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Maternity Practice HESI

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7 year old diabetes I 6 month old introducing solid foods – should be introduced one at a time, every 4 to 7 days to determine food allergies Digoxin 3 month old with GHD, miss a dose – if missed in less than 4 hours, gibe dose, if elapsed more than 4 hours, hold and give dose at next scheduled time 36 weeks pregnant, Rh-, bright red vaginal bleeding, nursing intervention rubella vaccine – instruction about use of a reliable method of birth control for 28 days after the rubella vaccine is given 6 years old, rheumatic fever, chorea 1 month old vomiting forcefully after each meal, is afebrile, dehydrated, and pyloric stenosis – olive shaped mass in the abdominal area that is evident at diaper change 18 weeks gestation, high AFP level – need for follow up evaluation with a sonogram to provide visual evidence of fetal age and presence of neural tube defects left breast mastitis, instruction to do at home magnesium sulfate, toxicity signs continuous fetal monitoring, V shaped appearance child with suspected bacterial meningitis, would have a recent history of unrelated bacterial upper respiratory, sinus, or ear infection - ear ache HIV+, receiving AZT during labor diaphragm size – after each birth the diaphragm should be evaluated for correct sizing and use an alternative form of contraception until verified Type I, 35 weeks gestation, amniocentesis Dilantin, newly diagnosed tonic – clonic epilepsy, seizure management – child should have routine serum levels monitored, as well as liver function infant with barking cough, fever, runny nose – croup, mother should the baby in the bathroom steamed up with hot water from tub or shower osteomyelitis foods to eat, 6 years old – high protein/high calories, milk shake is best choice 4 year old DMD symptoms – teach parents about these changes so they can prepare and help protect child from injuries

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2023 ATI RN MED SURG PROCTORED
EXAM LATEST UPDATE AGRADED WITH
ALL QUESTIONS AND ANSWERS
VERIFIED
A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following
findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.

2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and keeps
pt. on urinating

3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).

4. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse
take first (Click on the “Exhibit” button for additional information about the client. There are three tabs
that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.

5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale:ATI pg. 27

6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is experiencing a myocardial
infarction?
a. PR interval
b. QRS duration

, c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia

7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it

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