ATI RN MEDSURG 2024/2025 PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
,1.A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the
surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the nurse
take?
a. Strip or clear the chest
tube every 8hours
b. Refill the water chamber if
the fluid islow
c. Empty the system at least every 8 hr
,d. Change the chest to site dressing every 24 hour
, • A nurse is in an emergency department is reviewing a client's ECG reading. which
the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson)More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
of the following findingsshould the nurse identify as an indication that
CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
,1.A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the
surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the nurse
take?
a. Strip or clear the chest
tube every 8hours
b. Refill the water chamber if
the fluid islow
c. Empty the system at least every 8 hr
,d. Change the chest to site dressing every 24 hour
, • A nurse is in an emergency department is reviewing a client's ECG reading. which
the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson)More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
of the following findingsshould the nurse identify as an indication that
