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ATI Med Surg Nursing 300 Final Exam Questions

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Question 1 of 5

A patient is ordered 1 mg/kg of furosemide IV push. The patient weights 121 lbs. The medication is supplied 40 mg/10 mL. How many mL should the nurse administer? (round to the nearest tenth)

Correct Answer: A

Rationale: Convert 121 lbs to 54.88 kg (121 × 0.453592). Dose is 1 mg/kg, so 54.88 mg. Concentration is 4 mg/mL (40 mg/10 mL), so 54.88 ÷ 4 = 13.72 mL, rounded to 13.7 mL.

Question 2 of 5

A young adult is brought to the Emergency Department (ED) after a motor vehicle accident (MVA). The patient has severe right chest pain where there was impact with the steering wheel. Which is the priority patient goal?

Correct Answer: D

Rationale: Chest trauma may cause pneumothorax or hemothorax, impairing oxygenation. Maintaining adequate oxygenation is the priority to prevent hypoxia, before addressing anxiety, circulation, or pain.

Question 3 of 5

The nurse is teaching a client about seeking medical attention for suspected melanoma skin cancer lesions. The client would demonstrate to the nurse an understanding of teaching by stating I will seek medical attention if the mole has:

Correct Answer: C

Rationale: Irregular borders are a warning sign of melanoma (ABCDE criteria). Single color, small diameter, and symmetry are typically benign.

Question 4 of 5

A patient is to receive a bolus of Heparin 20 units/kg. The patient weighs 132 lbs. The medication is supplied as 25,000 units/250 mL. How many mL will the nurse give? (round to the nearest whole number)

Correct Answer: A

Rationale: Weight: 132 lbs ÷ 2.2 = 59.87 kg. Dose: 20 units/kg × 59.87 = 1197.48 units. Concentration: 100 units/mL (25,000/250). Volume: 1197.48 ÷ 100 = 11.97 mL, rounded to 12 mL.

Question 5 of 5

After sustaining a serious brain injury, the patient has recovered enough to be transferred to a rehabilitation unit for continued care. Which statement by the patient indicates that they understand realistic goal setting?

Correct Answer: D

Rationale: Active participation in rehabilitation is a realistic goal, focusing on effort and progress. Expecting full recovery of memories, traits, or functions is unrealistic due to potential permanent brain injury effects.

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