ATI RN
ATI Nur 211 Med Surg Final Exam Questions
Extract:
Question 1 of 5
Which of the following clients is at greatest risk for hyperglycemic hyperosmolar syndrome (HHS)?
Correct Answer: B
Rationale: The combination of age, Type 2 diabetes, and COPD increases HHS risk.
Question 2 of 5
The nurse is assessing a patient prior to surgery for esophageal cancer. Which of the following would be considered a risk factor for the development of this disease?
Correct Answer: C
Rationale: GERD is a significant risk factor for esophageal cancer, particularly adenocarcinoma.
Question 3 of 5
The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.
Correct Answer: A
Rationale: Child weighs 9.09 kg (20/2.2). Dose is 90.9 mg (10 mg/kg * 9.09). Volume is 4.545 mL (90.9 mg * 5 mL / 100 mg), rounded to 4.5 mL.
Question 4 of 5
A client with a severe corneal ulcer has an order for gentamycin ophthalmic solution 1 drop every 4 hours and neomycin ophthalmic solution 1 drop every 4 hours. Which of the following schedules should be used when administering the eye drops?
Correct Answer: C
Rationale: Waiting 5 minutes between drops ensures proper Absorption and prevents washout.
Question 5 of 5
The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)
Correct Answer: C,E
Rationale: Honey treats hypoglycemia; glucagon is prepared for unconsciousness.