ATI MED SURGE PROCTORED EXAM 2019 FORM B

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A nurse is providing teaching to a client who has AIDS. Which of the following statements by the client indicates an understanding of the teaching?

“I should clean my toothbrush in the dishwasher once a month.”
“I should eat more fresh fruit and vegetables.”
“I will avoid drinking a glass of cold liquid that has been standing for 30 minutes.”
“I will take my temperature once a day.”
I will take my temperature once a day.

A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. The nurse should identify that which of the following client actions indicates an understanding of the teaching?

Breathing in rapidly while administering the medication
Washing the plastic case and cap of the inhaler in the dishwasher
Holding breath for 10 seconds after inhaling
Waiting 15 seconds between puffs, if two puffs are required
Holding breathe 10 secs after inhaling

A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)?

Creatine kinase (CK-MB) 85 units/L

High-density lipoprotein (HDL) 65 mg/dL

Alanine aminotransferase (ALT) 28 units/L

Troponin I 8 ng/mL

Troponin 18

A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following findings should the nurse report to the provider?

The client’s urinary output has increased.

The client reports back pain.

The client’s urine color is red tinged.

The client’s BUN is 18 mg/dL.

The client reports back pain

A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following statements by the client indicates understanding of the teaching?

“I will eat a salad at least once each day to increase my intake of vitamin K.”
“I can work in my flower garden as long as I wear gardening gloves to cover my skin.”
“I will no longer floss my teeth after brushing my teeth.”
“I can sip on a glass of juice for at least 2 hours before I should discard it.”
I will no longer floss my teeth after brushing

A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include?

Flex the affected arm when ambulating.

Numbness can occur along the inside of the affected arm.

Begin active range-of-motion exercises 1 day after surgery.

Dress in clothing that fits snugly.

numbness can occur along the inside of the affected arm

A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include?

Flex the foot every hour when awake.
Place a pillow under the knee when lying in bed.
Lower the leg when sitting in a chair.
Ensure the leg is abducted when resting in bed.
Flex the foot every hour when awake

A nurse is providing education to a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

Begin taking glucosamine supplements.
Walk for 30 min four times per week.
Jog for 15 min two times per week.
Avoid taking over-the-counter calcium supplements.
walk for 30 mins 4x a week

We have an expert-written solution to this problem!
A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following statements should the nurse make?

“You should accept your body image change before discharge.”

“It is important for you to look at the incisional site when the dressings are removed.”

“I will refer you to community resources that can provide support.”

“The scar will remain red and raised for many years after surgery.”

I will refer you to community resources that can provide support

A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect?

Constipation

Insomnia

Tachycardia

Diaphoresis

constipation

A nurse is caring for a client who has terminal cancer. The client tells the nurse, “I wish I could stop these treatments. I am ready to die.” Which of the following statements should the nurse make?

“Discontinuing with the treatments is your choice if it is your wish to do so.”
“Your daughter is named as your health care surrogate. I will ask her if you can stop them.”
“I will call your spiritual advisor to come in, so you can discuss this with them.”
“Next time you have an oncology appointment, you should ask the oncologist.”
discontinuing treatments is your choice

A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent airway, which of the following nursing interventions is the priority?

Applying oxygen via face mask
Placing the client in Fowler’s position
Administering epinephrine
Initiating an IV infusion of 0.9% sodium chloride
applying oxygen via face mask

A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy?

INR 1
INR 2.5
aPTT 45 seconds
aPTT 90 seconds
inr 2.5

A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. The nurse should explain that applying a TENS unit to the painful area has which of the following effects?

Electrically generated feelings of heat
Cryotherapy for painful areas
A tingling sensation replacing the pain
Realignment of energy flow through meridians
A tingling sensation replacing the pain

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Low urine specific gravity

Hypertension

Bounding peripheral pulses

Hyperglycemia

Low urine specific gravity

A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include?

“You will have an implant placed twice each month for the duration of the treatment.”

“You should remain at least 6 feet away from others between treatments.”

“You should expect to have blood in your urine for a few days after treatment.”

“You will need to stay still in the bed during each treatment session.”

You will need to stay still in the bed during each treatment session.”

prostate (TURP) and notes clots in the client’s indwelling urinary catheter and a decrease in urinary output.

Remove the client’s indwelling urinary catheter.
Irrigate the indwelling urinary catheter.
Clamp the indwelling urinary catheter.
Apply traction to the indwelling urinary catheter.
Irrigate the indwelling urinary catheter

A nurse is assessing a client’s hydration status. Which of the following findings indicates fluid volume overload?

Warm, moist skin
Distended neck veins
Dark amber, odiferous urine
Orthostatic hypotension
Distended neck veins

A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)

Blood pressure
Prescribed medications
Oxygen saturation
BUN
BUN

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?

Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast
Pain that increases with passive movement

A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following statements should the nurse make?

“Ginkgo biloba relieves nausea for people who have vertigo.”
“Taking ginkgo biloba will help relieve your joint pain.”
“Ginkgo biloba can cause an increased risk for bleeding.”
“Taking ginkgo biloba decreases the risk of migraine headache.”
“Ginkgo biloba can cause an increased risk for bleeding.”

A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The client is agitated and is attempting to remove their IV catheter. Which of the following actions should nurse take to avoid restraining the client?

Check on the client every 2 hr.
Provide a quiet environment with no distractions.
Turn on the television in the client’s room.
Keep the client occupied with a manual activity.
Keep the client occupied with a manual activity.

A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia?

picture of tongue kind of white/yellow
picture of tongue pink with distinct wrinkles
picture of tongue very red
picture of normal looking tongue
This image depicts glossitis, which can indicate pernicious anemia. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. (pic showing 1.5 teeth)

A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the teaching?

Drink 240 mL (8 oz) of water after administration.
Expect results in 4 to 6 hr.
Take this medication before meals to increase appetite.
Reduce dietary fiber intake to improve medication absorption.
Drink 240 mL (8 oz) of water after administration.

A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following interventions should the nurse include in the plan of care?

Keep a lead-lined container in the client’s room.
Limit each visitor to 1 hr per day.
Place a dosimeter badge on the client.
Remove soiled linens from the client’s room each day.
Keep a lead-lined container in the client’s room.

A nurse is receiving report on a client who is postoperative following an open repair of Zenker’s diverticulum. The nurse should anticipate the surgical incision to be in which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A:neck
B:upper quadrant area
C: middle abdomen
D: lower abdomen
A:neck

A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following assessment findings should the nurse report to the provider?

Extremity cool upon palpation
Serosanguineous drainage on the dressing
Capillary refill of 2 seconds
Client report of discomfort when moving toes
Extremity cool upon palpation

A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify which of the following sounds the nurse should document in the client’s medical record by listening to the audio clip. (Click on the audio button to listen to the clip.)

Murmur
S4
Pericardial friction rub
Ventricular gallop
Pericardial friction rub

A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Facial butterfly rash
Bradycardia
Esophagitis
Interstitial fibrosis
Facial butterfly rash

A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following information should the nurse provide?

Kidney donation must come from a living donor.
Immunosuppressive therapy is necessary until the donated kidney begins producing urine.
Hemodialysis is sometimes required following surgery.
Kidney transplant recipients can resume their regular diet following surgery.
Hemodialys is sometimes required following surgery

A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Which of the following instructions should the nurse include in the teaching?

Clean the wound daily with an antiseptic.
Use a donut-shaped pillow when sitting in a chair.
Change position every hour.
Massage the area two times daily.
Change position every hour.

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following information should the nurse include in the teaching?

“Take this medication on an empty stomach.”
“Eczema is an immediate expected adverse effect of this medication.”
“Increase fiber intake to avoid constipation.”
“Monitor your blood pressure monthly.”
“Increase fiber intake to avoid constipation.”

A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer’s disease. Which of the following information should the nurse include in the teaching?

Position tabletop clocks with multi-colored backgrounds throughout the home.
Explain how to complete a task while having the client do the task.
Place a calendar on the wall with days and weeks included.
Create complete outfits and allow the client to select one each day.
Create complete outfits and allow the client to select one each day

A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Which of the following findings is an indication of lung re-expansion?

The chest tube is draining serosanguineous fluid at 65 mL/hr.
The client tolerates gentle milking of the tubing.
Bubbling in the water seal chamber has ceased.
There is tidaling in the water seal chamber.
Bubbling in the water seal chamber has ceased.

A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has just undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of advanced cancer?

Dyspnea
Hemoptysis
Mucus production
Dysphagia
Dyspnea

A nurse is administering packed RBCs to a client. Which of the following assessment findings indicates a hemolytic transfusion reaction?

Anorexia and jaundice
Bronchospasm and urticaria
Hypertension and bounding pulse
Low back pain and apprehension
Low back pain and apprehension

A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Which of the following actions should the nurse take to manage the drain?

Set the wall suction to 80 to 100 mm Hg.
Compress the drain reservoir after emptying.
Allow the drainage to collect on a sterile gauze dressing.
Position the drain below the bed to promote drainage.
Compress the drain reservoir after emptying.

A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Which of the following statements by the client indicates an understanding of the teaching?

“I will wear a badge to measure how much radiation I am receiving.”
“I will remove the markings on my skin after each radiation treatment.”
“I will avoid direct exposure to the sun.”
“I will rinse my mouth with a commercial mouthwash.”
“I will avoid direct exposure to the sun.”

A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client’s condition is improving?

Potassium 3.5 mEq/L
pH 7.28
Glucose 272 mg/dL
HCO3- 14 mEq/L
Glucose 272

A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia?

The client starts to cough.
The client’s heart rate increases.
The client is diaphoretic.
The client’s blood pressure decreases.
The client’s heart rate increases.

A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching?

“I will take my iron with a glass of milk.”
“I will take an antacid with my iron.”
“I will limit my intake of red meat.”
“I will eat more high-fiber foods.”
“I will eat more high-fiber foods.”

A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. For which of the following adverse effects should the nurse instruct the client to notify the provider? (Select all that apply.)

Night sweats
Calf pain
Vaginal dryness
Numbness in the arms
Intense headache
Calf pain
Numbness in the arms
Intense headache

A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer?

240 mL (8 oz) of orange juice
1 ampule of 50% dextrose IV bolus
NPH insulin 60 units subcutaneous
Regular insulin 20 units IV bolus
Regular insulin 20 units IV

A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should identify the need to revise the plan for which of the following clients?

