ATI RN MEDSURG NGN 2023/2024 PROCTOREDEXAM-
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LATEST 100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
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.A nurse is assessing a client who is 12hr postoperative follo
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wing acolon resection. Which of the following findings shoul
n n n n n n n n
d the nurse report to the surgeon?
n n n n n n
1. Heart rate 90/min n n
2. Absent bowel sounds → normal findings after major bowel surgery; t
n n n n n n n n n n
akes several days to return to normal.
n n n n n n
3. Hgb 8.2 g/dl n n
4. Gastric pH of 3.0 n n n
Rationale: Normal Hgb is 13-18M g/dl, 12-
n n n n n n
16 g/dl. This may indicate a possible hemorrhaging.
n n n n n n n
• A nurse is caring for a client who has pneumothorax and a chest tube with cl
n n n n n n n n n n n n n n n
osed water seal drainage system. Which of the following actions should the nur
n n n n n n n n n n n n
se take?n
a. Strip nor nclear nthenchest n
tube every 8 hours
n n n
b. Refill the water chamber n n n n
if the fluid is low
n n n n
c. Empty the system at least every 8 hr
n n n n n n n
d. Changen thenchest nto nsitendressingnevery n24n hour
,• A nurse is in an emergency department is reviewing a client's ECG reading. w
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hich of the following findings should the nurse identify as an indication that the
n n n n n n n n n n n n n n
client has first degree heart block?
n n n n n
Prolonged PR intervals (Pe n n n
r Tiamson) More p waves t
n n n n n
han QRS complexes Non di
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scernible p waves n n
No correlation between p and QRS waves
n n n n n n
,• A nurse is preparing to administer a unit of packed rbc's to a client who is an
n n n n n n n n n n n n n n n n
emic. Identify the sequence of steps the nurse should follow.
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1. Obtain venous access using a 19 gauge needle
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2. Obtain the unit of packed rbc's from Blood Bank align
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3. verify blood compatibility with another nurse
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4. Initiate transfusion of the unit of packed rbc's
n n n n n n n
5. Remain with the client for the first 15 to 30 minutes of the infusion
n n n n n n n n n n n n n
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
n n n n n n n n
• A nurse is teaching A client who is to begin chemotherapy about peripherally in
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serted Central catheter. which of the following statements should the nurse includ
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e in the teaching?
n n n
We will replace the PICC every month
n n n n n n
We can draw blood samples from the PICC for diagnostic test
n n n n n n n n n n
We will change the dressing daily
n n n n n
We can measure your blood pressure in either arm
n n n n n n n n
Rationale: ATI Med- n n
Surg p. 166 PICC lines can be used up to 12 months, http://www.atitesting.co
n n n n n n n n n n n n
m/ati_next_gen/skillsmodules/content/cvad/equipment/ site- n
care.html change gauze dressings every 48
n n n n n hours
and transparent dressings
n 3 to 7 days or
whenever they are no n
, longer intact. Measure BP in opposite arm
n n n n n n
• A nurse is assessing a client who has Pyelonephritis and reports flank pain. w
n n n n n n n n n n n n n
hich of the following actions should the nurse take?
n n n n n n n n
Assist the client to a sitting position Perc
n n n n n n n
uss the side of tenderness first Auscultate f
n n n n n n n
or a bruit over the coastal vertebral area Th
n n n n n n n n
ump the area of tenderness directly with a c
n n n n n n n n
losed fist n
.A nurse is assessing a client who has acute kidney failure. Which of the fo
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llowing findings should the nurse report to the provider?
n n n n n n n n
Peripheral pulses 2 + bilaterally n n n n
Weight gain 1.1 kilogram to 2.4 pound in 24-hour
n n n n n n n n
Urine specific gra n n
vity 1.045 n
Creatinine 0.8 mil n n
liliter
Rationale: weight gain can indicate fluid retention. normal urine specific gravity
n n n n n n n n n n
: 1.000-1.030, normal creatinine: 0.5-1.2
n n n n
n n n n nn
LATEST 100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
n n nn n n n nn
.A nurse is assessing a client who is 12hr postoperative follo
n n n n n n n n n
wing acolon resection. Which of the following findings shoul
n n n n n n n n
d the nurse report to the surgeon?
