lOMoAR cPSD| 24309211
ATI MEDSURG
PROCTORED FINAL
EXAM GRADED +.
1….A nurse in a burn treatment center is caring for a patient who is admitted
with severe burns to both lower extremities and is scheduled for an
escharotomy. The patient's spouse asks the nurse what the procedure entails.
Which of the followingnursing statements is appropriate?
Large incisions will be made in the eschar to improve circulation.
Rational
An escharotomy is a surgical incision made to release pressure and improve
circulation in a part of the body that has a deep burn and is experiencing
excessiveswelling. Burn injuries that encircle a body part, such as an arm or the
chest, can cause swelling and tightness in the affected area, resulting in
reduced circulation. Making surgical incisions into the burned tissue allows the
skin to expand, reducestightness and pressure, and improves circulation.
,2…. A nurse in a clinic is interviewing a patient who has a possible diagnosis of
endometriosis. Which of the following findings in the patient's history should the
nurse recognize as consistent with a diagnosis of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that lines the
uterus implants in locations outside the uterus. This typically causes pelvic
pain around the time of the menstrual period but can cause pain at other
times inthe cycle. The discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a patient who has had a spinal cord
injury that resulted in paraplegia. After a week on the unit, the nurse notes
that the patient is withdrawn and increasingly resistant to rehabilitative efforts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 patient that sets attainable goals.
Rational
The nurse should develop a plan of care for this patient with mutually set goals.
This action invests the patient in the rehabilitation process, which encourages
feelings ofownership for it, and sees the goals as more attainable
4…. A nurse is reviewing the laboratory data of a patient 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
beused by the body. It is produced by the pancreas and salivary glands and
releasedinto the mouth, stomach, and intestines to aid in digestion. The
amylase level of apatient who has acute pancreatitis usually increases within
12 to 24 hr and can remain elevated for 2 to 3 days.
5….A nurse is caring for a patient who has suspected cholecystitis. The nurse
shouldexpect the patient's urine to appear which of the following colors?
Dark and foamy
,Rational
The nurse should expect the patient to have dark and foamy urine, which
indicatesthe kidneys are filtering excess bilirubin from the blood.
6….A nurse is caring for an older adult patient 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 patients with RA. As the
disease improves the ESR decreases.
7….A nurse is providing dietary teaching to a patient who has a history of
recurringcalcium oxalate kidney stones. Which of the following instructions
should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the patient to drink at least 3 to 4 L of fluid every day to
dilute the urine and reduce the risk for stone formation.
8….A nurse is assessing a patient who has disseminated intravascular coagulation
(DIC). Which of the following findings should the nurse expect?
Excessive thrombosis and bleeding
Rational
The nurse should expect excessive thrombosis and bleeding of mucous
membranes because both DIC impairs both coagulation and
anticoagulationpathways.
9….A nurse is caring for a middle adult patient who has just received the
diagnosisof endometrial cancer. In taking a nursing history, which of the
following manifestations is likely to be reported by this patient?
Postmenopausal bleeding
, Rational
Endometrial cancer involves cancerous growth of the endometrium (lining of
the uterus). The most common manifestation of endometrial cancer is
abnormaluterine bleeding, including postmenopausal bleeding and bleeding
between normal periods in premenopausal women.
10…A nurse is giving a presentation to a community group about preventing
atherosclerosis. Which of the following should the nurse include as a modifiable
risk factor for this disorder? (Select all that apply.)
Hypercholesterole
miaHypertension
Obesit
y
Smoki
ng
11…A nurse is admitting a patient who has active tuberculosis to a room
on a medical-surgical unit. Which of the following room assignments
should thenurse make for the patient?
A room with air exhaust directly to the outdoor environment
Rational
A room with air exhaust directly to the outside environment eliminates
contamination of other patient-care areas. This type of ventilation system is
referred to as an airborne infection isolation room.
12…A nurse is caring for a patient who has Cushing's syndrome. Which of the
following interventions should the nurse expect to perform? (Select all that
apply.)Assess blood glucose level
Assess for neck vein distention
Incorrect. Monitor for an irregular heart
rateIncorrect. Monitor for postural
hypotension Weigh the patient daily
ATI MEDSURG
PROCTORED FINAL
EXAM GRADED +.