A client who is taking potassium supplements, has a potassium level of 3.2 mEq/L, and reports constipation
A client who has Alzheimer’s Disease (AD), has a room near the nurse’s station, and is agitated
A client who is postoperative following abdominal surgery and reports feeling that something “popped” when they coughed
A client who has a conductive hearing loss, speaks softly, and is scheduled for a cerumen removal
A client who is postoperative following abdominal surgery and reports feeling that something “popped” when they coughed

A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Obtain a sputum specimen to determine if there is colonization.
Bathe the client using chlorhexidine solution.
Place the client in droplet isolation.
Restrict visits from the client’s friends and family.
Bathe the client using chlorhexidine solution.

A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client’s initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging?

Heart rate 110/min
Blood pressure 160/70 mm Hg
Respiratory rate 14/min
Temperature 38.4° C (101.1° F)
Heart rate 110/min

A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority?

Report of sore throat
Report of memory loss
Alopecia
Mucositis
Report of sore throat

A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse’s priority to report to the provider?

Temperature 37.2° C (99° F)
Blood pressure 100/70 mm Hg
Weight loss
Restlessness
Restlessness

A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication?

RBC count 5.2 million/mm3
WBC count 2,000/mm3
Platelets 380,000/mm3
Potassium 4 mEq/L
WBC count 2,000

A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first?

Obtain the client’s vital signs.
Describe the blood transfusion procedure to the client.
Check for the type and number of units of blood to administer.
Initiate a peripheral IV line.
Check for the type and number of units of blood to administer

A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

“Older adult clients might require up to 6 grams of acetaminophen over 24 hours for effective pain control.”
“Ibuprofen can cause gastrointestinal bleeding in older adult clients.”
“Meperidine is the medication of choice for older adult clients experiencing severe pain.”
“Older adult clients taking oxycodone are at risk for diarrhea.”
“Ibuprofen can cause gastrointestinal bleeding in older adult clients.”

A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take?

Document that depolarization has occurred.
Increase the pacemaker’s voltage.
Decrease the pacemaker’s sensitivity.
Check the placement of the ECG leads.
Document that depolarization has occurred.

A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, “Last week I crashed my car because my vision suddenly became blurry.” Which of the following actions is the nurse’s priority?

Check the client’s neurologic status.
Document the client’s statements.
Prepare the client for a CT scan.
Teach the client about using safety precautions for falls.
Check the client’s neurologic status.

A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
24

A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority?

Use pillows to support the client’s head and neck.
Offer opioid medication.
Place a tracheostomy tray at the bedside.
Place the client in semi-Fowler’s position.
Place trach tray at the bedside

A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan?

Encourage the client to take deep breaths after the procedure.
Assist the client to hold their arms up during the procedure.
Instruct the client to remain NPO after midnight prior to the procedure.
Keep the client on bed rest for 8 hr following the procedure.
Encourage the client to take deep breaths after the procedure

A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first?

“This measures how much blood my heart is pumping.”
“This identifies if I have a defective heart valve.”
“This identifies if the pacemaker cells of my heart are working properly.”
“This measures the blood circulating to my heart muscle.”
Scan the bladder with a portable ultrasound.

A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse’s priority?

Moderate serosanguinous drainage on the dressing
Calcium 9.5 mg/dL
Temperature 38.9° C (102° F)
Decreased bowel sounds
Temperature 38.9° C (102° F)

A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? (Select all that apply.)

Follow a smoking cessation program.
Maintain an appropriate weight.
Eat a low-fat diet.
Increase fluid intake.
Decrease intake of complex carbohydrates.
Follow a smoking cessation program
Maintain an appropriate weight
Eat a low-fat diet

A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation?

Elevated blood pressure
Dehydration
Stress ulcers
Hypernatremia
Stress ulcers

A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain?

Increase intake of foods containing calcium.
Alternate application of heat and cold to the affected joints.
Keep the affected extremities elevated.
Limit movement of the affected joints.
Alternate application of heat and cold to the affected joints.

A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect?

Painless ulcerations on the ankles
Hair loss on the lower legs
No extremity pain when resting
Rubor with elevation of the extremity
Hair loss on the lower legs

A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching?

“I will need to take antibiotics for 1 year.”
“My partner will need to take an antiviral medication.”
“My joints ache because I have Lyme disease.”
“I bruise easily because I have Lyme disease.”
My joints ache because I have Lyme disease

A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following statements by the client reflects an understanding of the teaching?

“This measures how much blood my heart is pumping.”
“This identifies if I have a defective heart valve.”
“This identifies if the pacemaker cells of my heart are working properly.”
“This measures the blood circulating to my heart muscle.”
“This identifies if the pacemaker cells of my heart are working properly.”

A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Which of the following actions should the nurse take? (Select all that apply.)

Restrain the client.
Prepare to suction the client’s airway.
Insert a tongue blade in the client’s mouth.
Raise the head of the client’s bed to a semi-Fowler’s position.
Loosen restrictive clothing on the client.
Loosen restrictive clothing on the client.
Prepare to suction the client’s airway.

A nurse is admitting a client who has active tuberculosis. Which of the following types of transmission precautions should the nurse initiate?

Airborne
Droplet
Contact
Protective environment
Airborne

A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Which of the following instructions should the nurse include in the teaching?

Take a calcium antacid before meals and at bedtime.
Consume at least 30 g of fiber daily.
Take a stimulant laxative daily.
Consume no more than 1,000 mL of water per day.
Consume at least 30 g of fiber daily.

A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Which of the following findings should the nurse report to the provider immediately?

Stridor
Oral secretions
Hoarseness
Sore throat
Stridor

A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Which of the following statements by the client indicates an understanding of the teaching?

“I can expect to have blood in my urine during the first week of injections.”
“I will floss my teeth after each meal.”
“I will gently massage the site after I inject my medication.”
“I will use an electric razor to shave.”
I will use an electric razor to shave

A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care?

Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period.
Assist the client to start arm exercises 48 hr after surgery.
Maintain the right arm in an extended position at the client’s side when in bed.
Place the client in a supine position for the first 24 hr after surgery.
Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period.

A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client?

“Wear an eye patch over one eye.”
“Make sure to have a staff member walk on your stronger side.”
“Scan the environment by turning your head from side to side.”
“Make sure to look at your feet while walking.”
Scan the environment by turning your head from side to side.”

A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?

Flush the line before administering antibiotics.
Position the client in Trendelenburg to obtain measurements.
Have the client bear down when readings are obtained.
Place a pressure bag around the flush solution.
place a pressure bag around the flush solution

A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care?

Explain procedures as they occur to the client.
Place personal items, such as pictures, at the client’s bedside.
Orient the client to their location once a shift.
Encourage the family members to remain home until the client has adjusted.
Place personal items, such as pictures, at the client’s bedside.

A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which of the following disorders presents the greatest risk to this group of clients?

Multiple sclerosis
Skin cancer
Urolithiasis
Hypertension
Hypertension

A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings from the client’s medical record should indicate to the nurse the need to withhold the medication and notify the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)

WBC count
Temperature
Blood pressure
Serum creatinine
Serum creatinine

A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following information should the nurse include in the instructions?

Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
The contagious period generally lasts for 6 to 8 weeks after the initiation of medication therapy.
Family members should follow airborne precautions at home.
A follow-up tuberculosis skin test is necessary in 2 months.
Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.

A nurse is providing education to a client who has tuberculosis (TB) and their family. Which of the following information should the nurse include in the teaching?

After 1 week of medication, TB is no longer communicable.
Dispose of contaminated tissues in a paper bag.
Airborne precautions are necessary in the home.
Family members in the household should undergo TB testing.
Family members in the household should undergo TB testing.

A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Which of the following instructions should the nurse include in the plan of care?

Secure the straps firmly around the boot.
Remove the device before showering.
Use crutches with rubber tips.
Adjust the screws to maintain alignment.
Use crutches with rubber tips.

A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. Which of the following statements should the nurse make?

“Acupuncture is not an approved treatment for cancer pain.”
“I can speak to the provider about incorporating acupuncture into your treatment plan.”
“I will ask the provider to prescribe a stronger medication to help ease your pain.”
“I can contact a family member or spiritual advisor for you to speak with.”
“I can speak to the provider about incorporating acupuncture into your treatment plan.”

A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. The nurse should identify that which of the following values is an indication of an adverse effect of the medication?

Potassium 4.8 mEq/L
Magnesium 1.7 mEq/L
BUN 34 mg/dL
Hematocrit 45%
BUN 34 mg/dL

A nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the following actions should the nurse anticipate taking?

Administer an antihistamine.
Slow the infusion rate.
Give the client a corticosteroid.
Elevate the client’s lower extremities.
Slow the infusion rate

A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider?

Sedimentation rate
Hematocrit
Calcium
Acid phosphatase
Sedimentation rate

A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
1-AdminiSTER o2
2-Initiate IV therapy
3-Insert an NG tube
4-Administer ranitidine

A nurse is teaching a client about osteoporosis prevention. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis?

Conjugated estrogens
Enalapril
Prednisone
Colchicine
Prednisone

A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect?

PaCO2 56 mm Hg
pH 7.38
HCO3- 24 mEq/L
PaO2 90 mm Hg
PaCO2 56 mm Hg

A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)?

Temperature 38.9° C (102° F)
Systolic blood pressure 70 mm Hg
Heart rate 52/min
Respiratory rate 8/min
Heart rate 52/min

A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy?

Shellfish
Peanuts
Avocados
Eggs
Avocados

A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider?

Hydrocodone
Bupropion
Lactulose
Warfarin
Warfarin

A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following findings should the nurse report to the provider as an adverse effect of this medication?

Decreased heart rate
Crackles heard on auscultation
Increased urinary output
Decreased deep tendon reflexes
Crackles heard on auscultation

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following actions should the nurse take?

Check the client’s blood glucose according to facility mealtimes.
Contact the provider to clarify the prescription.
Request for meals to be provided for the client.
Hold the prescription until the client is no longer NPO.
Contact the provider to clarify the prescription.

