ATI RN MEDSURG PROCTORED EXAM 2023 VERSION WITH VERIFIED SOLUTIONS AND RATIONALES /A+ GRADE / NURSING - Knoowy (2024)

A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for3
years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
2. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
3. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and keeps
pt. on urinating
4. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse
take first (Click on the “Exhibit” button for additional information about the client. There are three tabs
that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale:ATI pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
ATI RN MEDSURG PROCTORED EXAM 2023 VERSION
WITH VERIFIED SOLUTIONS AND RATIONALES /A+
GRADE
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiationsite
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A 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. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to prevent
cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic ileus. So
effectiveness would indicate opposite of this
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which of
the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia (High due to stress)
C. Hypoalbuminemia (Low due to fluid loss)
D. Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation phase)
(Page 481 ch 75 med surge ati pdf 10.0)
12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the
followingactions should the nurse take ?
a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to moderate
carbs page 317, chapter 49 Peptic ulcer disease med surge ati pdf 10.0)
b. Provide the client with four full meals a day (Small frequent meals)
c. Encourage the client to to drink at least 360 ml of fluids with meals (Eliminate liquids with meals for 1
hr prior and following a meal)
d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the movement
of food within the intestines)
ATI RN MEDSURG PROCTORED EXAM 2023 VERSION
WITH VERIFIED SOLUTIONS AND RATIONALES /A+
GRADE
13. A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the
followingfactors should the nurse include in the teaching? SATA. (p.70 chapter 13)
Born with a high weight
Chronic infections of the middle ear
Use a loop diuretic
Perforation of the ear drum
ATI RN MEDSURG PROCTORED EXAM 2023 VERSION
WITH VERIFIED SOLUTIONS AND RATIONALES /A+
GRADE
Frequent exposure to low volume noise
14. A nurse is preparing to administer fresh frozen plasma to a client . Which of the following actions
should thenurse take? (Chapter 92 page 606 med surge ati pdf 10.0)
Administer the plasma immediately after thawing (Blood must be warm, you also have a 30 minute window
to give it so bacteria doesn’t grow. So it doesn’t necessarily have to be right away.)
Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
Hold the transfusion if the client is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole point!
The patient is losing blood so you have to replace it. We give fresh frozen plasma because he or she
may have clotting deficiencies)
Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20 gauge)
15. A nurse is assessing a clients who reports numbness and tingling of his toes and exhibits a positive
TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? (ch 44 page 277
MSATI PDF 10.0)
Hypoatremia
Hyperchloremia
Hypermagnesemia
Hypocalcemia (low calcium = low ca causes increased firing = spasms. Learned this is LVN school.)
16. A home health nurse is teaching a clients how to care for a peripherally central catheter in his
right arm.Which of the following statements should the nurse include in the teaching?
(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS ATI PDF 10.0)
Change the transparent dressing over the insertion site every 48 hours - transparent dressing can be up to 7 days
Clean the insertion site with mild soap and water - when showering, must insertion site must be covered !!!!!
No water can be in it .
Measure your right arm circumference once weekly- does not say in the chapter
Use a 10 milliliter syringe when flushing the catheter - flush with 10 ml NS b4 and after med
administration
17. A nurse is caring for a client who has a central venous access device. Which of the following
assessmentfindings should the nurse report to the provider?
(P.166 MS ATI PDF 10.0)
RBC count of 4.7 million/mm 3
BUN 22 mg/ dl - not dramatically high enough to pay attention to.
WBC count of 16,000/ mm 3 - phlebitis is a complication , infection is a complication that can happen 7
days after insertion , also temp increase if 1 degree can happen.
Blood glucose of 120 mg/dl
18. A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased
glomerularfiltration rate. Which of the following statements by the client indicates an understanding
of the teaching? (p.382 chapter 59)
I will spread my protein allowances over the entire day - the doctor issue the patient an allowed amount
of protein so its ok.
I should increase my intake of canned salmon to three times per week (NO SODIUM)
I will season my food with lemon pepper rather than salt (We do not want to give the dietary sodium,
potassium, phosphorus , and magnesium. I don’t know what lemon pepper has, but we want to RESTRICT
sodium, potassium, phosphorus and magnesium.)
I should limit my intake of hard cheese to 3 ounces each day (NO SODIUM at all)
ATI RN MEDSURG PROCTORED EXAM 2023 VERSION
WITH VERIFIED SOLUTIONS AND RATIONALES /A+
GRADE
19. A nurse is caring for a client who has a peripherally inserted central catheter. The client is receiving an
antibioticvia intermittent IV bolus. Which of the following actions should the nurse take? (PAGE 166 ch
27 MS ATI PDF 10.0

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• Level:University
• School:Chamberlain College Of Nursing
• Course:NURSING
• Subject:Nutrition
• All documents for this course ›
• Subject code:Nutrition
• All documents for this course ›
• Date of exam:2023
• Year of study:2023

• Document

• Section:Examinations
• Made on:07-17-2024
• Type:.pdf
• Pages:26
• Language:English

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