n n n n n n
1. Heart rate 90/min n n
2. Absent bowel sounds → normal findings after major bowel surgery; t
n n n n n n n n n n
akes several days to return to normal.
n n n n n n
3. Hgb 8.2 g/dl n n
4. Gastric pH of 3.0 n n n
Rationale: Normal Hgb is 13-18M g/dl, 12-
n n n n n n
16 g/dl. This may indicate a possible hemorrhaging.
n n n n n n n
• A nurse is caring for a client who has pneumothorax and a chest tube with cl
n n n n n n n n n n n n n n n
osed water seal drainage system. Which of the following actions should the nur
n n n n n n n n n n n n
se take?n
a. Strip nor nclear nthenchest n
tube every 8 hours
n n n
b. Refill the water chamber n n n n
if the fluid is low
n n n n
c. Empty the system at least every 8 hr
n n n n n n n
d. Changen thenchest nto nsitendressingnevery n24n hour
,• A nurse is in an emergency department is reviewing a client's ECG reading. w
n n n n n n n n n n n n n
hich of the following findings should the nurse identify as an indication that the
n n n n n n n n n n n n n n
client has first degree heart block?
n n n n n
Prolonged PR intervals (Pe n n n
r Tiamson) More p waves t
n n n n n
han QRS complexes Non di
n n n n
scernible p waves n n
No correlation between p and QRS waves
n n n n n n
,• A nurse is preparing to administer a unit of packed rbc's to a client who is an
n n n n n n n n n n n n n n n n
emic. Identify the sequence of steps the nurse should follow.
n n n n n n n n n
1. Obtain venous access using a 19 gauge needle
n n n n n n n
2. Obtain the unit of packed rbc's from Blood Bank align
n n n n n n n n n
3. verify blood compatibility with another nurse
n n n n n
4. Initiate transfusion of the unit of packed rbc's
n n n n n n n
5. Remain with the client for the first 15 to 30 minutes of the infusion
n n n n n n n n n n n n n
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
n n n n n n n n
• A nurse is teaching A client who is to begin chemotherapy about peripherally in
n n n n n n n n n n n n n
serted Central catheter. which of the following statements should the nurse includ
n n n n n n n n n n n
e in the teaching?
n n n
We will replace the PICC every month
n n n n n n
We can draw blood samples from the PICC for diagnostic test
n n n n n n n n n n
We will change the dressing daily
n n n n n
We can measure your blood pressure in either arm
n n n n n n n n
Rationale: ATI Med- n n
Surg p. 166 PICC lines can be used up to 12 months, http://www.atitesting.co
n n n n n n n n n n n n
m/ati_next_gen/skillsmodules/content/cvad/equipment/ site- n
care.html change gauze dressings every 48
n n n n n hours
and transparent dressings
n 3 to 7 days or
whenever they are no n
, longer intact. Measure BP in opposite arm
n n n n n n
• A nurse is assessing a client who has Pyelonephritis and reports flank pain. w
n n n n n n n n n n n n n
hich of the following actions should the nurse take?
n n n n n n n n
Assist the client to a sitting position Perc
n n n n n n n
uss the side of tenderness first Auscultate f
n n n n n n n
or a bruit over the coastal vertebral area Th
n n n n n n n n
ump the area of tenderness directly with a c
n n n n n n n n
losed fist n
.A nurse is assessing a client who has acute kidney failure. Which of the fo
n n n n n n n n n n n n n n
llowing findings should the nurse report to the provider?
n n n n n n n n
Peripheral pulses 2 + bilaterally n n n n
Weight gain 1.1 kilogram to 2.4 pound in 24-hour
n n n n n n n n
Urine specific gra n n
vity 1.045 n
Creatinine 0.8 mil n n
liliter
Rationale: weight gain can indicate fluid retention. normal urine specific gravity
n n n n n n n n n n
: 1.000-1.030, normal creatinine: 0.5-1.2
n n n n
