ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMASCALE REAL EXAM

ATIADVANCEDMEDSURGPROCTORED2023WITHGLASGOWCOM
ASCALEREALEXAM
1. Anurseinaburntreatmentcenteriscaringforaclientwhoisadmittedwithseverebur
nstobothlowerextremitiesandispendinganescharotomy.Theclient’s
spouseasksthenursewhattheprocedureentails.Whichofthefollowing
nursingstatementsisappropriate?


a. “largeincisionswillbemadeintheeschartoimprovecirculation”
b. “Icancallthedoctorbackhereifyouwantmeto”
c. “apieceofskinwillberemovedandgraftedovertheburnedarea”
d. “deadtissuewillbesurgicallyremoved”


2. Anurseismonitoringthefluidreplacementofaclientwhohassustainedburns.Which
ofthefollowingfluidsisusedinthefirst24hoursfollowingaburninjury?


a. 5%dextroseinwater
b. 5%dextroseinnormalsaline
c. normalsaline
d. lactatedringers


3. Anurseiscaringforaclientwhohasfull-
thicknessburnsallover75%ofhisbody.Whichofthefollowingmethodsisappropriatet
oaccuratelymonitorthecardiovascularsystem?


a. auscultatecuffbloodpressure
b. palpatepulsepressure
c. obtainacentralvenouspressure
d. monitorthepulmonaryarterypressure


4. Anurseisassessingthedepthandextentofaclientwhohassevereburnstotheface,nec
k,andupperextremities.Whichofthefollowingfactorsisthefirstprioritywhenassessin
gtheseverityoftheburn?

,a. Ageoftheclient
b. Associatedmedicalhistory
c. Locationoftheburn
d. Causeoftheburn


5. Aclientarrivesattheemergencydeptfollowinganexplosionatthechemicalplant.H
ehasdeeppartialandfull-
thicknesschemicalburnsovermorethan25%ofhisbodysurfacearea.Whatisthenurs
e’s priorityintervention?


a. Initiatefluidresuscitation
b. Medicationforpain
c. Administerantibiotics

,d. Maintainapatentairway


6. Anurseiscaringforaclientwhocametheemergencydeptreportingchestpain.Theprovi
dersuspectsamyocardialinfarction.Whilewaitingforthelaboratorytoreporttheclient’s
troponinlevels,theclientaskswhatthisbloodtestwillshow.
Thenurseshouldexplainthattroponinis


a. Anenzymethatindicatesdamagetobrain,heart,andskeletalmuscletissu
es
b. Aproteinwhoselevelsreflecttheriskforcoronaryarterydisease
c. Aheartmuscleproteinthatappearsinthebloodstreamwhenthereisdam
agetotheheart
d. Aproteinthathelpstransportoxygenthroughoutthebody


7. Anurseisassessingaclientwhohasdisseminatedintravascularcoagulation(DIC
).Whichofthefollowingshouldthenurseexpectinthefindings?


a. Excessivethrombosisandbleeding
b. Progressiveincreaseinplateletproduction
c. Immediatesodiumandfluidretention
d. Increasedclottingfactors


8. Anurseisabouttoadministerwarfarin(Coumadin)toaclientwhohasatrialfibrill
ation.Whentheclientaskswhathismedicationwilldo,whichofthefollowingisanapp
ropriatenursingresponse?


a. Ithelpsconvertatrialfibrillationtosinusrhythm
b. Isdissolvesclotsinthebloodstream
c. Itslowstheresponseoftheventriclestothefastatrialimpulses
d. Itpreventsstrokesinclientswhohaveatrialfibrillation


9. Anurseinacardiaccareunitiscaringforaclientwithacuteheartfailure.Whichofthefol
lowingfindingsshouldthenurseexpect?

, a. Decreasedbrainnatriureticpeptide(BNP)
b. Elevatedcentralvenouspressure(CVP)
c. Decreasedpulmonarypressure
d. Increasesurinaryoutput


10. AclientcomesintotheEDreportingnauseaandvomitingthatworsenswhenlyingdo
wnandwithoutrelieffromantacids.Theprovidersuspectsacutepancreatitis.Whichoft
hefollowinglabtestresultsshouldthenurseexpecttoseeiftheclienthasacutepancreatit
is?


a. DecreasedWBC