ATI EXAM vc
Exam Solution vc
RN Targeted Medical Surgical Perioperative Online 202
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6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (5FE46) vc vc
QUESTION 1 vc
A nurse is caring for a client who is receiving moderate (conscious) sedation with midaz
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olam. The client's respiratory rate decreases from 16/min to 6/min, and their oxygen sat
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uration decreases from 92% to 85%. Which of the following medications should the nurs
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e administer?
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A. Atropine
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B. Acetylcysteine
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C. Flumazenil
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D. Protamine sulfate
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ANSWER
C. Flumazenil The client's respiratory rate and oxygen saturation level indicate increased sedation cause
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d by a benzodiazepine. The nurse should administer flumazenil, a benzodiazepine agonist, to reverse the
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sedative effects of the medication.
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QUESTION 2 vc
A nurse is caring for a client who has a surgical wound with a Penrose drain in place. Wh
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ich of the following interventions should the nurse plan to perform?
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A. Cut a slit in a 4-inch square gauze pad to place around the drain
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B. Use the sterile technique when performing dressing changes
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C. Establish a clamping schedule prior to removal
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D. Apply negative pressure when emptying the drain
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ANSWER
B. Use the sterile technique when performing dressing changes The nurse should change the Penrose dr
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ain dressing using the surgical aseptic technique.
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QUESTION 3 vc
, A nurse is reviewing the medical record of a client who is scheduled for an elective surge
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ry. Which of the following medications should the nurse expect the provider to discontin
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ue prior to surgery to minimize the risk for complications?
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A. Cefazolin
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B. Digoxin vc
C. Ondansetron
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D. Warfarinvc
ANSWER
D. Warfarin The nurse should anticipate that the provider will instruct the client to discontinue warfarin
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, an anticoagulant, because it increases the risk of bleeding during and following surgery.
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QUESTION 4 vc
A nurse is providing preoperative teaching to a client who is scheduled for a gastrectomy
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in 1 week. The client expresses anxiety about the upcoming surgery. Which of the follow
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ing actions should the nurse take?
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A. Sympathize with the client's feelings
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B. Reassure the client that the surgery will go fine
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C. Changing the topic of discussion
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D. Provide concise, factual information
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ANSWER
D. Provide concise, factual information Providing concise, factual information allows for open communic
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ation and gives the nurse the opportunity to address the client's anxiety.
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QUESTION 5 vc
A nurse is reviewing the medical record for a client who has a prescription for general a
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nesthesia prior to surgery. Which of the following laboratory values should the nurse re
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port to the provider as the priority finding?
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A. Potassium 2.8 mEq/L (3.5 to 5. mEq/L)
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B. Glucose 140 mg/dL (74 to 106 mg/dL)
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C. INR 2.4 (0.7 to. 1.8)
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D. BUN 24 mg/dL (10 to 20 mg/dL)
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ANSWER
A. Potassium 2.8 mEq/L (3.5 to 5 mEq/L) The nurse should identify that the greatest risk to the client is
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cardiac dysrhythmias due to a potassium level below the expected reference range. Therefore, the nurs
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e should report this finding to the provider as the priority finding.
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QUESTION 6 vc
A nurse is caring for a client who has bradycardia following a surgical procedure using s
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pinal anesthesia. The nurse should plan to administer which of the following medication
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Exam Solution vc
RN Targeted Medical Surgical Perioperative Online 202
vc vc vc vc vc vc
6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
vc vc vc vc vc vc vc
FIED ANSWERS (5FE46) vc vc
QUESTION 1 vc
A nurse is caring for a client who is receiving moderate (conscious) sedation with midaz
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
olam. The client's respiratory rate decreases from 16/min to 6/min, and their oxygen sat
vc vc vc vc vc vc vc vc vc vc vc vc vc
uration decreases from 92% to 85%. Which of the following medications should the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc
e administer?
vc
A. Atropine
vc
B. Acetylcysteine
vc
C. Flumazenil
vc
D. Protamine sulfate
vc vc
ANSWER
C. Flumazenil The client's respiratory rate and oxygen saturation level indicate increased sedation cause
vc vc vc vc vc vc vc vc vc vc vc vc vc
d by a benzodiazepine. The nurse should administer flumazenil, a benzodiazepine agonist, to reverse the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sedative effects of the medication.
vc vc vc vc vc
QUESTION 2 vc
A nurse is caring for a client who has a surgical wound with a Penrose drain in place. Wh
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ich of the following interventions should the nurse plan to perform?
vc vc vc vc vc vc vc vc vc vc
A. Cut a slit in a 4-inch square gauze pad to place around the drain
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B. Use the sterile technique when performing dressing changes
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C. Establish a clamping schedule prior to removal
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D. Apply negative pressure when emptying the drain
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ANSWER
B. Use the sterile technique when performing dressing changes The nurse should change the Penrose dr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ain dressing using the surgical aseptic technique.
vc vc vc vc vc vc
QUESTION 3 vc
, A nurse is reviewing the medical record of a client who is scheduled for an elective surge
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ry. Which of the following medications should the nurse expect the provider to discontin
vc vc vc vc vc vc vc vc vc vc vc vc vc
ue prior to surgery to minimize the risk for complications?
vc vc vc vc vc vc vc vc vc
A. Cefazolin
vc
B. Digoxin vc
C. Ondansetron
vc
D. Warfarinvc
ANSWER
D. Warfarin The nurse should anticipate that the provider will instruct the client to discontinue warfarin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
, an anticoagulant, because it increases the risk of bleeding during and following surgery.
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
A nurse is providing preoperative teaching to a client who is scheduled for a gastrectomy
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
in 1 week. The client expresses anxiety about the upcoming surgery. Which of the follow
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ing actions should the nurse take?
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A. Sympathize with the client's feelings
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B. Reassure the client that the surgery will go fine
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C. Changing the topic of discussion
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D. Provide concise, factual information
vc vc vc vc
ANSWER
D. Provide concise, factual information Providing concise, factual information allows for open communic
vc vc vc vc vc vc vc vc vc vc vc vc
ation and gives the nurse the opportunity to address the client's anxiety.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 5 vc
A nurse is reviewing the medical record for a client who has a prescription for general a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nesthesia prior to surgery. Which of the following laboratory values should the nurse re
vc vc vc vc vc vc vc vc vc vc vc vc vc
port to the provider as the priority finding?
vc vc vc vc vc vc vc
A. Potassium 2.8 mEq/L (3.5 to 5. mEq/L)
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B. Glucose 140 mg/dL (74 to 106 mg/dL)
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C. INR 2.4 (0.7 to. 1.8)
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D. BUN 24 mg/dL (10 to 20 mg/dL)
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ANSWER
A. Potassium 2.8 mEq/L (3.5 to 5 mEq/L) The nurse should identify that the greatest risk to the client is
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
cardiac dysrhythmias due to a potassium level below the expected reference range. Therefore, the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e should report this finding to the provider as the priority finding.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
A nurse is caring for a client who has bradycardia following a surgical procedure using s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pinal anesthesia. The nurse should plan to administer which of the following medication
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