ATI ADVANCED MED SURG PROCTORED 2019 EXAM GUIDE1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the followingnursing statements is appropriate?a. “large incisions will be made in the eschar to improve circulation”b. “ I can call the doctor back here if you want me to”c. “a piece of skin will be removed and grafted over the burned area”d. “dead tissue will be surgically removed”2. A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids is used in the first 24 hours following a burn injury?a. 5% dextrose in waterb. 5% dextrose in normal salinec. normal salined. lactated ringers3. A nurse is caring for a client who has full-thickness burns all over 75% of hisbody. Which of the following methods is appropriate to accurately monitor thecardiovascular system?a. auscultate cuff blood pressureb. palpate pulse pressurec. obtain a central venous pressured. monitor the pulmonary artery pressure4. A nurse is assessing the depth and extent of a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the first priority when assessing the severity of the burn?a. Age of the clientb. Associated medical historyc. Location of the burnd. Cause of the burn5. A client arrives at the emergency dept following an explosion at the chemical plant. He has deep partial and full-thickness chemical burns over more than 25 % of his body surface area. What is the nurse’s priority intervention?a. Initiate fluid resuscitationb. Medication for painc. Administer antibiotics
d. Maintain a patent airway6. A nurse is caring for a client who came the emergency dept reporting chest pain.The provider suspects a myocardial infarction. While waiting for the laboratory toreport the client’s troponin levels, the client asks what this blood test will show.The nurse should explain that troponin isa. An enzyme that indicates damage to brain, heart, and skeletal muscle tissuesb. A protein whose levels reflect the risk for coronary artery diseasec. A heart muscle protein that appears in the bloodstream when there isdamage to the heartd. A protein that helps transport oxygen throughout the body7. A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following should the nurse expect in the findings?a. Excessive thrombosis and bleedingb. Progressive increase in platelet productionc. Immediate sodium and fluid retentiond. Increased clotting factors8. A nurse is about to administer warfarin (Coumadin) to a client who has atrial fibrillation. When the client asks what his medication will do, which of the following is an appropriate nursing response?a. It helps convert atrial fibrillation to sinus rhythmb. Is dissolves clots in the bloodstreamc. It slows the response of the ventricles to the fast atrial impulsesd. It prevents strokes in clients who have atrial fibrillation9. A nurse in a cardiac care unit is caring for a client with acute heart failure. Which of the following findings should the nurse expect?a. Decreased brain natriuretic peptide (BNP)b. Elevated central venous pressure (CVP)c. Decreased pulmonary pressured. Increases urinary output10. A client comes into the ED reporting nausea and vomiting that worsens when lying down and without relief from antacids. The provider suspects acute pancreatitis. Which of the following lab test results should the nurse expect to see if the client has acute pancreatitis?a. Decreased WBC
b. Increased serum amylasec. Decreased serum lipased. Increased serum calcium11. A nurse in the ICU is caring for a client who has acute respiratory distress syndrome (ARDS) and is receiving mechanical via an endotracheal tube. The provider plans to extubate her within the next 24 hour. Which of the following is an important criterion for extubating the client?a. Ability to cough effectivelyb. Adequate tidal volume without manually assisted breathsc. No indication of infectiond. No need for supplemental oxygen12. A nurse is caring for a client following a CT scan with dye who suffered from an anaphylactic reaction. Which of the following conditions requires a priority nursing response?a. urticariab. stridorc. tachypnead. angioedema13. A nurse is caring for a female client who came in to the ED reporting SOB and pain in the lung area. Her heart rate is 110/min, resp. rate 40/min, and blood pressure 140/80 m8juiimHg. Her arterial blood gases are: pH 7.5, PaCO2 29 mmHg, PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the priority intervention?a. Prepare for mechanical ventilationb. Administer oxygen via face maskc. Prepare to administer a sedatived. Monitor for pulmonary embolism14. A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations indicate a complication that requires notifying the provider immediately?a. Serosanguineous drainage from the puncture siteb. Discomfort at the puncture sitec. Increased heart rated. Decreased temperature15. A group of college students was attending a weekend football rally when one of the students stumbled and fell into the bonfire. Although several friends quickly
intervened, the client sustained partial-thickness burns to both lower legs, chest, and both forearms. Which of the following is priority nursing action when the client is brought to the ED?a. cover the burned area with sterile gauzeb. inspect mouth for signs of inhalationc. administer intravenous pain medicationd. draw blood for a CBC16. A triage nurse in an emergency dept is caring for a client who has gunshot wound to the right side of chest. The nurse notices thick dressing on the chest and sucking noise coming from the wound. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take initially?a. Raise the foot of the bed to a 90 degree angleb. Remove the dressing to inspect the woundc. Prepare to insert a central lined. Administer oxygen via nasal cannula17. A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client’s heart rate increases from 86/min to 110/min and becomes irregular. The nurse should know that the client requires which of the following?a. A cardiology consultb. Less frequent suctioningc. An antidysrhythmic medicationd. Pre-oxygenation prior to suctioning18. The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate of 100 mL/hr. The client begins to complain of low back pain and headache and is increasingly restless. What is the first nursing action?a. Stop the transfusion, disconnect the blood tubing, and begin aprimary infusion of normal saline solutionb. Slow the infusion and evaluate the vital signs and the client’s history of tranfusion reactionsc. Slow the infusion of blood and begin infusion of normal saline solution from the Y connector.d. Recheck the unit of blood for correct identification numbers and crossmatch information19. A client with a diagnosis of disseminated intravascular coagulation (DIC) has the following assessment findings: blood pressure of 76/56, temperature 102.6
degrees, resp. 24 breath/min., with complaints of severe neck and back pain. Which nursing action should the nurse implement first?a. Administer acetaminophen (Tylenol) PO.b. Administer ibuprofen (Motrin) PO.c. Draw coagulation study blood work in the AMd. Give morphine sulfate IV20. The nurse administering albuterol (Proventil) via a metered-dose inhaler (MDI) to a client who has a history of coronary artery disease is now in congestive heart failure. What side effects will be particularly important to observe for when the client takes the medication?a. Tremors and central nervous system stimulationb. Tachycardia and chest discomfortc. Development of oral candidiasisd. An increase in blood pressure21. The nurse is assessing a client who is on a ventilator and has an endotracheal tube in place. What data confirms that the tube has migrated too far into the trachea?a. Decreased breath sounds are heard over the left side of the chestb. Increased rhonchi are present at the lung bases bilaterallyc. Ventilator pressure alarm continues to soundd. Client is able to speak and coughs excessively22. What is the desired action of dopamine (Intropin) when administered in the treatment of shock?a. It increases myocardial contractilityb. It is associated with fewer severe allergic reactionsc. It causes rapid vasodilation of the vascular bedd. It supports renal perfusion by dilation of the renal arteries23. The nurse is monitoring an IV infusion of sodium nitroprusside (Nirpride). Fifteenminutes after the infusion is started, the client’s BP goes from 190/120 mm Hg to 120/90 mm Hg. What is the priority nursing action?a. Recheck the BP and call the doctorb. Decrease the infusion rate and recheck the blood pressure in 5minutesc. Stop the medication and keep the IV open with D5W.d. Assess the client’s tolerance of the current level of BP

