of 5

A nurse is reinforcing teaching with a client who is to begin taking lansoprazole. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Diarrhea is a potential side effect of lansoprazole, and reporting it ensures timely management.

Question 5 of 5

A nurse is checking the skin of a client who has chronic venous insufficiency. Which of the following findings should the nurse identify as a venous stasis ulcer?

Correct Answer: C

Rationale: Venous stasis ulcers typically show darkened pigmentation and drainage due to poor venous return.

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