1….A nurse in a burn treatment center is caring for a patient who is admitted
with severe burns to both lower extremities and is scheduled for an
escharotomy. The patient's spouse asks the nurse what the procedure entails.
Which of the followingnursing statements is appropriate?
Large incisions will be made in the eschar to improve circulation.
Rational
An escharotomy is a surgical incision made to release pressure and improve
circulation in a part of the body that has a deep burn and is experiencing
excessiveswelling. Burn injuries that encircle a body part, such as an arm or the
chest, can cause swelling and tightness in the affected area, resulting in
reduced circulation. Making surgical incisions into the burned tissue allows the
skin to expand, reducestightness and pressure, and improves circulation.
,2…. A nurse in a clinic is interviewing a patient who has a possible diagnosis of
endometriosis. Which of the following findings in the patient's history should the
nurse recognize as consistent with a diagnosis of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that lines the
uterus implants in locations outside the uterus. This typically causes pelvic
pain around the time of the menstrual period but can cause pain at other
times inthe cycle. The discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a patient who has had a spinal cord
injury that resulted in paraplegia. After a week on the unit, the nurse notes
that the patient 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 patient that sets attainable goals.
Rational
The nurse should develop a plan of care for this patient with mutually set goals.
This action invests the patient in the rehabilitation process, which encourages
feelings ofownership for it, and sees the goals as more attainable
4…. A nurse is reviewing the laboratory data of a patient 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
beused by the body. It is produced by the pancreas and salivary glands and
releasedinto the mouth, stomach, and intestines to aid in digestion. The
amylase level of apatient who has acute pancreatitis usually increases within
12 to 24 hr and can remain elevated for 2 to 3 days.
5….A nurse is caring for a patient who has suspected cholecystitis. The nurse
shouldexpect the patient's urine to appear which of the following colors?
Dark and foamy
,Rational
The nurse should expect the patient to have dark and foamy urine, which
indicatesthe kidneys are filtering excess bilirubin from the blood.
6….A nurse is caring for an older adult patient 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 patients with RA. As the
disease improves the ESR decreases.
7….A nurse is providing dietary teaching to a patient who has a history of
recurringcalcium oxalate kidney stones. Which of the following instructions
should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the patient to drink at least 3 to 4 L of fluid every day to
dilute the urine and reduce the risk for stone formation.
8….A nurse is assessing a patient who has disseminated intravascular coagulation
(DIC). Which of the following findings should the nurse expect?
Excessive thrombosis and bleeding
Rational
The nurse should expect excessive thrombosis and bleeding of mucous
membranes because both DIC impairs both coagulation and
anticoagulationpathways.
9….A nurse is caring for a middle adult patient who has just received the
diagnosisof endometrial cancer. In taking a nursing history, which of the
following manifestations is likely to be reported by this patient?
Postmenopausal bleeding
, Rational
Endometrial cancer involves cancerous growth of the endometrium (lining of
the uterus). The most common manifestation of endometrial cancer is
abnormaluterine bleeding, including postmenopausal bleeding and bleeding
between normal periods in premenopausal women.
10…A nurse is giving a presentation to a community group about preventing
atherosclerosis. Which of the following should the nurse include as a modifiable
risk factor for this disorder? (Select all that apply.)
Hypercholesterole
miaHypertension
Obesit
y
Smoki
ng
11…A nurse is admitting a patient who has active tuberculosis to a room
on a medical-surgical unit. Which of the following room assignments
should thenurse make for the patient?
A room with air exhaust directly to the outdoor environment
Rational
A room with air exhaust directly to the outside environment eliminates
contamination of other patient-care areas. This type of ventilation system is
referred to as an airborne infection isolation room.
12…A nurse is caring for a patient who has Cushing's syndrome. Which of the
following interventions should the nurse expect to perform? (Select all that
apply.)Assess blood glucose level
Assess for neck vein distention
Incorrect. Monitor for an irregular heart
rateIncorrect. Monitor for postural
hypotension Weigh the patient daily
