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ATI RN Adult Medical Surgical Online Practice 2019 A (answered/rationale)

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ATI RN Adult Medical Surgical Online Practice 2019 A A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site & a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? a. Initiate oxygen at 2L/min via nasal cannula. b. Apply firm pressure to the insertion site. c. Take the client's vital signs. d. Obtain a stat order for an aPTT. A nurse is caring for a client who has emphysema & is receiving mechanical ventilation. The client appears anxious & restless, & the high-pressure alarm is sounding. Which of the following actions should the nurse take first? a. Obtain ABGs. b. Administer Propofol to the client. c. Instruct the client to allow the machine to breathe for them. d. Disconnect the machine & manually ventilate the client. A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? a. Decreased prothrombin time b. Elevated bilirubin level c. Decreased ammonia level d. Elevated albumin level A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. "I should avoid walking as much as possible." b. "I should sit down & read for several hours a day." c. "I will wear clean graduated compression stockings every day." d. "I will keep my legs level with my body when I sleep at night." A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? a. Potassium 4 mEq/L b. WBC count 10,000/mm c. Hct 45% d. Hgb 8 g/dL A nurse is caring for a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing? a. WBC count 6,000/mm b. BMI 24 c. Urine output 25 mL/hr d. Albumin 4 g/dL A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps & a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? a. Epoetin alfa b. Furosemide c. Captopril d. Calcium carbonate Hypocalcemia is a manifestation of ESKD and an adverse effect of dialysis. Often occurring late in the dialysis session, hypocalcemia can cause the client to experience muscle cramping and tingling to extremities. The nurse should plan to administer a calcium supplement, such as calcium carbonate, as a calcium replacement. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? a. Collect & place the client's urine or feces in a biohazard bag. b. Limit the client's ambulation to their own room. c. Wear a lead apron while providing care to the client. d. Limit each visitor to 1 hr per day. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? a. Remain with the client for the first 15 min of the infusion. b. Prime the blood administration IV tubing with lactated Ringer's solution. c. Verify the client's identity by using the client's room number prior to starting the infusion. d. Infuse the unit of packed RBCs within 8 hr. A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? a. Potassium 4.1 mEq/L b. Heart rate 55/min c. SaO2 92% d. Weight 67.1 kg (148 lb) Exhibit 1 Digoxin 0.25 mg PO daily Furosemide 40 mg PO daily Potassium chloride 20 mEq/L PO daily Exhibit 2 History & Physical Discharge: Weight 66.7 kg (147 lb) SaO2 94% 2+ pedal edema Heart rate 74/min Current: Weight 67.1 kg (148 lb) SaO2 92% 1+ pedal edema Heart rate 55/min Exhibit 3 Laboratory Results Discharge: Sodium 137 mEq/L Potassium 4.2 mEq/L Digoxin 1.2 ng/dL Current: Sodium 135 mEq/L Potassium 4.1 mEq/L Digoxin 1.8 ng/dL A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? a. Positive Trousseau's sign b. 4+ deep tendon reflexes c. Deep respirations d. Hypoactive bowel sounds A nurse is providing dietary teaching to a client who is postoperative following a thyroidectomy with removal of the parathyroid glands. The nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet? a. 12 almonds b. One small banana c. 1 tbsp peanut butter d. 1/2 cup tomato juice A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? a. Shellfish b. Aged cheese c. Peppermint candy d. Enriched pasta A nurse in an emergency department is caring for a client who reports vomiting & diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? a. Heart rate 110/min b. Blood pressure 138/90mmHg c. Urine specific gravity 1.020 d. BUN 15mg/dL A nurse is providing instructions to a client who has type 2 diabetes mellitus & a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? a. "I will monitor my blood sugar carefully because the medication increases the secretion of insulin." b. "I should take this medication with a meal." c. "I can expect to gain weight while taking this medication." d. "While taking this medication, I will experience flushing of my skin." - A nurse is caring for a client who has anorexia, low-grade fever, night sweats, & a productive cough. Which of the following actions should the nurse take first? a. Obtain a sputum sample. b. Administer antipyretics. c. Provide hand hygiene education. d. Initiate airborne precautions.

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ATI RN Adult Medical Surgical Online
Practice 2019 A
A nurse is caring for a client 1 hr following a cardiac catheterization. The
nurse notes the formation of a hematoma at the insertion site & a decreased
pulse rate in the affected extremity. Which of the following interventions is
the nurse's priority?

a. Initiate oxygen at 2L/min via nasal cannula.
b. Apply firm pressure to the insertion site.
c. Take the client's vital signs.
d. Obtain a stat order for an aPTT. - ANS: B

b. Apply firm pressure to the insertion site.

A nurse is caring for a client who has emphysema & is receiving mechanical
ventilation. The client appears anxious & restless, & the high-pressure
alarm is sounding. Which of the following actions should the nurse take
first?

a. Obtain ABGs.
b. Administer Propofol to the client.
c. Instruct the client to allow the machine to breathe for them.
d. Disconnect the machine & manually ventilate the client. - ANS: C

C. Instruct the client to allow the machine to breathe for them.

The least restrictive intervention should be used first.

A nurse is reviewing the laboratory results of a client who has cirrhosis.
Which of the following laboratory values should the nurse expect?

a. Decreased prothrombin time
b. Elevated bilirubin level
c. Decreased ammonia level
d. Elevated albumin level - ANS: B

b. Elevated bilirubin level

, A nurse is teaching a client who has venous insufficiency about self-care.
Which of the following statements should the nurse identify as an
indication that the client understands the teaching?

a. "I should avoid walking as much as possible."
b. "I should sit down & read for several hours a day."
c. "I will wear clean graduated compression stockings every day."
d. "I will keep my legs level with my body when I sleep at night." - ANS: C

c. "I will wear clean graduated compression stockings every day."

A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse
report to the provider?

a. Potassium 4 mEq/L
b. WBC count 10,000/mm
c. Hct 45%
d. Hgb 8 g/dL - ANS: D

d. Hgb 8 g/dL

A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing?

a. WBC count 6,000/mm
b. BMI 24
c. Urine output 25 mL/hr
d. Albumin 4 g/dL - ANS: C

c. Urine output 25 mL/hr

A nurse is caring for a client who is undergoing hemodialysis to treat end-
stage kidney disease (ESKD). The client reports muscle cramps & a tingling
sensation in their hands. Which of the following medications should the
nurse plan to administer?

a. Epoetin alfa
b. Furosemide
c. Captopril

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I know how frustrating it can get with all those assignments mate. Nursing Being my main profession line, i have essential guides that are A graded, I am a very friendly person so 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Lees meer Lees minder
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Recent door jou bekeken

Waarom studenten kiezen voor Stuvia

Gemaakt door medestudenten, geverifieerd door reviews

Kwaliteit die je kunt vertrouwen: geschreven door studenten die slaagden en beoordeeld door anderen die dit document gebruikten.

Niet tevreden? Kies een ander document

Geen zorgen! Je kunt voor hetzelfde geld direct een ander document kiezen dat beter past bij wat je zoekt.

Betaal zoals je wilt, start meteen met leren

Geen abonnement, geen verplichtingen. Betaal zoals je gewend bent via iDeal of creditcard en download je PDF-document meteen.

Student with book image

“Gekocht, gedownload en geslaagd. Zo makkelijk kan het dus zijn.”

Alisha Student

Bezig met je bronvermelding?

Maak nauwkeurige citaten in APA, MLA en Harvard met onze gratis bronnengenerator.

Bezig met je bronvermelding?

Veelgestelde vragen