ATI Med-Surg Endocrine TEST QUESTIONS WITH 100% CORRECT ANSWERS 2023

ATI Med-Surg Endocrine TEST QUESTIONS WITH 100% CORRECT ANSWERS 2023 ._______ are usually given prior to cardioversion to reduce anxiety and minimize discomfort with the procedure. - ANSWER-Sedatives like diazepam ._________ is a deep, rapid respiratory pattern of hyperventilation that can occur in a client who has diabetic ketoacidosis. - ANSWER-Kussmaul respirations .__________ prevent blood clots that can be released into the circulatory system after cardioversion. - ANSWER-Anticoagulants like enoxaparin .#1 reason for death after MI - ANSWER-dysrhythmias .3 s/sx of hypokalemia - ANSWER-muscle cramps, muscle weakness, cardiac dysrhythmias .A client who had a recent myocardial infarction is at risk for left-sided heart failure. ________ are breath sounds caused by movement of air through airways partially or intermittently occluded with fluid and are associated with heart failure and frothy sputum. These sounds are heard at the end of inspiration and are not cleared by coughing. - ANSWER-crackles .A client without cognitive decline should be able to remember and repeat three objects how much later? What type of memory is this? - ANSWER-five minutes later new/immediate memory .a frontal headache indicates what fluid imbalance? - ANSWER-fluid overload .A liver lobectomy is used for a client who has localized ____ of a lobe of the liver. - ANSWER-cancer .A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following medications interact with feverfew? a. Metoprolol b. Bupropion c. Naproxen d. Atorvastatin - ANSWER-c. Naproxen feverfew + naproxen = bleeding .A nurse is an ED is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? A. Apply ice to the clients puncture wounds B. Initiate corticosteroid therapy for the client C. Keep the client's leg above heart level D. Administer an opioid analgesic to the client - ANSWER-D. Administer an opioid analgesic to the client Expect an opioid analgesic to promote comfort in someone with a rattlesnake bite. .A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? -reflexes? -BP? -breathing? -cardiac - ANSWER--depressed or absent reflexes -decreased BP -respiratory paralysis -depressed cardiac function/heart block .A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings should the nurse expect? A. Positive Trousseau's sign B. 4+ deep tendon reflexes C. Deep respirations D. Hypoactive bowel sounds - ANSWER-D. Hypoactive bowel sounds .A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? A. Obtain ABGs. B. Administer propofol to the client. C. Instruct the client to allow the machine to breathe for them. D. Disconnect the machine and manually ventilate the client. - ANSWER-C. Instruct the client to allow the machine to breathe for them. When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions and emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator." .A nurse is caring for a client who is 12 hr post op following a total hip arthroplasty. Which of the following actions should the nurse take? a. Maintain adduction of the client's legs. b. Encourage range of motion of the hip up to a 120° angle. c. Place a pillow between the client's legs. d. Keep the client's hip internally rotated. - ANSWER-c. Place a pillow between the client's legs .A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should the nurse take? a. Defibrillate the client's heart. b. Perform synchronized cardioversion. c. Begin cardiopulmonary resuscitation. d. Administer lidocaine IV bolus. - ANSWER-b. perform synchronized cardioversion .A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? a. A client who is receiving preoperative teaching for a right knee arthroplasty. b. A client who states they will have difficulty obtaining a walker for home use. c. A client who reports an increase in pain following a left hip arthroplasty. d. A client who is having emotional difficulty accepting that they have a prosthetic leg. - ANSWER-a. A client who is receiving preoperative teaching for a right knee arthroplasty. The nurse should make a referral to physical therapy for a client who is receiving PREoperative teaching for a knee arthroplasty so the client can begin understanding postoperative exercises and physical restrictions.) .A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should then nurse take? a. Defibrillate the client's heart. b. Perform synchronized cardioversion. c. Begin cardiopulmonary resuscitation. d. Administer lidocaine IV bolus. - ANSWER-b. Perform synchronized cardioversion. The nurse should perform synchronized cardioversion for a client who has supraventricular tachycardia. .A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? A. History of asthma B. Appendectomy 1 year ago C. Penicillin allergy D. Total knee arthroplasty 6 months ago - ANSWER-A. History of asthma A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the procedure. Other conditions that can result in a reaction to contrast media include allergies to foods, such as shellfish, eggs, milk, and chocolate. .A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? a. Remind the client that dialysis treatments are not difficult to incorporate into daily life. b. Inform the client that dialysis will result in a cure. c. Tell the client that it is possible to return to similar previous levels of activity. d. Begin health promotion teaching during the first dialysis treatment. - ANSWER-c. Tell the client that it is possible to return to similar previous levels of activity. The nurse should help the client develop realistic goals and activities to have a productive life .A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? A. Enoxaparin B. Metformin C. Diazepam D. Digoxin - ANSWER-D. digoxin