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ATI RN ADULT MEDICAL SURGICAL 2019 FORM D NEWEST
VERSION COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse on a medical-surgical unit is reviewing the medical record of an
older adult client who is receiving IV fluid therapy. Which of the
following client information should indicate to the nurse that the client
requires re-evaluation of the IV therapy prescription? (Click on the
"Exhibit" button for additional information about the client. There are
three tabs that contain separate categories of data.)
EXHIBIT - ANSWER- BUN
A nurse is receiving report on a client who is postoperative following an
open repair of Zenker's diverticulum. The nurse should anticipate the
surgical incision to be in which of the following locations? (You will find
hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.) - ANSWER- Neck
Rationale: Zenker's diverticulum, or pharyngeal pouch, is a
herniation of the esophagus occurring through the cricopharyngeal
muscle in the midline of the neck. Repair of the diverticulum is
accomplished through an open incision in the client's neck.
A nurse is obtaining a medication history from a client who is scheduled
to undergo cataract surgery. The nurse should recognize that which of
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the following client medications is a contraindication for the surgery
and notify the provider? - ANSWER- Warfarin
A nurse is assessing a client who has peripheral arterial disease. Which
of the following findings should the nurse expect? - ANSWER- Hair loss
on the lower legs
Rationale: a result of impaired arterial circulation affecting follicular
growth.
A home health nurse is providing teaching to a client who has a stage 1
pressure injury on the greater trochanter of his left hip. Which of the
following instructions should the nurse include in the teaching? -
ANSWER- Change position every hour.
A nurse is assessing a client who has a diagnosis of rheumatoid
arthritis. Which of the following nonpharmacological interventions
should the nurse suggest to the client to reduce pain? - ANSWER-
Alternate application of heat and cold to the affected joints.
A nurse is assessing a client following the completion of hemodialysis.
Which of the following findings is the nurse's priority to report to the
provider? - ANSWER- Restlessness
Rationale: Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to dysrhythmias or
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seizures. Other manifestations include nausea, vomiting, fatigue, and
headache.
A nurse is caring for a client who is 4 hr postoperative following an
open reduction internal fixation of the right ankle. Which of the
following assessment findings should the nurse report to the provider? -
ANSWER- Extremity cool upon palpation
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? -
ANSWER- Temperature 38.9° C (102° F)
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions
should the nurse include in the plan of care? - ANSWER- Instruct the
client that the drain will be removed when there is 25 mL of output or
less over a 24-hr period.
Rationale: in place for 1 to 3 weeks after surgery and will be removed
when there is 25 mL of output or less in a 24-hr period.
A nurse is teaching a client about the use of transcutaneous electrical
nerve stimulation (TENS) for the management of bone cancer pain. The
nurse should explain that applying a TENS unit to the painful area has
which of the following effects? - ANSWER- A tingling sensation
replacing the pain
ATI RN ADULT MEDICAL SURGICAL 2019 FORM D NEWEST
VERSION COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse on a medical-surgical unit is reviewing the medical record of an
older adult client who is receiving IV fluid therapy. Which of the
following client information should indicate to the nurse that the client
requires re-evaluation of the IV therapy prescription? (Click on the
"Exhibit" button for additional information about the client. There are
three tabs that contain separate categories of data.)
EXHIBIT - ANSWER- BUN
A nurse is receiving report on a client who is postoperative following an
open repair of Zenker's diverticulum. The nurse should anticipate the
surgical incision to be in which of the following locations? (You will find
hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.) - ANSWER- Neck
Rationale: Zenker's diverticulum, or pharyngeal pouch, is a
herniation of the esophagus occurring through the cricopharyngeal
muscle in the midline of the neck. Repair of the diverticulum is
accomplished through an open incision in the client's neck.
A nurse is obtaining a medication history from a client who is scheduled
to undergo cataract surgery. The nurse should recognize that which of
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the following client medications is a contraindication for the surgery
and notify the provider? - ANSWER- Warfarin
A nurse is assessing a client who has peripheral arterial disease. Which
of the following findings should the nurse expect? - ANSWER- Hair loss
on the lower legs
Rationale: a result of impaired arterial circulation affecting follicular
growth.
A home health nurse is providing teaching to a client who has a stage 1
pressure injury on the greater trochanter of his left hip. Which of the
following instructions should the nurse include in the teaching? -
ANSWER- Change position every hour.
A nurse is assessing a client who has a diagnosis of rheumatoid
arthritis. Which of the following nonpharmacological interventions
should the nurse suggest to the client to reduce pain? - ANSWER-
Alternate application of heat and cold to the affected joints.
A nurse is assessing a client following the completion of hemodialysis.
Which of the following findings is the nurse's priority to report to the
provider? - ANSWER- Restlessness
Rationale: Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to dysrhythmias or
, 3|Page
seizures. Other manifestations include nausea, vomiting, fatigue, and
headache.
A nurse is caring for a client who is 4 hr postoperative following an
open reduction internal fixation of the right ankle. Which of the
following assessment findings should the nurse report to the provider? -
ANSWER- Extremity cool upon palpation
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? -
ANSWER- Temperature 38.9° C (102° F)
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions
should the nurse include in the plan of care? - ANSWER- Instruct the
client that the drain will be removed when there is 25 mL of output or
less over a 24-hr period.
Rationale: in place for 1 to 3 weeks after surgery and will be removed
when there is 25 mL of output or less in a 24-hr period.
A nurse is teaching a client about the use of transcutaneous electrical
nerve stimulation (TENS) for the management of bone cancer pain. The
nurse should explain that applying a TENS unit to the painful area has
which of the following effects? - ANSWER- A tingling sensation
replacing the pain