24. Norepinephrine (Levophed) has been ordered for a client in hypovolemic shock. Before administering the drug, the nurse should make sure that the client has:a. A heart rate of less than 120 beats/minb. Urine output of at least 30 mL/hr.c. Received adequate anticoagulationd. Been receiving adequate IV fluid replacement25. The client returns to his room after a thoracotomy. What will the nursing assessment reveal if hypovolemia from excessive blood loss is present?a. CVP of 3 cm H20 and urine output of 20 mL/hrb. Jugular vein distention with the head elevated 45 degreesc. Chest tube drainage of 50 mL/hr in the first 2 hoursd. Persistent increased BP and increased pulse pressure26. The nurse is performing an assessment and finds the client has cold, clammy skin, pulse of 130 beats/min and weak, blood pressure of 84/56 mm Hg, and urinary of 20 mL for the past hour. The nurse would interpret these findings as suggestive of which pathophysiology?a. Reduction of circulation to the coronary arteries, this increasing the preloadb. Decreased glomeruli filtration rate, resulting in volume overloadc. Stimulation of the sympathetic nervous system, causing severe vasoconstrictiond. Decrease in the cardiac output and inadequate tissue perfusion27. The nurse applies a Nitro-Dur patch on a client who has undergone cardiac surgery. What nursing observation indicates that a Nitro-Dur patch is achieving the desired effect?a. Chest pain is completely relievedb. Client performs activities of daily living without chest painc. Pain is controlled with frequent changes of patchd. Client tolerates increased activity without pain28) The V/S of a client with Cardiac disease are as follows: BP 102/76 mm/hg, Pulse 52, RR 16. Atropine is administered IV push. What nursing assessment indicates a therapeutic response to the medication?
    A. Pulse rate has increased to 70 beats/minB. systolic BP has increased by 20C. pupils are dilatedD. oral secretions have decreased29) An older adult client comes into ER stating that he has no appetite, is nauseated, his heart feels funny and has noticed a haziness in his vision. The client states that he has been taking an antihypertensive drug and digitalis for more than a year.Based on the presenting symptoms, what would be the priority nursing action?A. Obtain an order for an EKG and serum potassium and digitalis levelsB. Perform a neurological assessment to determine whether he has one side weakness.C. Assess lungs for decreased breath sounds and/or adventitious breath sounds.d. Obtain an order for an EKG30) the nurse is administering alteplase to a client who has been diagnosed with acute coronary syndrome. What are important nursing implications for this medication?A. Monitor the ECG for dysrthymiasB. Place the client on bleeding precautionsC. monitor urine output hourlyD. Monitor for activity tolerance31) The nurse is caring for a client who underwent cardiac catheterization 1 hour ago. What is an important nursing measure at this time?A. Measure urinary output hourly and maintain continuous cardiac monitoringB. Encourage client to perform slow pressure exercise of the affected side to promote circulation.C. Maintain pressure over catheter insertion site and determine distalcirculation status.D. Evaluate apical pulse and determine presence of pulse deficit.32. The nurse in a cardiac stepdown unit has received a hand-off shift report for these clients. Which client should be assess first?A. a client who has just returned from a coronary artierogram with placementof an intracoronary stent.B. A client who is in heart failure and has gained 2 pnds in the last 24 hours.C. a client with endocarditis who has temperature elevation of 100F and P 100 beats/min
    D. A client who was cardioverted from atrial fib 24 hours ago and has had 3 atrial premature33) What ECG changes would reflect myocardial ischemia in a client who has been admitted for observation after experiencing an episode of chest pain?A. Prolonged PR intervalB. Wide QRS complexC. ST- Segment elevation or depressionD. Tall, peak T-waves34) A new employee at a facility needs a hepatitis vaccine. Which statement reflects accurate understanding of the immunization?A. I need to get 6 shots of hep CB. Once I receive the Hep vaccine I will always been immuneC. I will receive 3 injections over a period of months, which should protect mefrom hep BD. Hep vaccine is an oral vaccine with live attenuated Virus35) While talking with a client with a diagnosis of end stage liver disease. The nurse notices the client is unable to stay awake and seems to fall asleep in the middle of a sentence. The nurse recognizes these symptoms to be indicative of what condition?A. HyperglycemiaB. Increased Bile productionC. Increased blood ammonia levelsD. Hypocalcaemia36) The nurse is caring for a client with chronic hep B. What will the teaching plan for this client include?A. use a condom for sexual intercourseB. Report any clay- colored stools.C. Eat a high protein dietD. Perform daily urine bilirubin checks37. A patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which finding by the nurse will help confirm a diagnosisof neurogenic shock?a. cool clammy skinb. inspiratory cracklesc. apical heart rate of 48 beats/mind. temperature 101.2* F
25. A patient with septic shock has a urine output of 20 mL/hr for the past 3 hours.The pulse rate is 120 and the central venous and pulmonary artery wedge pressureare 4. Which of these orders by the health care provider will the nurse question?a. Give furosemide (Lasix) 40 mg IVb. increase normal saline infusion to 150 mL/hrc. Administer hydrocortisone (SoluCortef) 100 mg IVd. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr39. After receiving 1000 mL of normal saline, the central venous pressure for a patient who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate the administration of which of the following?a. Nitroglycerin (Tridil)b. Sodium nitroprusside (Nipride)c. Drotrecogin alpha (Xigris)d. Norepinephrine (Levophed)40. Which of these findings is the best indicators that the fluid resuscitation for a patient with hypovolemic shock has been successful?a. hemoglobin is within normal limitsb. Urine output is 60 mL over the last hourc. Pulmonary artery wedge pressure (PAWP) is 10 mmHgd. Mean arterial pressure (MAP) is 55 mm Hg41. Which interventions will the nurse include in the plan of the care for a patient who has cardiogenic shock?a. Avoid elevating head of bedb. Check temperature every 2 hoursc. Monitor breath sounds frequentlyd. Assess skin for flushing and itching42. Which assessment is most important for the nurse to make in order to evaluate whether treatment of a patient with anaphylactic shock has been effective?a. Pulse rateb. Orientationc. Blood pressured. Oxygen saturation
26. When caring for the patient who has septic shock, which assessment finding is most important for the nurse to report to the health care provider? (TB ch.67 Q.17)a. BP 92/56 mm Hgb. Skin cool and clammyc. apical pulse 118 beats/mind. Arterial oxygen saturation 91%44. During change-of-shift report, the nurse learns that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which findings is most important for the nurse to report to the HCP?a. Decreased bowel soundsb. Apical pulse 110 beats/minc. Pale, cool, and dry extremitiesd. New onset of confusion and agitation45. A patient is admitted to the burn unit with burns the upper body and head after agarage fire. Initially, wheezes are heard, but an hour later, the lung sounds are decreased ad no wheezes are audible. What is the best action for the nurse to take?a. encourage the patient to cough and auscultate the lungs againb. Notify the HCP and prepare for endotracheal intubationc. Document the results and continue to monitor the patient’s resp. rated. Reposition pt in high-Fowler’s position and reassess breath sounds46. During the emergent phase of burn care, which nursing action will be most useful in determining whether the patient is receiving adequate fluid infusion?a. Check skin turgorb. Monitor daily weightc. Assess mucous membranesd. Measures hourly urine output47. After receiving change-of-shift report, which of these patients should the nurse assess first?a. A patient with smoke inhalation who has wheezes and altered mentalstatusb. A patient with full-thickness leg burns who has a dressing change scheduledc. A patient with abdominal burns who is complaining of level 8 (0 to 10 scale) pain.d. A patient with 40% total body surface area (TBSA) burns who is receiving IV fluids at 500 mL/hr
27. The RN observes all of the following actions begin taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene?a. The nurse uses latex gloves when applying antibacterial cream to a burnwoundb. The float nurse obtains burn cultures when the patient has a temp of 101* Fc. The float nurse administers PRN fentanyl (Sublimaze) IV to a pt 5 minutes before a dressing changed. The float nurse calls the health care provider for an insulin order when a nondiabetic pt has an elevated serum glucose49) A client with cervical neck fracture is admitted to the intensive care unit. Which findings would the nurse recognize as indicative of spinal shock?A. Spastically, neuromuscular irritability, hyperreflexiaB. Flaccidity and lack of sensation below the level of spinal cord lesion.C. Automatic dysreflexia with neurogenic bladder symptomsD. Muscular spasticity and loss of motor reflexes in all parts of the body below the level of spinal cord lesion.****know T2-T3: paraplegic **50) A client with T6 spinal cord injury is being discharged. The PT is concerned about autonomic dysreflexia. S/S include the following:A. Dialited pupilsB. Sudden vomiting and diarrheaC. drop in BP and pulseD. Diaphoresis above the level of the lesion51) A woman has been recently diagnosed with systemic lupus and shares with the nurse, I want to get pregnant, but I don’t know how I will tolerate pregnancy becauseI have lupus. Which response is best?A. Most women find that they feel better when they are pregnantB. How long have you been in remission?C. Women with lupus frequently have slightly longer gestationD. Its best to become pregnant within the first 6 months of diagnosis52. The nurse is assessing the patency of an arteriovenous fistula and suspects clotting in the fistula if which finding are noted? Select all that applyA. presence of a thrill on palpation over the fistulaB. Absence of a bruit on auscultation over the fistula
