ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
Med Surge Final Exam
1…. A nurse is reviewing the laboratory data of a client who has acute pancreatitis.
The nurse should expect to find an elevation of which of following values?
Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars that can be
used by the body. It is produced by the pancreas and salivary glands and released
into the mouth, stomach, and intestines to aid in digestion. The amylase level of a
client who has acute pancreatitis usually increases within 12 to 24 hr and can
remain elevated for 2 to 3 days.
2…. A nurse is caring for a client who has a three-chamber closed chest tube
system. Which of the following actions should the nurse take after noticing a
rise in the water seal chamber with client inspiration?
Continue to monitor the client.
Rational
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
The fluid in the water seal chamber rises 2 to 4 inches during inhalation and falls
during exhalation. This is a process called tidaling. An absence of tidaling might
indicate a fully expanded lung or an obstruction in the chest tube.
3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury
that resulted in paraplegia. After a week on the unit, the nurse notes that the
client is withdrawn and increasingly resistant to rehabilitative efforts by the
staff. Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable goals.
Rational
The nurse should develop a plan of care for this client with mutually set goals.
This action invests the client in the rehabilitation process, which encourages
feelings of ownership for it, and sees the goals as more attainable
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
4…. A nurse is caring for a client who was admitted with bleeding esophageal
varices and has an esophagogastric balloon tamponade with a Sengstaken-
Blakemore tube to control the bleeding. Which of the following actions should the
nurse take?
Provide frequent oral and nares care.
Rational
A client who has a Sengstaken-Blakemore tube in place is unable to swallow. If
the client is alert, the nurse should encourage the client to spit saliva into a tissue
or basin. If the client is not alert, gentle suctioning of the oral cavity and nares
might be required to remove secretions.
5….A nurse is caring for a client who has suspected cholecystitis. The nurse should
expect the client's urine to appear which of the following colors?
Dark and foamy
Rational
The nurse should expect the client to have dark and foamy urine, which indicates
the kidneys are filtering excess bilirubin from the blood.
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
6….A nurse is caring for an older adult client who has rheumatoid arthritis (RA)
and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic
tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR)
Rational
Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in
detecting and monitoring tissue inflammation in clients with RA. As the disease
improves the ESR decreases.
7….A nurse is providing dietary teaching to a client who has a history of recurring
calcium oxalate kidney stones. Which of the following instructions should the
nurse include in the teaching?
Drink 3 L of fluid every day.
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
Med Surge Final Exam
1…. A nurse is reviewing the laboratory data of a client who has acute pancreatitis.
The nurse should expect to find an elevation of which of following values?
Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars that can be
used by the body. It is produced by the pancreas and salivary glands and released
into the mouth, stomach, and intestines to aid in digestion. The amylase level of a
client who has acute pancreatitis usually increases within 12 to 24 hr and can
remain elevated for 2 to 3 days.
2…. A nurse is caring for a client who has a three-chamber closed chest tube
system. Which of the following actions should the nurse take after noticing a
rise in the water seal chamber with client inspiration?
Continue to monitor the client.
Rational
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
The fluid in the water seal chamber rises 2 to 4 inches during inhalation and falls
during exhalation. This is a process called tidaling. An absence of tidaling might
indicate a fully expanded lung or an obstruction in the chest tube.
3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury
that resulted in paraplegia. After a week on the unit, the nurse notes that the
client is withdrawn and increasingly resistant to rehabilitative efforts by the
staff. Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable goals.
Rational
The nurse should develop a plan of care for this client with mutually set goals.
This action invests the client in the rehabilitation process, which encourages
feelings of ownership for it, and sees the goals as more attainable
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
4…. A nurse is caring for a client who was admitted with bleeding esophageal
varices and has an esophagogastric balloon tamponade with a Sengstaken-
Blakemore tube to control the bleeding. Which of the following actions should the
nurse take?
Provide frequent oral and nares care.
Rational
A client who has a Sengstaken-Blakemore tube in place is unable to swallow. If
the client is alert, the nurse should encourage the client to spit saliva into a tissue
or basin. If the client is not alert, gentle suctioning of the oral cavity and nares
might be required to remove secretions.
5….A nurse is caring for a client who has suspected cholecystitis. The nurse should
expect the client's urine to appear which of the following colors?
Dark and foamy
Rational
The nurse should expect the client to have dark and foamy urine, which indicates
the kidneys are filtering excess bilirubin from the blood.
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
, ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
.
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
6….A nurse is caring for an older adult client who has rheumatoid arthritis (RA)
and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic
tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR)
Rational
Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in
detecting and monitoring tissue inflammation in clients with RA. As the disease
improves the ESR decreases.
7….A nurse is providing dietary teaching to a client who has a history of recurring
calcium oxalate kidney stones. Which of the following instructions should the
nurse include in the teaching?
Drink 3 L of fluid every day.
ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
