. 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
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.
,. ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
3…A nurse is caring for a client who has had a spinal cord injury at the level of
the T2-T3 vertebrae. When planning care, the nurse should anticipate which
of the following types of disability?
Paraplegia
Rational
Paraplegia, or paralysis of both legs, is seen after a spinal cord injury below T1.
4…A nurse is caring for a client who recently had surgery for insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
MRI of the chest
Rational
A permanent pacemaker is a contraindication for MRI of the chest. The magnets
in the machine can create electromagnetic interference and cause the pacemaker
to malfunction.
5… A nurse is reviewing laboratory values for a client who has systemic lupus
erythematous (SLE). Which of the following values should give the nurse the best
indication of the client's renal function?
Serum creatinine
,. ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
Rational
A renal function disorder reduces the excretion of creatinine, resulting in
increased levels of blood creatinine. Creatinine is a specific and sensitive
indicator of renal function.
6…A nurse is teaching a client about risk factors for osteoarthritis. Which of the
following factors should the nurse include in the teaching? (Select all that apply.)
Incorrect. Bacteria
Incorrect. Diuretics
Aging
Obesity
Smoking
Bacteria is incorrect. Bacterial infections can lead to infectious arthritis, which
does not cause irreversible damage to joints. Infection is not a risk factor for
osteoarthritis.
Diuretics is incorrect. Diuretic therapy is a possible risk factor for gout, but not for
osteoarthritis.
Aging is correct. Aging is a risk factor for osteoarthritis, as the joints bear the
load of the body's weight over time.
Obesity is correct. Obesity is a risk factor for osteoarthritis, as it increases the load
of the body's weight over time.
Smoking is correct. Smoking is a risk factor for osteoarthritis, as smoking
, . ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
predisposes people to the loss of cartilage in the knees.
7… A nurse is admitting a client who has acute pancreatitis. Which of the
following provider prescriptions should the nurse anticipate?
Pantoprazole 80 mg IV bolus twice daily
Rational
The nurse should anticipate a provider's prescription for a proton pump
inhibitor to decrease gastric acid production, which ultimately decrease
pancreatic secretions
8… A nurse is caring for a client who is 2 hr postoperative following a
transurethral resection of the prostate (TURP) gland. Which of the following
assessments should the nurse view to be an indication of a postoperative
complication?
Output of burgundy colored
urine Rational
Output of burgundy colored urine may indicate venous bleeding, a potential
complication following a TURP. Should this occur, the nurse should inform the
provider and anticipate an order for increased CBI rate or manual irrigation of the
catheter.
9…A nurse is reviewing the arterial blood gas values of a client who has chronic
kidney disease. Which of the following sets of values should the nurse expect?
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
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.
,. ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
3…A nurse is caring for a client who has had a spinal cord injury at the level of
the T2-T3 vertebrae. When planning care, the nurse should anticipate which
of the following types of disability?
Paraplegia
Rational
Paraplegia, or paralysis of both legs, is seen after a spinal cord injury below T1.
4…A nurse is caring for a client who recently had surgery for insertion of a
permanent pacemaker. Which of the following prescriptions should the nurse
clarify?
MRI of the chest
Rational
A permanent pacemaker is a contraindication for MRI of the chest. The magnets
in the machine can create electromagnetic interference and cause the pacemaker
to malfunction.
5… A nurse is reviewing laboratory values for a client who has systemic lupus
erythematous (SLE). Which of the following values should give the nurse the best
indication of the client's renal function?
Serum creatinine
,. ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
Rational
A renal function disorder reduces the excretion of creatinine, resulting in
increased levels of blood creatinine. Creatinine is a specific and sensitive
indicator of renal function.
6…A nurse is teaching a client about risk factors for osteoarthritis. Which of the
following factors should the nurse include in the teaching? (Select all that apply.)
Incorrect. Bacteria
Incorrect. Diuretics
Aging
Obesity
Smoking
Bacteria is incorrect. Bacterial infections can lead to infectious arthritis, which
does not cause irreversible damage to joints. Infection is not a risk factor for
osteoarthritis.
Diuretics is incorrect. Diuretic therapy is a possible risk factor for gout, but not for
osteoarthritis.
Aging is correct. Aging is a risk factor for osteoarthritis, as the joints bear the
load of the body's weight over time.
Obesity is correct. Obesity is a risk factor for osteoarthritis, as it increases the load
of the body's weight over time.
Smoking is correct. Smoking is a risk factor for osteoarthritis, as smoking
, . ATI MEDSURG PROCTORED FINAL EXAM (218 Q &
As) BEST EXAM SOLUTION GUARANTEED SUCCESS
SOLVED AND GRADED A+
predisposes people to the loss of cartilage in the knees.
7… A nurse is admitting a client who has acute pancreatitis. Which of the
following provider prescriptions should the nurse anticipate?
Pantoprazole 80 mg IV bolus twice daily
Rational
The nurse should anticipate a provider's prescription for a proton pump
inhibitor to decrease gastric acid production, which ultimately decrease
pancreatic secretions
8… A nurse is caring for a client who is 2 hr postoperative following a
transurethral resection of the prostate (TURP) gland. Which of the following
assessments should the nurse view to be an indication of a postoperative
complication?
Output of burgundy colored
urine Rational
Output of burgundy colored urine may indicate venous bleeding, a potential
complication following a TURP. Should this occur, the nurse should inform the
provider and anticipate an order for increased CBI rate or manual irrigation of the
catheter.
9…A nurse is reviewing the arterial blood gas values of a client who has chronic
kidney disease. Which of the following sets of values should the nurse expect?