    C. Presence of a pulse in the extremity below the fistulaD. Complaints of tingling or discomfort in the extremityE. Warm hand and fingers in the extremity in which the fistula is located.53. Epoetin alfa (Epogen) is prescribed for a client diagnosed with chronic renal failure. The client asks the nurse about the purpose of the medication. The appropriate response would be which of the following?A. It is used to lower your blood pressureB. It is used to treat anemiaC. It will help to increase the potassium levels in your bodyD. It is an anticonvulsant medication given to all clients after dialysis to prevent seizure activity.54. A client with and ECG reading showing sinus bradycardia has a blood pressure of 47/28 mmhg. Which drugs does the nurse expect the physician to order for this client?A. Lidocaine (Xylocaine)B. Atropine sulfateC. Isoproterenol hydrochloride (Isuprel)D. Epinephrine55. Chemical cardioversion is prescribed for the client with atrial fibrillation. The nurse who is assisting in preparing the client would expect that which medication specific for chemical cardioversion will be needed?A. NitroglycerinB Nifedipine (Procardia) C Lidocaine (Xylocaine)D. Amiodarone (Cordarone)56. A nurse assesses a comatose, head-injured client and finds flexion of the arms,wrists, and fingers and adduction of the upper extremities. Which of the followingdescribes these findings?A. StrokeB. Epileptic SeizureC. Decorticate posturingD. Decerebrate posturing57. The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?A Confirm that the ventilator settings are correct B Verify that the ventilator alarms are functioning properlyC. Assess the respiratory status and pulse oximeter reading.D Monitor the clients arterial blood gas results.58. The low-pressure alarm sounds on a ventilator. A nurse assesses the client and then attempts to determine the cause of the alarm. The nurse is unsuccessful in determining the cause of the alarm and takes what initial action?A. Administer oxygenB. Checks the client’s vital signsC Ventilates the client manuallyD. Starts cardiopulmonary resuscitation59. The client is admitted to the ED with chest trauma. Which signs/symptoms would the nurse expect to assess that supports the diagnosis of pneumothorax?A. Bronchovesicular lung sounds and friction rubB Absent breath sounds and tachypneaC Nasal flaring and lung consolidationD Symmetrical chest expansion and bradypnea.60. A nurse is planning care for a client with a chest tube attached to a Pleur-Evac drainage system. The nurse includes which interventions in the plan? Select all that applyA. Clamping the chest tube intermittentlyB. Changing the client’s position frequentlyC. Maintaining the collection chamber below the client’s waistD. Adding water to the suction control chamber as it evaporates.E Taping the connection between the chest tube and the drainagesystem.61. A client has a total serum calcium level of 7.5 mg/dl. Which clinical manifestations would the nurse expect to note on assessment of the client? Select allA ConstipationB Muscle twitchesC Hypoactive bowel soundsD Hyperactive deep tendon reflexesE Positive Trousseau’s sign and positive Chvostek’s signF. Prolong ST interval and QT interval on ECG62. The client diagnosed with rule-out myocardial infarction is experiencing chest painwhile walking to the bathroom. Which action should the nurse implement first?A. Administer sublingual nitroglycerin.
    B Obtain a STAT electrocardiogramC Have the client sit down immediately D Assess the clien’ts vital signs.63. The nurse is caring for a client diagnosed with ARDS who is on a ventilator. Which interventions should the nurse implement. Select allA Assess the client’s level of consciousnessB Monitor clients urine outputC Perform passive range of motion exerciseD maintain intravenous fluids as orderedE Place the client with the HOB flat64. The nurse is assessing a client experiencing motor loss as a result of a left sided cerebrovascular accident (CVA). Which clinical manifestations would the nurse document?The most common motor dysfunction of a CVA is paralysis of one side ofthe body, hemiplegia; in this case with a left-sided CVA, paralysis would affect the right side. Ataxia is an impaired ability to coordinate movement.65. When teaching a client about the expected outcomes after intravenous administration of furosemide, the nurse would include which outcome?A. Increased blood pressureB Increased urine outputC Decreased pain D Decreased PVCs66. A client arrives at the emergency department with deep partial thickness and burns over 15% of his body. At admission his vital signs are blood pressure 100/50 mm Hg, heart rate 130 beats/minute and respiratory rate 20 breaths/minute. Which nursing intervention are appropriate for this client? Select all that applyA. Starting an IV infusion of lactated Ringers solutionB. Administering 6mg of morphine IVC. Administering tetanus prophylaxis as ordered67. If dietary trays are usually brought to the nursing unit at 8:00am the nurse should plan to administer intermediate- acting insulin (Humlin N) 40 units SQ to the client between?ANSWER- 630am and 700 am68. What ECG changes would reflect myocardial ischemia in a client who has been admitted for observation after experiencing an episode of chest pain?ANSWER- ST segment elevation or depression69. The client with acute renal failure has a serum potassium level of 6.0 mEq/L. The nurse would plan which of the following as a priority action?
    ANSWER- Place the client on a cardiac monitor67. The nurse is caring for a client who underwent cardiac catherization 1 hour ago. What is an important nursing measures at this time?ANSWER- MAINTAIN PRESSURE OVER CATHETER INSERTION SITE AND DETERMINE DISTAL CIRCULATION STATUS.68. A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client’s heart rate increases ??? to 110min and becomes irregular. The nurse should know that the client requires?ANSWER- OXYGENATE PRIOR TO SUCTIONING69. A client comes into the ER with complains of midsternal chest pain radiating to the neck and left arm which is unrelieved by sublingual nitroglygen. An electrocardiogram(ECG) is obtained. What observation on the ECG or on the cardiac monitor would indicate to the nurse the need to immediately notify the physician?A. PR impulse 0.20 secB. Tachycardia rate of 125 beat of prematureC. premature ventricle beatD. An ST segment elevation from the isoelectric baseline.70. A client begins complains of chills and discomfort after about 50ml of blood has packed red blood cells. The best nursing action at this time is toA. Discontinue the transfusion and move the IV and restart IV transfusion at another site.B. compare the VS now and what they were before the transfusion beginC. STOP THE TRANSFUSION AND MAINTAIN A PATENT LINE WITH NORMAL SALINE solution and new tubingD. slow down the transfusion blood and dilute with normal saline solution71. The vital signs of a client with cardiac disease are as follows blood pressure of 103/78 mm Hg, heart rate ??? beats/min, and respiratory rate of 16 breaths/min. Atropine (atropine???? Administered IV push. What nursing assessment indicates a therapeutic response to the medication?ANSWER- Pulse rate has increased to 70 beats/min72. Order rocephen 1g over 30minutes Q6H. Supply 1g/100mL. How many mL per hour will the nurse infuse? Round the nearest whole number.ANSWER- 200 ml/hr73. The nurse is caring for client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40 percent. The 02 saturation
    measured by pulse oximeter was 83 ABG results are pH 7.31, PACO2 93mmHg, HCO3 25 meq/L. Which of the following is an appropriate action by the nurse?ANSWER- POSITION CLIENT IN HIGH- FOWLERS AND ENCOURAGE USE OF INCENTIVE SPIROMETER AND COUGHING.74. The diabetic educator is teaching a class on Diabetes Type 1 and is discussing sick day rules. Which interventions should the diabetes counselor include in the teaching? Select all that applyANSWER-A) Take diabetic medication even if unable to eat the client’s normaldiet. B) If unable to eat, drink liquids equal to the client’s normal diet.D) Test the blood glucose levels and test the urine ketones once a day and keep a record.75. The nurse is monitoring a client receiving pertional dialysis notes that the client’s outflow is less than inflow. What action should the nurse take? Select all that apply?ANSWER- (SELECT ALL ANSWERS EXPCEPT – CONTACT THE HEALTH CARE PROVIDER & INCREASE THE FLOW- DO NOT SELECT THOSE TWO ANSWERS)76. The nurse is obtaining a health history from a client who is visiting the clinic withcomplaints of a severe headache. The client provides the following data to the nurse based on a review of systems. The nurse identifies the following as a modifiable risk for stroke? Select all the apply.A. SMOKINGB. ALCOHOL CONSUMPTIONC. DECREASED PHYSICAL ACTIVITYD. OBESITY77. The nurse is caring for a client diagnosed with ARDS who is on a ventilator. Which intervention should the nurse implement? Select all that applyA. Assess the client’s level of consciousness.B. Monitor the client’s urine outputC. Perform passive range of motion (ROM) exercise.D. Maintain intravenous fluids as ordered.78. The nurse is performing an assessment on a client who has returned from dialysisunit following hemodialysis. The client is complaining of headache, nausea,
    and is extremely restless. Which of the following ?? the most appropriate nursing action?ANSWER- NOTIFY THE PHYSICANS79. The nurse determines that a client with diabetes- mellitus is experiencing fat breakdown for conversion to glucose if the client has elevated levels of which substance in the urine?ANSWER- ketones80. The client is admitted the ED with chest trauma. Which signs and symptoms would the nurse expect to assess that supports the diagnosis of pneumothorax?ANSWER- ABSENT BREATHS SOUNDS TACHYPNEA81. The nurse is caring for hospitalized clients. Which of the following clients is at greatest risk for fluid volume deficit?ANSWER- THE CLIENT WHO HAS JUST BEEN ADMITTED HAS SEVEREDIARRHEA AND IS febrile.82. PT & INR for Coumadin, INR 2.8: continue medication83. Hot spot: apical pulse84. Hot spot: T wave85. Hot spot: P wave86. P wave: atrial depolarization
28. Assessing response in an unconscious patient: nail bed pressure (peripheral)88. HbA1c considerations for about 3 months of glucose monitoringa. less than 6% for nondiabeticb. diabetic controlled should be less than 7%89. Sengstaken-Blakemore tube prevents bleeding (esophageal varices)a. Triple lumenb. Have scissors at the bedsidec. Provide oral and nasal care every 3 hoursd. Used to reduce bleeding90. Planning rehabilitation for a stroke patienta. Assess functional status before developing plani. Walking, speaking, eating, ADLs91. Cranial nerve II: Snellen test92. T2-T3: Paraplegia93. ICP: no lumbar puncture94. A nurse observing a close chest tube drainage system is postop 1 day thoracotomy? Continue bubbling in the suction chamber?A. check the control outlet against the wallB. observe all the connection tubingC. Continue to monitor client respiratory statusD. Notify MD of the oxidation95. A client admit to hospital report recurrent flank pain, nausea, and vomiting within 24 hours. Which of the following priority nursing action?A. Administered pain medicationB. Monitor intake and outputC. Administered antiemeticsD. Strain urine96. A nurse is caring for client who have type 1 DM. The nurse misread client morningblood glucose level at 210 mg/dL instead of 120 mg/dL base on this error. She admitted insulin dose of 200 mg/dL before client breakfast. Which of the nursing priority?
    Monitor client for hypoglycemia97. A nurse is caring a client who is schedule of colonoscopy. The client ask the nurse if there will be a lot of pain during procedure. Which of the following is appropriate nursing response?A. No, you shouldn’t feel any pain because your rectum will be anesthesiaB. You may be sedated but you will feel discomfort during the instrumentinsertionC. Don’t worry ??D. ???98. A nurse is performing teaching for client who have recently diagnosis type 2 DM. nurse should recognize that the client understood the teaching. Identify hypoglycemia?Select allA. Moist, clammy skinB. TachycardiaC. PolyuriaD. PolydipsiaE. PolyphagiaF. ???99. A nurse admitted morphine 2 mg IV push after client report pain and evaluate client 15 min. later injection. Which follow adverse effect?A . pain scale level of 6 to 4B. sleepy but arouse when name callC. O2 sat 94%D. RR 8 bpm100.A nurse assess a client who 8 score using the Glasgow coma scale to elevate of consciousness. Describe the score.A. Reflex alert clientB. Need of total nursing caringC. Client in deep comaD. Stable neurological status
29. client low sodium diet and reduce fluid intake to choose lunch.A. Tuna sandwich on wheat bread, can of cocktail fruit, salad, and sodaB. Grill chicken sandwich on white bread, apple, salad, and ice teaC. Grill cheese sandwich, tomato soupD. Ham and bean102.client acute MI. a cardiac enzyme obtain. Cardiac enzyme identify?A. damage to the myocardialB. determine the size MIC. help to determine the location MID. ????104. administered DDAVP to client diagnosis DI. Therapeutic effect1. Specific gravity (1.015)

ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is planning care for a client who has a full-thickness burns on the lower extremities. Which of the following interventions should thenurse include?a) Limit visitation time for client’s children to 40 minutes per dayb) clean the equipment in the client’s room once per weekc)provide a diet of fresh fruits and vegetable for the clientd)apply new gloves when alternating between wound care sitesA nurse is caring for a client who has cancer. The client tells the nurse, “I would prefer to try vitamins and minerals instead of chemotherapy” which of the following responses should the nurse make?a)I have never heard of any holistic treatment that is effectiveb)you should ask your provider about your planc) the best way to treat your cancer is chemotherapy d) tell me what you know about chemotherapyA nurse is planning to teach a client whose provider has prescribed alow purine diet. The nurse should plan to instruct the client that heATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+can include which of the following Foods in his diet (select all thatapply)a)Sardines b)Nutsc)Apricotsd)livere)scallopsNurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a paint scale of 0 to 10. Which of the following interventions should the nurse take?a) Place pillowsl under the clients kneeb)gently massage the area around the clients incision c) apply an ice pack to the clients kneed) perform range of motion exercises to the clients kneeATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who has lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change?a) I will need to have my partner take over shopping for groceries and cooking the meals for usATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)Its going to be difficult to tell my parents I can’t take them to their appointments anymorec) I feel bad that I have to ask my partner to keep the house cleand)These crutches will make it impossible to care for my childA nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?a) adhesive tape b) Latexc)Anestheticsd)povidone iodineA nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to First?a) A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) a client who has left-sided paralysis and slurred speech from a prior stroke c) a client who has thrombocytopenia and reports a nosebleedd) a client who has multiple sclerosis and reports Ataxia and vertigoA nurse is monitoring a client who is receiving two units packed RBC’s. Which of the following manifestation indicates a hemolytic transfusion reaction?a)back painb)Hypertensionc)Chillsd)bradycardiaA nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instruction should the nurse include?a)Use a heating pad to keep your feet warm at nightb) wear loose-fitting slippers around the house c) where cotton rather than nylon socksATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+d) wash your face twice per day with antibacterial soap and hot waterA nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which of the following findings should the nurse identify as a risk factor for the development of the DVTs?a)NSAID useATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) hypertensionc) oral contraceptive used) cirrhosisA nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?a) Remove soiled linens from the room after each changeb) Give the dosimeter badge to the oncoming nurse at the end of the shiftc)Apply a second pair of gloves before touching the client’s implant if it dislodges d) Limit family member visits to 30 min per dayA nurse is providing teaching to a client and his partner aboutperforming peritoneal dialysis at home. When discussingperitonitis, which of the following manifestations should the nurseidentify as the earliest indication of this complication?a)Generalized abdominal painATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)Cloudy effluentc) Increased heart rate d) FeverA nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?a)Pantoprazoleb)Acetaminophen c)Furosemided) DiphenhydramineA nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?a)Provide ketorolac for abdominal painATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) Administer nitroprusside IV based on the client’s weight c) Insert a large bore nasogastric tubed) Ensure that the client has a 22- gauge iv line in placeA nurse is caring for a client who has bladder cancer and a WBCcount of 900/mm3. Which of the following actions should thenurse take?a) Instruct client to avoid eating raw fruitATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) Move the client to a negative pressure roomc)Use contact isolation while providing cared)Apply pressure to venipuncture sites for 10 minA nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia and tachypnea. Which of the following positions should the nurse place the client?a) Reverse Trendelenburgb) Feet elevatedc)Side lyingd)High – fowler’sA nurse is caring for a client who weighs 190 lb and is receiving Total parenteral Nutrition. If the RDA Protein is 0.8g/kg of body weight, how many grams of protein should the client receive daily (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+Answer: 69 gramsA nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions shouldthe nurse include in the plan of care?a)Flush a catheter using a 10 mL syringeb)Use clean technique when changing the dressingc)Cleanse the site with Provo dine iodined)Change the dressing every 24 hoursA nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nursereport to the provider as a contradiction to receiving heparin?a) Thalassemiab) Rheumatoid arthritisc)COPDd)ThrombocytopeniaATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for an older adult client who has dementia. Which of the following question should the nurse ask to assess theclient’s abstract thinking?a)What is meant by saying “don’t beat around the bush?”b)What do you understand about your condition?c)Can you count backwards from 100 in intervals of 7?d) Can you state where you were born?A Nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client’s skin is intact. Which of the following interventions should the nurse include in the plan of care?a)Apply an occlusive dressingb) turn and reposition the client every 4 hours c) support bony prominences with pillowsd) massage Tourette in areas three times dailyATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?a)Progressively longer PR durationsb)undetectable p wavesc)absent PR intervals with ventricular rate of 40 to60 / minutes d) Sawtooth pattern with atrial rate of252 400 / minutesA nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?a)Administer a stool softener following the procedureb) ask the client to empty his bladder prior to the procedurec) instruct the client to take deep breaths and hold them during the procedured) assist the client into the left lateral position during the procedureA nurse is planning a staff education session about hepatitis A.Which of the following information should the nurse include?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a)Immunization for Hepatitis A is recommended prior to travel to high-risk areasb)the incubation. Of hepatitis A is 5 to 10 daysc) hepatitis A is transmitted is Through Blood to blood exposured) clients who have Hepatitis A require a broad-spectrum antibioticA nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?a)Phosphate levelb)glucose levelc) serum troponinATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+d)Serum ammoniaA nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurses priority to include?a)Administer phenytoin IV bolus to the clientb)provide the client oxygen at 6 L / min using a nasal cannula c) turn the client to the lateral position during seizure activityd) administer diazepam intravenously to the clientA nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hipdislocation?a) Elevate the knees higher than the hips when sittingb)remove the wedge device when turningc) encourage the client to lean forward when attempting to stand d) place two bed pillows between the legs when in bedA nurse is caring for a client who is receiving Total parenteral Nutrition (TPN) The crane infusion is almost complete and the new ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+solution is not available which of the following actions should the nurse take?a) Infuse dextrose 10% in waterb) decrease that tpn infusion ratec)disconnect and flush the IV access lined)administer lactated ringers through the peripheral IV siteA nurse is caring for a client who is 6 hours postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?a)Adjust the clamps on the fixator frameb) maintain the affected extremity in a dependent position c) palpate the dorsalis pedis pulsed) rap sterile gauze on the sharp point of the pinsA nurse is caring for a client in the emergency department who experienced a full thickness burn injury to the lower torso 1 hour ago. Which of the following findings should the nurse expect?a)Hypotensionb)BradycardiaATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+c) decrease respiratory rated)urinary diuresisATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is planning care for an older adult client who has Meniere’s disease. Which of the following interventions should the nurse include in the plan?a) Perform range of motion exercises to the client’s neck every 4 hoursb)limited clients fluid intake to 1500 ml / dayc) administer aspirin if the client reports a headache d) encourage the client to change position slowlyA nurse is assessing a client who has a diagnosis on colon cancer which of the following should the nurse expect?a) Statorrheab)Elevated hemoglobin c)Hematocheziad) Weight gainATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is assessing a client admitted with peripheral vascular disease,. Which of the following findings indicates a venous vascular disorder?a) An ulcer at the tip of a toeb) Hair loss distal to the clients calvesc)Leg pain at restd)Edema of the ankleA nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse?a) Pulse pressure changes from 30 to 20 mmhgb) bilateral pupil diameter changes from 4 to 2 mmc) WBC count changes from 9,000 to 16,000 / mm 3 d) Glasgow Coma Scale score changes from 14 to 9ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is administering furosemide 80 mg PO twice-daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?a)Respiratory rate of 24 / minb)adventitious breath soundsc) weight loss of 1.8 kg (4 lb) in the past 24 hoursd)elevation in blood pressureA nurse is preparing to administer furosemide to a client who hasacute heart failure. Which of the following laboratory results shouldthe nurse identify as a contradiction for receiving the medication?a)Creatinine 0.8 mg / DLb)sodium 136 meq/ L c)potassium 3.2 meq / Ld) bzun 18 mg / DLATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should thenurse take?a) Place the dosimeter film badge on a client’s door b) wear a lead apron when providing client carec) leave the door to the clients room opend)allow visitors to hold the clients handA nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months which of the following resultsshould the nurse monitor to determine long-term glycemic control?a)Glycosylated hemoglobin levelb)fasting blood glucose levelc) oral glucose tolerance test resultsd)post-prandial blood glucose levelATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is providing preoperative teaching for a client who is having left-sided cardiac catheterization. Which of the following information should the nurse include in the teaching?a) You should plan to remain in bed for 18 hours after the procedureATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) you will have blood pressure measurement every 5 minutes for the first two hours after the procedurec) You will receive a general anesthetic during the procedured)you should expect warm sensation after the injection of the contrast dye during the procedureA nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client’s condition?a)Bradycardiab)Headachec) heat intolerance d)flushed skin colorA nurse is teaching a client who has a new prescription for Warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following Foods interact with this medication?