ATI RN MEDSURG 2024/2025 PROCTORED EXAM

ATI RN MEDSURG 2020/2021 PROCTOREDE
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1 Annursenworkingninnthenemergencyndepartmentnisncaringnfornanclientnwhonhasnanburnninjury.nAfte
rnsecuringnthenclient'snAirwaynwhichnofnthenfollowingninterventionsnshouldnthennursentakenfirst?
CleansenthenclientnwoundnA
dministernAnalgesicnmedica
tionnIncreasen then roomn temp
eraturenStartnannIVnwithnanla
rgenborenneedle


2 n Annursenisncaringnfornanclientnwhonhasnancentralnvenousnaccessndevicenandnnotesnthentubingnha
snbecomendisconnected.nThenclientndevelopsndyspneanandntachycardia.nWhichnofnthenfollowi
ngnactionsnshouldnthennursentakenfirst?
ObtainnABGnval
uesnPerformnann
ECG
Turnnthenclientntonhisnleftnside
Clampnthencatheter


94.Annursenisnprovidingndischargenteachingntonanclientnwhonhasnimpairednimmunensystemnduentonc
hemotherapy.nWhichnofnthenfollowingninformationnshouldnthennursenincludeninnthenteaching?
Washnyournperinealnarean2ntimesneachndaynwithnantimicrobialnsoap
Changenthenwaterninnyourndrinkingnglassneveryn4nhoursnp.581navoidnfluidsnsittingnatnr
oomntempnfornlongernthann1hr
Washnyourntoothbrushninnthendishwashernonceneachnmonthnp.581nwashntoothbrushndailyninndis
hwasher
Changenyournpetnlitternboxndailynp.581navoidnchangingnpet’snlitternbox


1 Annursenisnassessingnanclientnwhonisn12hrnpostoperativenfollowingnancolonnresection.
n Whichnofnthenfollowingnfindingsnshouldnthennursenreportntonthensurgeon?
a. Heartnraten90/min
b. Absentnbowelnsoundsn→nnormalnfindingsnafternmajornbowelnsurgery;ntakesnsevera
lndaysntonreturnntonnormal.

,ATI RN MEDSURG 2020/2021 PROCTOREDE
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c. Hgbn8.2ng/dl
d. GastricnpHnofn3.0
Rationale:nNormalnHgbnisn13-18Mng/dl,n12-16ng/dl.nThisnmaynindicatenanpossiblenhemorrhaging.


2. Annursenisncaringnfornanclientnwhonhasndiabetesninsipidus.nWhichnofnthenfollowingnme
dicationsnshouldnthennursenplanntonadminister?
a. Desmopressin
b. Regularninsulin
c. Furosemide
d. Lithiumncarbonate
Rationale:nDiabetesnInsipidusnhasndecreasednADH.nAdministernDesmopressin/Vasopressinnincreas
enADHnandnkeepsnpt.nonnurinating


3. Annursenisnadmittingnanclientnwhonhasnarthriticnpainnandnreportsntakingnibuprofennsevera
lntimesndailynforn3nyears.nWhichnofnthenfollowingntestnshouldnthennursenmonitor?
a. Fastingnbloodnglucose
b. Stoolnfornoccultnblood
c. Urinenfornwhitenbloodncells
d. Serumncalcium
Rationale:ATInPharmn16.nPg.n485nIbuprofenn(NSAIDs)nmonitornfornGInbleedn(bloody,ntarrynstools,nab
dnpain).


4. Annurseninnthenemergencyndepartmentnisnassessingnanclient.nWhichnofnthenfollowingnactionsn
shouldnthennursentakenfirstn(Clicknonnthen“Exhibit”nbuttonnfornadditionalninformationnaboutn
thenclient.nTherenarenthreentabsnthatncontainnseparatencategoriesnofndata.)
a. Obtainnansputumnsamplenfornculture
b. Preparenthenclientnfornanchestnx-ray
c. Initiatenairbornenprecautions
d. Administernondansertron.
Rationale:nNonideanwhatnthenExhibitnisnallnabout;nwontnbenablentonanswernit.

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5. Annursenisncontactingnthenprovidernfornanclientnwhonhasncancernandnisnexperiencin
gnbreakthroughnpain.nWhichnofnthenfollowingnprescriptionsnshouldnthennursenantic
ipate?
a. Transmucosalnfentanyl
b. Intramuscularnmeperidine
c. Oralnacetaminophen
d. Intravenousndexametha
sonenRationale:ATInpg.n27


6. Annursenisnadmittingnanclientnwhonreportsnchestnpainnandnhasnbeennplacednonnantelemetrynm
onitor.nWhichnofnthenfollowingnshouldnthennursenanalyzentondeterminenwhethernthenclientni
snexperiencingnanmyocardialninfarction?
a. PRninterval
b. QRSnduration
c. Tnwave
d. STnsegment
Rationale:nSTnelevationnindicatesnMI.nSTndepressionnindicatesnischemia


7. Annursenisnteachingnanclientnwhonhasnovarianncancernaboutnskinncarenfollowingnradiationnt
reatment.nWhichnofnthenfollowingninstructionsnshouldnthennurseninclude?
a. Patnthenskinnonnthenradiationnsitentondrynit

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b. ApplynOTCn moisturizerntonthenradiationnsite
c. Covernthenradiationnsitenlooselynwithnangauzenwrapnbeforendressing
d. Usenansoftnwashclothntoncleannthenareanaroundnthen
radiationnsitenRationale:npg.n584.nDrynthenareanthoroughlynusingnp
attingnmotions.


8. Annursenisncaringnfornanclientnwhonisnreceivingnanbloodntransfusion.nThennursenobservesn
thatnthenclientnhasnboundingnperipheralnpulses,nhypertension,nandndistendednjugularnvei
ns.nThennursenshouldnanticipatenadministeringnwhichnofnthenfollowingnprescribednmedic
ations?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale:nS/Snmaynindicatenfluidnretentionnornheartnfailure.nItnisnimportantntonadministerndi
ureticsntonpreventncardiovascular/respiratoryndistress.


9. AnnursenisnassessingnanclientnwhonisnreceivingnmagnesiumnsulfatenIVnfornthentrea
tmentnofnhypomagnesemia.nWhichnofnthenfollowingnfindingsnindicatesneffectiv
enessnofnthenmedication?
a. Lungsnclear
b. Apicalnpulsen82/min
c. Hyperactivenbowelnsounds
d. Bloodnpressuren90/50nmmnHg
Rationale:nATInp.n494:ns/snofnhypomagnesemianconsistnofnhypoactivenbowelnsounds,nconstipation,n
paralyticnileus.nSoneffectivenessnwouldnindicatenoppositenofnthis


10. Annursenisnreviewingnanclient’snABGnresultsnpHn7.42,nPaC02n30nmmnHg,nandnHCO3n21nm
Eq/L.nThennursenshouldnrecognizenthesenfindingsnasnindicationnofnwhichnofnthenfollowingn
conditions?