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ATI N200 Med Surg Exam Questions

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Question 1 of 5

Which of the following postoperative patients is at greatest risk for respiratory complications?

Correct Answer: D

Rationale: The 65-year-old female (
D) with obesity, smoking, and general anesthesia has the highest respiratory risk due to impaired function and surgical stress.

Question 2 of 5

A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.

Correct Answer: 1700

Rationale: Calculate the remaining volume of fluid: Remaining volume =
Total volume - Volume infused. Remaining volume = 1000 mL - 500 mL = 500 mL. Calculate the remaining infusion time: Remaining infusion time = Remaining volume / Infusion rate. Remaining infusion time = 500 mL / 100 mL/hr = 5 hours. Determine the time the infusion will be complete: Current time: 1200 (12:00 PM). Remaining infusion time: 5 hours. Time of completion: 1200 (12:00 PM) + 5 hours = 1700.
Therefore, the nurse should expect to hang a new bag at 1700.

Question 3 of 5

The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:

Correct Answer: C

Rationale: Malignant hyperthermia (
C) is a rare but serious anesthetic reaction. Tachycardia (
A) and decreased respirations (
B) are less severe, and hypokalemia (
D) is unrelated.

Question 4 of 5

A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?

Correct Answer: D

Rationale: Administering antihypertensive (
D) addresses high blood pressure. Notifying (
A), documenting (
B), and relaxation (
C) are secondary.

Question 5 of 5

The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

Correct Answer: A,C,D

Rationale: Avoiding crowds (
A) reduces infection risk during recovery. Reporting temperature elevations (
C) ensures timely intervention for complications. Finishing antibiotics (
D) prevents infection resurgence and resistance. Immediate activity increase (
B) risks fatigue, and e-cigarettes (E) are not advised due to health risks.

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