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ATI n200 Med Surg Exam 6 Questions

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Question 1 of 5

The physician ordered cephalexin 4 mg/kg PO Q6 hours. The medication is available at 250 mg/5 mL. The client weighs 245 pounds. What is the correct dose to be administered every 6 hours? (Round the answer to the nearest whole number. Do not use a trailing zero.)

Correct Answer: 9

Rationale: Client weight: 245 lbs ÷ 2.2 = 111.36 kg. Dose: 4 mg/kg × 111.36 = 445.44 mg. Available: 250 mg/5 mL, so 445.44 ÷ (250/5) = 8.91 mL, rounded to 9 mL.

Question 2 of 5

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Correct Answer: A,C,D

Rationale: Measuring girth monitors distension, IV saline maintains hydration, and morphine manages pain. A soft diet is inappropriate as patients should be NPO.

Question 3 of 5

The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)

Correct Answer: A,D,E

Rationale: Aspirin and ibuprofen irritate the stomach lining, and smoking impairs ulcer healing. Coffee and dairy increase acid production, worsening symptoms.

Question 4 of 5

The nurse is teaching a community group about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)

Correct Answer: D,E

Rationale: Recognizing satiety prevents overeating, and a food diary tracks intake for better choices. Eating quickly, frequent weighing, and alcohol increase overeating or weight gain risks.

Question 5 of 5

The nurse assesses a client admitted 4 hours ago with a diagnosis of diverticulitis. Which assessment finding must be reported immediately to the healthcare provider?

Correct Answer: C

Rationale: A temperature of 102.6°F indicates a significant infection or abscess, requiring immediate reporting. Fecal incontinence and hematoma are concerning but not directly related to diverticulitis, and unchanged abdominal girth suggests no acute worsening.

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