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a)Kaleb) beef stewc)Yogurtd) orange juiceA nurse is monitoring an older adult client who has an extrapolation ofchronic lymphocytic leukemia. The nurse notes patikayy on the client’sskin which of the following actions should the nurse take?a) Determine the client’s blood typeb)avoid administering IV pain medicationc) Implement airborne precautions d) Institute bleeding precautionsA nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a) I should expect to take my medication for three weeks b) I should apply antibiotic ointment to the lesionsc) I should expect my lesions to resolve in 6 weeksd)I should use natural skin condoms during sexual intercourseATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse in an emergency department is preparing a client foremergency surgery. The client’s blood alcohol level is 180 mg / DLwhich of the following action is the nurse’s priority?a)Insert an NG Tubeb) obtain consent for surgeryc)apply anti embolic stockingsd) insert an indwelling urinary catheterA nurse is preparing to administer two units of packed rbc’s to a client. Which of the following actions should the nurse take?a)Transfuse each unit of blood over five hoursb)change the IV tubing after each unit of blood is transfusedc) administer the blood through a 22 gauge intravenous catheter d) Prime the tubing with 0.9% sodium chlorideA nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH: 7.24 paCO2: 44 mm Hg, paO2 :84 mmHg, HCO3 : 18 meq/ L base excess – 2 and O2 saturation 95% ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+The nurse should include that the client has which of the following acid-base balances ?a)Metabolic alkalosisb) respiratory acidosisc) respiratory alkalosis d)metabolic acidosisA nurse in a provider’s office is teaching a client about the self management of GERD which of the following instruction should thenurse include?a)Lie down 30 minutes after each mealb) sleep with the head of your bed elevated 6 inchesc) increase your caloric intake by 250 calories per dayd)Eat A light meal 1 hour before bedtimeA nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a)Cool, clammy skinb)kussmaul respirationsc) acetone breathd)increased urine outputATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when finding the clients meals?a)Offer hot beverages with mealsb) offer a snack prior to radiation therapyc)offer highly seasoned Foodsd)offer frequent High carbohydrate mealsA charge nurse receives a call from the house supervisor requestingroom assignments for four new clients. Based on the informationdiagnosis which of the following clients requires a private room?a)A client service port reports having fever, night sweats, and callfor 2 daysb)an older adult client who was admitted with aspiration pneumoniac)a client who has diabetes mellitus and is presenting with acute ketoacidosisd)a client who has a compound fracture of the right femurATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse in an emergency department is assessing a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect? (select all the apply)a) Tremorsb)reports of nausea and vomiting c) Serum glucose 380 mg / DLd)serum pH 7.6e)fruity smelling breathA nurse is caring for a client who has a chest tube. The client asks why the fluid in the water -seal chamber rises and falls. Which of the following statements should the nurse make?a)“ this means your lung is fully expanded “b)“ this indicates a possible leak”ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+c)“ suction pressure that is too high causes this” d) “ Your breathing pattern causes this”A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?a)Daily sodium restrictionATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) Daily exercise routine c) Changes in weightd) Fluid intake recordA nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) unit. Which of the following statements shouldthe nurse include?a)“Apply lotion to the site prior to attaching the electrodes”b)“ this device requires access to a 220 volt outlet”c)‘ this device delivers heat via electrodes that are attached to the effected area” d) “adjust the dial until you feel a ‘pins and needles’ sensation”A nurse is providing teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?a)“ use raised toilet seat to maintain your hips above the knees”ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)“ twist at the waist when standing from a seated position”c)“move your stronger leg first when using a walker”d)“ apply a heating pad to the operative hip to decrease pain”A nurse finds a client in bed, unresponsive and breathing. Which of the following action should the nurse take first?a)Establish IV accessb)Apply blood pressure cuffc)Palpate for the client’s carotid pulsed) Initiate cardiac monitoring for the client9. A nurse is caring who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?a)Initiate IV dopamine infusionb) Perform neurological assessmentsc) Place the client supined)Begin an IV bolus of lacted ringer’sA nurse is providing discharge teaching about blood sugar monitoringfor a client who has a new diagnosis of type 2 diabetes mellitus. The ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+nurse should instruct the client to obtain which of the following supplies?a) Sterile lancetsATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)Compression stockings c) Hand mirrord) Toenail clippers11.A nurse is completing discharge teaching who has a peripherally inserted central catheter ( PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?a) Do not elevate the arm above the level of the heartb)Change the catheter dressing dailyc)Use 10- mL syringe to flush lined)Clean the insertion site using 20- mL of hydrogen peroxide12. A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lbs. the amount available is 0.4 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth)10 mcg-kg 220lbs1 kg = 2.2 lbATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+?Kg=220lbs 220/2.2 x 1=100kg10mcg-kg?mcg-100kg 100kg/1kg x10 mcg=1000mcg1000mcg is equal to1mg 0.4mg-1ml1mg-?ml1/0.4 x1 =2.5MLA nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?a)Opioid analgesicATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)Anticonvulsant c)anti thromboticd) diureticATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who has a new colostomy the nurse notes that the client appears withdrawn and looks away during ostomy care.Which of the following actions should the nurse take?a) Ask the client how they feel about the stomab) make a referral for the client to see an ostomy nursec) include the clients partner in stoma care educationd) educate the client about expected stoma appearanceA nurse is preparing to perform ocular irrigation for a client following a chemical Splash to the eye. Which of the following actionsshould the nurse plan to take first?a)Administer proparacaine eye drops into the affected eyeb)places strip of pH paper on to the cul- de- sac of the affected eyec) collect information about the irritant that caused an injury (assess first)d)instill 0.9% sodium chloride solution into the affected eyeATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is teaching a client who has AIDS and wishes to continue self care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?a) Remind the client of the importance of the medication adherence b) Initiate a referral for the client to a home health agencyc) instruct the client to avoid eating raw vegetablesd) tell the client to avoid places where there are a large crowds of peopleA nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?a)Alkaline phosphate 125 units /Lb) clay-colored stoolsc) platelets 70,000 / mm3d)distended abdomenATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A home health nurse is providing nutrition education for a client who has trigeminal neuralgia. Which of the following foods should the nurse recommend?a)Graham crackersb)iced coffeec)vanilla puddingd)vegetable soupATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the leastpotassium?a)Half cup non-fat yogurtb) two tablespoons of peanut butter c) 1 Cup white riced) one medium baked potato with skinA nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?a)Diminished breath soundsb) Itching over the incisionc)Distended neck veinsd) Irregular heart rateATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take when performing a close intermittent irrigation?a) Use a 3ml syringe to perform the catheter irrigationb)Clamp the catheter above the specimen portc) Place the client in Trendelenburg positiond) Inject the irrigation solution slowly into the catheterA nurse is completing discharge teaching with a client who has a newdiagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?a) I will need to take my clothes to the dry cleaners to sterilize themb)I will wipe up areas soiled with body fluids with alcohol and immediately disposed of the trash (should be cleaned with bleach not alcohol)c)I will be sure to wear gloves and wash my hands when I change my cat’s litter boxd)I will increase the amount of fresh fruits and vegetables I consumeATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who is post-operative following an endoscopy with moderate (conscious) Sedation. Which of the following assessment findings is the nurse’s priority?a)Level of painATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)Gag reflexc)Warmth of extremitiesd) TemperatureNurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse’s priority?a) Obtain a history to determine recent injuriesb)Obtain a broad-spectrum antibiotic for Rapid Administrationc)Obtain a WBC count with differentiald)Obtain a blood specimen for culture and sensitivity testingA nurse is caring for a client who has just undergone a total laryngectomy. Which of the following findings is the nurse’s priority for immediate intervention?a) Blood-tinged secretions b) Tachypneac) Feverd)IV infiltrationATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?a)Administer IV fluids to the clientb) Insert a urinary catheterc) Initiate beta-blocker therapyd) Prepare the client for an intravenous pyelogramA nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessmentfinding requires immediate intervention by the nurse?a) a client has 100 ml blood in the closed suction drain b) the client’s capillary refill in the left toe is 6 secondsc) the client has an oral temperature of 38.3 C (100.9 Fahrenheit)d) the client reports a pain level of 7 on a scale from 0 to 10 at the operative siteATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is an emergency department is reviewing a client’s ECG reading. Which of the following findings should the nurse identify as an indication that the client has a first degree heart block?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a) more p waves than QRS complexes b) prolonged PR intervalsc)non discernible P wavesd)no correlation between P and QRS wavesA nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medication places the client at an increased risk for developing diabetes insipidus?a)Ranitidineb)Atorvastatinc) Propranolol d) lithiumA nurse is planning care for a client who has left-sided hemiplegia following a stroke which of the following actions should the nurse include in the plan of care?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a)Place a plate guard on the client’s meal trayb) position the bedside table on the client’s left sidec) remind the client to use a cane on his left side while ambulatingd) provide the client with a short handled ReacherA nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?a)Start the infusion at 30 meq /hrb) assess the client for a positive chvostek’s signc) Monitor the client for adequate urine outputd)check infusion site at least every 4 hoursA nurse in the PACU is caring for a client. Which of the following assessment is the nurses priority?a) Surgical siteATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b) level of consciousness c)respiratory statusd) pain levelATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is reviewing the medical record of a client who is scheduled for a CT scan with contrast media. Which of the following medication should the nurse instruct the client to withhold for 48 hours following the procedure?a)Carvedilolb) Furosemide c)Metformind) ClopidrogelNurse is caring for a client who has pancreatitis and has been receivingTotal parenteral Nutrition. Which of the following Laboratory test should the nurse monitor for overall nutritional status?a)Creatinine b)Prealbuminc)Lipased)C-reactive proteinATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is teaching a client who has endometriosis about the adverse effects of leuprolide. Which of the following manifestations should the nurse include in the teaching?a)Pallorb) Increased appetite c) Bone lossd) HypoglycemiaA nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?a)Monitor urinary output for retentionb)avoid taking anti emetics with the medicationc)restrict fluid intake If you experience constipationd)itching Indicates you are having an allergic reaction to the medicationA nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered dose inhaler. Which of the ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+following client statements indicates an understanding of the teaching?a) I should clean the cap of the inhaler once per week b) I should shake the inhaler before I use itc) I Should wait 15 seconds between puffsd)I should inhale the medication quicklyATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is assessing a client who has heart failure which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?a)I hate how I feel all the timeb) I am too tired to brush my teethc)I Will Weight myself dailyd)I need to start eating a low sodium dietA nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?a)Remove the indwelling urinary catheterb) decrease transaction of the catheterc)flush the catheter manually with 0.9% sodium chlorided) administer ibuprofen 400 mg for pain reliefATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of the following statements should the nurse take?a)Plan to include high protein foods in each of your mealsb)increase your intake of vegetables such as broccoli and brussel sproutsc)drink a glass of milk with each meald)consume three large meals throughout the dayA nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the meter to the zero Base Line, what is the sequence of steps the nurse should instruct the client to take? Rent the Seas move the steps into the box of the right placing them in the selected order of performance. Use all steps)Answer1.Stand upright2.Fill your lungs with a deep breath3.Seal your lips around the mouth piece4.Exhale forcefully and quickly5.Record the highest of three consecutive readingsATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suction. The nurse should recognize these assessment findings us indicating which of the following?