Questions 78

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ATI Advanced Med Surg Final Exam 0924 Questions

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Question 1 of 5

A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)

Correct Answer: B,C,D

Rationale: Handheld metal detectors can interfere with pacemaker function, so requesting a manual search is appropriate. Monitoring the pulse daily ensures pacemaker functionality. Avoiding tight clothing prevents discomfort and interference with the pacemaker.

Question 2 of 5

A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?

Correct Answer: D

Rationale: Continuing the rate at 125 mL/hr is appropriate for maintaining the current IV fluid regimen unless there are specific orders or conditions that require a change.

Question 3 of 5

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: Administering oxygen therapy is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.

Question 4 of 5

A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Hepatomegaly is a common finding in right ventricular failure due to increased pressure in the venous system.

Question 5 of 5

A nurse is preparing to administer ticarcillin/clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin/clavulanate 3.1 g in 50 ml 0.9% sodium chloride (NSS). 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: B

Rationale: First, determine the total volume to be infused: 50 mL. Next, calculate the time in hours: 30 minutes is 0.5 hours. 50/0.5 = 100 mL/hr.

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