NGN RN ATI ADULT MED SURG PROCTORED EXAM 2023 LATEST VERSION WITH VERIFIED QUESTIONS AND CORRECT ANSWERS FROM ACTUAL PAST EXAM LATEST UPDATE
Adult child accompanying parent reports cognitive and physical decline in the client, expressing concern over memory loss thought processess, appetite, and self care.
Click to highlight the findings that require immediate follow up . - ANSWER I found the title to the car today, signed over to me
client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression
client reports not wanting to eat anymore
client's child reports their parent has lost about 8lbs in the past month
client says "why don't you just leave me? I am of no use"
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hour earlier. Which of the following statements should the nurse make? - ANSWER I can start the medication 30 minutes earlier
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the client's medical history should the nurse identify as a contraindication to the procedure? - ANSWER hypertension
The nurse is caring for a 75 year old client who is admitted to the medical surgical unit - ANSWER Assess for homan's sign
request a prescription for a lower extremity doppler flow study deep vein thrombosis PT/INR and platelet count
signs of bleeding after anticoagulation initiation
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning? - ANSWER Connect new information with the client's past experiences A nurse is admitting an older adult client who is transferring from another facility. The
nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspisions of the elder abuse? - ANSWER Privately interview the client about the injuries
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? - ANSWER osteoporosis
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin? - ANSWER a pearly, waxy nodule
A nurse is assessing a client who has hypocalcemia. In which of the following areas should the nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANSWER A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse expect? - ANSWER low urine specific gravity
A home health nurse is assisting a client with planning care for a family member who
has Alzheimer's disease. Which of the following instructions should the nurse include? - ANSWER Review the daily schedule with the client every morning
A nurse is caring for a client who has developed acute respiratory distress syndrome
(ARDS).
Which of the following findings should the nurse identify as a manifestation of this syndrome? - ANSWER refractory hypoxemia
An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of the following findings should indicate to the nurse that the client is experiencing status asthmaticus? - ANSWER use of accessory muscles
A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder. Which of the following adverse effects should the nurse instruct the client to report immediately to the provider? - ANSWER skin rash
A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery? - ANSWER clear drainage on the dressings
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of right-sided heart failure? - ANSWER increased abdominal girth
Adult child accompanying parent reports cognitive and physical decline in the client, expressing concern over memory loss thought processess, appetite, and self care.
Click to highlight the findings that require immediate follow up . - ANSWER I found the title to the car today, signed over to me
client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression
client reports not wanting to eat anymore
client's child reports their parent has lost about 8lbs in the past month
client says "why don't you just leave me? I am of no use"
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hour earlier. Which of the following statements should the nurse make? - ANSWER I can start the medication 30 minutes earlier
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the client's medical history should the nurse identify as a contraindication to the procedure? - ANSWER hypertension
The nurse is caring for a 75 year old client who is admitted to the medical surgical unit - ANSWER Assess for homan's sign
request a prescription for a lower extremity doppler flow study deep vein thrombosis PT/INR and platelet count
signs of bleeding after anticoagulation initiation
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning? - ANSWER Connect new information with the client's past experiences A nurse is admitting an older adult client who is transferring from another facility. The
nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspisions of the elder abuse? - ANSWER Privately interview the client about the injuries
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? - ANSWER osteoporosis
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin? - ANSWER a pearly, waxy nodule
A nurse is assessing a client who has hypocalcemia. In which of the following areas should the nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANSWER A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse expect? - ANSWER low urine specific gravity
A home health nurse is assisting a client with planning care for a family member who
has Alzheimer's disease. Which of the following instructions should the nurse include? - ANSWER Review the daily schedule with the client every morning
A nurse is caring for a client who has developed acute respiratory distress syndrome
(ARDS).
Which of the following findings should the nurse identify as a manifestation of this syndrome? - ANSWER refractory hypoxemia
An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of the following findings should indicate to the nurse that the client is experiencing status asthmaticus? - ANSWER use of accessory muscles
A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder. Which of the following adverse effects should the nurse instruct the client to report immediately to the provider? - ANSWER skin rash
A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery? - ANSWER clear drainage on the dressings
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of right-sided heart failure? - ANSWER increased abdominal girth