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a)Aspirationb)increased cardiac outputc)pleural effusiond)fluid volume excessA nurse in a clinic is providing for preventive teaching to an older client during a Well Visit. The nurse should instruct the client that which of the following immunizations are recommended for healthyadults after age 60 (select all that apply)a)human papillomavirusb)pneumococcal polysaccharidec)Meningococcal d) Influenzae) herpes zosterA nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and Cooperative, becomes agitated and ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+Restless. Which of the following assessment should the nurse performfirst?a) Blood pressure (assess for increased intra cranial pressure)b)blood glucosec) urinary output motor responsesA nurse is preparing to administer piperacillin 3.375 grams by intermittent IV bolus every 6 hours. Available is piperacillin 3.375 grams in dextrose 5% in water 100 ml to infuse over 30 minutes. the nurse should set the IV pump to deliver how many ml /hr? (round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer: 675 ml/ hrA nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?a)OliguriaATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b)poor skin turgor c)pitting edemad) S3 – S4 Galloping heart soundsATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?a.Change the dressing four times per dayb.Use sterile gloves when performing the dressing change c.Clean from the incision to the surrounding skind. Apply tincture of benzoin prior to removing the dressingA nurse is preparing to administer vancomycin IV bolus to a client who has pneumonia. Which of the following clinical manifestations should the nurse instruct the client to monitor for and report?a. Pallor of the extremitiesb.Taste of metal in the mouthc.Halo of light around objects d. Ringing in the earsATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratorytests should the nurse monitor for overall nutritional status?a.Prealbuminb.C reactive proteinc.Creatinined.LipaseA charge nurse is called to a client’s room after a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take?a.Attempt to reinsert the protruding viscera- DO NOT ATTEMPTTO REINSERT ORGANSb.Obtain bottles of warm, sterile 0.9% sodium chloride solutionc. Place the client in left lateral recumbent position- low fowlers hipsknees bentd. Apply a firm pressure dressing across the client’s abdomenA nurse is caring for four clients. Which of the following clients is at risk for developing metabolic alkalosis?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a.A client who is receiving continuous gastric suctioningb.A client who has aspiration pneumoniac.A client who is experiencing an opioid overdose- respiratory acidosis.d.A client who has uncontrolled diabetes mellitusATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitorthe client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?a.Calcium b.Potassiumc.Magnesiumd.PhosphataseRationale: Digoxin level and Potassium levels are inversely correlated. So if you have less K+ your digoxin levels shots up leadingto digoxin toxicity and if your K+ is high=digoxin level is low.A nurse is assessing the abdominal wound of a client who is 3 days postoperative following a colon resection. Which of the following findings should the nurse report to the provider?a. Erythema (redness can be indicative of infection)b.Ecchymotic skinATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+c.Drainaged.EdemaA nurse is completing an admission assessment for a client. The nurse should expect the provider to prescribe which of the following medications for the client? EXHIBIT VITAL SIGNS: Temperature (98.3 F), HR (100/min), RR (20/min), BP (152/94mmHg)a.Atorvastatinb.Allopurinol c.Metoprolold. levothyroxineA nurse is assessing a client who is near the end of life following a head injury. The client has alternating periods of rapid breathing andapnea. The nurse should document this finding as which of the following respiratory patterns?a.Biot’s respirations- quick shallow respirations followed by apnea.b.Hypoventilatory respirations- opoid overdoseATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+c.Kussmaul respirations- hyperglycemiad.Cheyne-Stokes respirations- occurs during INCREASED INTRACRANIAL PRESSUREA nurse is administering a unit of packed RBCs to a client and notes that there are several small clots floating in the IV bag. Which of the following actions should the nurse take?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a.Inject 5,000 units of heparin into the unit of packed RBCsb.Place the unit of packed RBCs in a warming unit for 5 minc. Return the unit of packed RBCs to the blood bank- return that shitd.Dilute the unit of packed RBCs using 50 mL of lactated Ringer’sA nurse in a provider’s office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?a.“Eat a light meal 1 hour before bedtime”- avoid eating before bedtimeb.“Lie down for 30 minutes after each meal”- CANNOT BE SUPINEc.“Increase your caloric intake by 250 calories per day” d. “Sleep with the head of your bed elevated 6 inches”A nurse is providing teaching to a client and his partner aboutperforming peritoneal dialysis at home. When discussingperitonitis, which of the following manifestations should the nurseidentify as the earliest indication of this complication?ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+a.Generalized abdominal painb.Cloudy effluent c.Feverd. Increased heart rateRationale: Peritonitis Assessment Findings: Rigid, board-like abdomen (hallmark), abdomen distention, N&V, Rebound tenderness, tachycardia, FEVER.A nurse is caring for a client who is receiving enteral nutrition. Which of the following interventions by the nurse will prevent aspiration?a.Check the gastric pH following bolus feedings (for verifying placement)b.Place the client in supine position before initiating feedings (No; 30 degree)c.Instruct the client to perform the Valsalva maneuver after feedings (no) d. Measure residual volume prior to bolus feedingsRationale: Nursing measures to prevent aspiration include verifying tube placement, checking gastric residuals, assessing bowel function ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+to confirm peristalsis, and elevating the head of the patient’s bed to 30degrees or more during feeding and at least 1 hour after feeding. Monitor fluid and electrolyte balance carefully; additional water may be prescribed based on the patient’s fluid status. Providing mouth care is particularly important for patients receiving enteral feedings, as is addressing the psychosocial aspects of care.Client has a pressure ulcer. Which indicates wound healing?a.Light yellow exudate (Seropurulent)ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b.Wound tissue firm to palpation (firm, not healing yet) stage 1.c.Dry brown eschar (deadskin?) d. Dark red granulation tissueRationale: Red: Healthy regeneration of tissue Yellow: Presence of purulent drainage and slough Black: Presence of eschar that hinders healing and requires removalSTEPS to use of a peak flow metera.“Stand upright” 1b.“Seal your lips around the mouth piece”3c.“Fill your lungs with a deep breath”2d.“Exhale forcefully and quickly”4e.“Record the highest of three consecutive readings”5 Rationale: A,C,B,D,E1.Stand up or sit up straight.2. Make sure the indicator is at the bottom of the meter (zero).3.Take a deep breath in, filling the lungs completely.ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+4.Place the mouthpiece in your mouth; lightly bite with your teeth and close your lips on it. Be sure your tongue is away from the mouthpiece.5. Blast the air out as hard and as fast as possible in a single blow.6.Remove the meter from your mouth.7. Record the number that appears on the meter and then repeat steps one through seven two times.8.Record the highest of the three readings in an asthma diary. This reading is your peak expiratory flow (PEF).Client, who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?a.Palpate the dorsalis pedis pulse.b.Maintain the affected extremity in a dependent position (ELEVATE)c. Wrap sterile gauze on the shart point of the pins (NOPE 8-12HRS)d.Adjust the clamps on the fixator flame (NEVER, MD DOES THIS)Rationale: Elevate extremity, Monitor neurovascular status and skin integrity, Assess body image, Perform pin care every 8 to 12 hr, Monitor site for drainage, color, odor, redness, Observe for ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+manifestations of fat and pulmonary embolism, Provide antiembolismstockings and sequential compression device to prevent deep-vein thrombosis (DVT).ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is preparing an in-service presentation about the use of automated external defibrillators (AEDs). Which of the following instructions should the nurse include in the teaching?a.“Perform CPR while the AED is analyzing”-cannot due b/c analysis will be wrongb.“Position the client on a flat surface”c.“Set the AED to 80 joules” (should be 200 joules)d.“Use an AED for a client who has A-fib” (AED is for V-fib & V-tach) Rationale: Process of Elimination and Think.Serum sodium level of 120 mEq/L. Which of the followings findings should the nurse expect?a.Hyperreflexia – Decreased DTRsb.Decreased bowel sounds – increased motility, ab cramping, and nausea. c. Confusiond. Increased central venous pressureRationale: MANIFESTATION OF HYPONATREMIA: Weakness, Lethargy, CONFUSION, Seizures, Headache, Anorexia, N&V, Muscle Cramps, twitching, Hypotension, Tachycardia, Weight gain and Edema.ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+Patient taking isoniazid and rifampin, which statement shows they understand?a. “I will be finished with this medication regimen in 3 months” -9 months b. “I should check the whites of my eyes while taking these medications”c. “I should take my mediation with an antacid if it upsets my stomach” (Taking antacid would decrease effectiveness of the medication so it is not advised or SHOULD not take it during treatment)d.“I will no longer be infectious after two consecutive negative sputum specimens” (THREE)Rationale: Assess for toxicity because both medication are very toxic you are at risk for hepatotoxicity. Other choices are WRONG, Eliminateit.The use of incentive spirometer.a.Position the mouthpiece 2.5cm (1 in) from the mouth (put in your mouth)ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+b.Place hands on the upper abdomen during inhalation (no hold spirometer) c. Hold breaths about 3-5 secs before exhaling (repeat)d. Exhale slowly through purse lips (With Purse lip breathing not Spirometer) Rationale: The client who is using the spirometer should take in a deep breath and hold it for 3 to 5 seconds before exhaling. Asthe client exhales, the needle of the spirometer rises. This promotes lung expansion.ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+hour.1.Sit on the edge of your bed if possible, or sit up as far as youcan in bed.2.Hold the incentive spirometer in an upright position.3.Place the mouthpiece in your mouth and seal your lips tightly around it.4.Breathe in slowly and as deeply as possible. Notice the yellow piston rising toward the top of the column. The yellow indicator should reach the blue outlined area.5.Hold your breath as long as possible. Then exhale slowly and allow the piston to fall to the bottom of the column.6. Rest for a few seconds and repeat steps one to five at least 10 times every7. Position the yellow indicator on the left side of the spirometer to show your best effort. Use the indicator as a goal to work toward during each slow deep breath.8.After each set of 10 deep breaths, cough to be sure your lungs are clear. If you have an incision, support your ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+incisionwhen coughing by placing a pillow firmly against it.9.Once you are able to get out of bed safely, take frequent walks andpractice the cough.Patient who is in septic shock. Which lab findings indicate the patient is developing “multiple organ dysfunction syndrome”?a.Arterial hypoxemia (low / no oxygen manifestation of MODS)b.Decreased liver enzymes- Increasedc.Decreased BUN – Increasedd.Hypoglycemia – body response = increase to save bodyRationale: MODS can develop from severe hypotension and reperfusion of ischemic cells, causing further tissue injury.Inadequate tissue perfusion can cause organ failure in the lungs (adult respiratory distress syndrome), kidneys, heart (decreased coronary artery perfusion, decreased cardiac contractility), and the gastrointestinal tract (necrosis). So MODS happened when no oxygen is being delivered.ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+A nurse is reviewing a client’s laboratory values and notes a potassiumlevel of 2.8 mEq/L. Which of the following findings should the nurse expect?a.Hyperactive bowel sounds (Hypoactive)b. Increased blood pressure (Hypotension) c. Irregular pulseATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+d. Exaggerated reflexes (CM of Hyperkalemia)Rationale: Manifestation of Hypokalemia: IRREGULAR PULSE, Muscle weakness and cramping, Fatigue,Nausea, Vomiting, Irritability, Confusion, Decreased Bowel sound, Paresthesia, Dysrhythmias, Flat/ inverted T waveA nurse is caring for a client who is admitted to the medical-surgical unit with a seizure disorder. Which of the following interventions should the nurse include in the plan of care?a. Teach assistive personnel how to apply restraints –> do not attempt to restrain the clientb.Keep the side rails in a down position → a) side- rails up with padding to prevent injuryc.Keep a padded tongue blade at the client’s bedside → do not use padded tongue blades.d.Maintain peripheral IV access.RATIONALE: ATI MS ATI MS 36 Priority: Maintain peripheral IV access in case of emergency may administer diazepam, or ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+
ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+lorazepam IVP followed by IV phenytoin or fosphenytoin. side- rails up with padding to prevent injuryA nurse is collecting a medical history from an older adult client who has hypertension and new prescription of nadolol. Which of the following findings should the nurse report to the provider?a. cataractsb.GERDc.Asthmad. HypothyroidismRATIONALE: ATI PHARM 263 Avoid in clients who have asthma. Bronchoconstriction effect. And if you guys could remember about theJNC8 per Tiamson.ATI RN MEDICAL SURGICAL PROCTORED EXAM Q &As ALL ANSWERS 100% CORRECTLY VERIFIED BESTEXAM SOLUTION LATEST UPDATE 2022/2023 RATEDA+