NGN ATI MED SURG PROCTORED
EXAM 2024 ACTUAL EXAM 2 VERSION
(VERSION A AND B) COMPLETE 220
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS)/ALREADY GRADED A+
VERSION B
A patient is admitted with active tuberculosis (TB).
The nurse should question a health care provider's
order to discontinue airborne precautions unless
which assessment finding is documented?
Select one:
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Sputum smears for acid-fast bacilli are negative. -
....ANSWER...d. Sputum smears for acid-fast bacilli
are negative.
,The nurse administers prescribed therapies for a
patient with cor pulmonale and right-sided heart
failure. Which assessment could be used to evaluate
the effectiveness of the therapies?
Select one:
a. Observe for distended neck veins.
b. Auscultate for crackles in the lungs.
c. Palpate for heaves or thrills over the heart.
d. Monitor for elevated white blood cell count. -
....ANSWER...a. Observe for distended neck veins.
The emergency department nurse is evaluating the
effectiveness of therapy for a patient who has
received treatment during an asthma attack. Which
assessment finding is the best indicator that the
therapy has been effective?
Select one:
a. No wheezes are audible.
b. O2 saturation is >90%.
c. Accessory muscle use has decreased.
d. Respiratory rate is 16 breaths/minute. -
....ANSWER...b. O2 saturation is >90%.
,A patient experiences a chest wall contusion as a
result of being struck in the chest with a baseball
bat. The emergency department nurse would be
most concerned if which finding is observed during
the initial assessment?
Select one:
a. Paradoxical chest movement
b. Complaint of chest wall pain
c. Heart rate of 110 beats/minute
d. Large bruised area on the chest - ....ANSWER...a.
Paradoxical chest movement
The nurse is caring for a client who is receiving
mechanical ventilation via endotracheal intubation.
Which of the following nursing interventions are
essential in reducing the client's risk for ventilator-
associated pneumonia? Select all that Apply
Select one or more:
a. Maintain elevation of the HOB at 30 degrees
b. Assess the client's readiness for extubation at
least daily.
c. Administer pneumococcal vaccine to client.
, d. Provide an kinetic bed to continually reposition
client.
e. Provide oral care with chlorhexidine at least daily
- ....ANSWER...a. Maintain elevation of the HOB at 30
degrees
b. Assess the client's readiness for extubation at
least daily.
e. Provide oral care with chlorhexidine at least daily
A nurse is caring for a patient who has had a total
laryngectomy and radical neck dissection. During the
first 24 hours after surgery what is the priority
nursing action?
Select one:
a. Monitor the incision for bleeding.
b. Maintain adequate IV fluid intake.
c. Keep the patient in semi-Fowler's position.
d. Teach the patient to suction the tracheostomy. -
....ANSWER...c. Keep the patient in semi-Fowler's
position.
On auscultation of a patient's lungs, the nurse hears
low-pitched, bubbling sounds during INhalation in
EXAM 2024 ACTUAL EXAM 2 VERSION
(VERSION A AND B) COMPLETE 220
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS)/ALREADY GRADED A+
VERSION B
A patient is admitted with active tuberculosis (TB).
The nurse should question a health care provider's
order to discontinue airborne precautions unless
which assessment finding is documented?
Select one:
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Sputum smears for acid-fast bacilli are negative. -
....ANSWER...d. Sputum smears for acid-fast bacilli
are negative.
,The nurse administers prescribed therapies for a
patient with cor pulmonale and right-sided heart
failure. Which assessment could be used to evaluate
the effectiveness of the therapies?
Select one:
a. Observe for distended neck veins.
b. Auscultate for crackles in the lungs.
c. Palpate for heaves or thrills over the heart.
d. Monitor for elevated white blood cell count. -
....ANSWER...a. Observe for distended neck veins.
The emergency department nurse is evaluating the
effectiveness of therapy for a patient who has
received treatment during an asthma attack. Which
assessment finding is the best indicator that the
therapy has been effective?
Select one:
a. No wheezes are audible.
b. O2 saturation is >90%.
c. Accessory muscle use has decreased.
d. Respiratory rate is 16 breaths/minute. -
....ANSWER...b. O2 saturation is >90%.
,A patient experiences a chest wall contusion as a
result of being struck in the chest with a baseball
bat. The emergency department nurse would be
most concerned if which finding is observed during
the initial assessment?
Select one:
a. Paradoxical chest movement
b. Complaint of chest wall pain
c. Heart rate of 110 beats/minute
d. Large bruised area on the chest - ....ANSWER...a.
Paradoxical chest movement
The nurse is caring for a client who is receiving
mechanical ventilation via endotracheal intubation.
Which of the following nursing interventions are
essential in reducing the client's risk for ventilator-
associated pneumonia? Select all that Apply
Select one or more:
a. Maintain elevation of the HOB at 30 degrees
b. Assess the client's readiness for extubation at
least daily.
c. Administer pneumococcal vaccine to client.
, d. Provide an kinetic bed to continually reposition
client.
e. Provide oral care with chlorhexidine at least daily
- ....ANSWER...a. Maintain elevation of the HOB at 30
degrees
b. Assess the client's readiness for extubation at
least daily.
e. Provide oral care with chlorhexidine at least daily
A nurse is caring for a patient who has had a total
laryngectomy and radical neck dissection. During the
first 24 hours after surgery what is the priority
nursing action?
Select one:
a. Monitor the incision for bleeding.
b. Maintain adequate IV fluid intake.
c. Keep the patient in semi-Fowler's position.
d. Teach the patient to suction the tracheostomy. -
....ANSWER...c. Keep the patient in semi-Fowler's
position.
On auscultation of a patient's lungs, the nurse hears
low-pitched, bubbling sounds during INhalation in
