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ATI Med Surg Nursing 300 Final Exam Questions

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Question 1 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 2 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 3 of 5

Which nursing intervention is highest priority for the client who has suffered an acute anterior wall mycordial infarction?

Correct Answer: D

Rationale: Reducing oxygen demand via pain control (e.g., morphine) and oxygen therapy minimizes myocardial ischemia, the priority in acute MI.

Question 4 of 5

A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?

Correct Answer: D

Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.

Question 5 of 5

A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?

Correct Answer: A

Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.

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