ATI Exam 3 med surg nclex questions latest study guide

1. A patient presents to the emergency room after a motor vehicle accident with a chief complaint of right upper quadrant pain and is guarding his abdomen. The nurse questions the patient about the impact of the accident. The patient states his chest hit the steering wheel. What should the nurse assess the patient for? 2. A 50 year old patient with liver cancer had a hepatic artery embolization what should the nurse monitor for in the post-op period? 3. A 60 year old patient who had a liver transplant was prescribed cyclosporine (immunosuppressant drug). What is the most important intervention the nurse should teach the patient while on this drug? 4. The charge nurse who works on a medical unit is determining assignments for the nursing staff. Which nurse should take care of patient who was recently diagnosed with gallbladder cancer? 5. After receiving shift report the nurse determines which patient to see first? 6. A patient states that the physician stated after reviewing her laboratory test he told her she has an insulinoma. The patient ask the nurse what is this? The nurse should tell the patient that this is…… 7. A patient who had surgery for pancreatic pseudocyst, the nurse should monitor for what most important intervention? i. . 8. Which task can the nurse delegate to the UAP to assist a patient with pancreatic cancer? 9. A staff nurse is a preceptor for a newly hired nurse. The new nurse ask the preceptor what access site is used for MARS, how should the preceptor nurse respond? 10. What should the nurse monitor for in patient who is receiving MARS? Select all that apply. 11. What is the priority nursing diagnosis for a client with a traumatic brain injury? i. . 12. A client who has head trauma is having a seizure. What is the most important intervention the nurse should do? 13. Which scale should a nurse use when caring for patients with traumatic brains? 14. When assessing for symptoms of a brain tumor, what should the nurse monitor for? 15. You are preparing to admit a patient with meningitis. Which action can be delegated to the LPN? 16. nursing diagnosis for a patient who has a spinal cord injury? 17. What should the charge nurse teach a new nurse who is in orientation about the general clinical manifestations of a spinal cord tumor? 18. A nursing caring for a patient with a spinal cord tumor should do which of the following? Select all that apply? 19. An elderly patient who fell out the bed has an injury at C-2. What is the priority intervention? 20. The community nurse is teaching a community who live in mosquito-infested area to prevent encephalitis. What should she teach this community? Select all that apply. 21. A patient presents to the physician with no known medical history. The patient reports blood in urine, pain in the side that is constant, temperature of 101.2, and has loss ten pounds since the last visit a month ago. What type of cancer the nurse suspects?