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RN Spring 126 Medsurg Final Exam

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Title : RN Spring 126 Medsurg Final Exam

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI Exam(s)

Domain : RN ATI MedSurg

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 120 minutes

Total Questions : 10

Passing Score : 84%

Difficulty : Medium

Instructions : Read each question carefully and select the correct answer. Ensure you manage your time effectively to complete all questions within the given timeframe, as answers cannot be changed after submission.

Description : This exam evaluates RN students' knowledge of Medical-Surgical nursing principles, including the management of acute and chronic conditions, clinical decision-making, and evidence-based interventions across various body systems.

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1 : A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

The medication causes amenorrhea if taken along with an oral contraceptive.

You should wear glasses instead of contacts while taking this medication

A yellow tint to the skin is an expected reaction to the medication.

Lifelong treatment with this medication is necessary.

Hint : Discoloration of tears.

Correct Answers:

You should wear glasses instead of contacts while taking this medication

Rationale :

Rifampin can cause discoloration of body fluids, including tears, which can permanently stain contact lenses.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 : A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?

Cheyne-Stokes breathing.

Malignant hypertension

Acetone odor to breath.

Blood glucose level below 40 mg/dL.

Hint : Ketone breath odor.

Correct Answers:

Acetone odor to breath.

Rationale :

Ketoacidosis is characterized by the breakdown of fats, leading to the production of ketones, which can cause an acetone-like odor on the breath.

Distractor Analysis :

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3 : A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the following responses should the nurse give?

This test will inform your provider if you are anemic.

This test will inform your provider if you have an infection.

This test will inform your provider how your kidneys are functioning.

This test will inform your provider if you have a thyroid disorder.

Hint : Kidney function test.

Correct Answers:

This test will inform your provider how your kidneys are functioning.

Rationale :

Serum creatinine levels are used to assess kidney function.

Distractor Analysis :

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4 : A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round off the answer to the nearest whole number.). Use a leading zero if it applies. (Do not use a trailing zero.)

Hint : Simple dosage calculation.

Correct Answers:

Rationale :

100 mcg ÷ 50 mcg/tablet = 2 tablets.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 : A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

You should wear glasses instead of contacts while taking this medication

A yellow tint to the skin is an expected reaction to the medication.

Lifelong treatment with this medication is necessary.

The medication causes amenorrhea if taken along with an oral contraceptive.

Hint : Discoloration of tears.

Correct Answers:

You should wear glasses instead of contacts while taking this medication

Rationale :

Rifampin can discolor tears, staining contact lenses.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 : A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Confusion.

Urinary retention.

Incontinence.

Low back pain.

Hint : UTI in elderly.

Correct Answers:

Confusion.

Rationale :

Older adults with UTIs often present with confusion rather than typical symptoms like dysuria.

Distractor Analysis :

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7 : A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?

Frothy sputum.

Dependent edema.

Jugular distention.

Nocturnal polyuria.

Hint : Pulmonary edema symptom.

Correct Answers:

Frothy sputum.

Rationale :

Left-sided heart failure can cause pulmonary edema, leading to frothy sputum.

Distractor Analysis :

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8 : A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Orange juice.

White rice.

Corn flakes cereal.

Watermelon.

Bananas.

Hint : High potassium foods.

Correct Answers:

Orange juice.
Watermelon.
Bananas.

Rationale :

These foods are high in potassium, which should be limited in chronic kidney disease.

Distractor Analysis :

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9 : A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.). Use a leading zero if it applies. (Do not use a trailing zero.)

Hint : Simple dosage calculation.

Correct Answers:

Rationale :

30 mg ÷ 50 mg/mL = 0.6 mL.

Distractor Analysis :

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10 : A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L Which of the following medications should the nurse expect the provider to prescribe?

Potassium iodide.

Lactulose.

Sodium polystyrene sulfonate.

Acetylcysteine.

Hint : Treats high potassium.

Correct Answers:

Sodium polystyrene sulfonate.

Rationale :

This medication is used to treat hyperkalemia (high potassium levels).

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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