ATI RN MED SURG PROCTORED EXAM
NEWEST TEST BANK WITH QUESTIONS
AND VERIFIED ANSWERS
While talking with a client with a diagnosis of end stage
liver disease. The nurse notices the client is unable to stay
awake and seems to fall asleep in the middle of a
sentence. The nurse recognizes these symptoms to be
indicative of what condition?
A. Hyperglycemia
B. Increased Bile production
C. Increased blood ammonia levels
D. Hypocalcaemia - ...ANSWER...C. Increased blood
ammonia levels
A nurse is about to administer warfarin (Coumadin) to a
client who has atrial
fibrillation. When the client asks what his medication will
do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial
impulses
,d. It prevents strokes in clients who have atrial fibrillation -
...ANSWER...d. It prevents strokes in clients who have atrial
fibrillation
A nurse in a cardiac care unit is caring for a client with acute
heart failure. Which
of the following findings should the nurse expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary outpu - ...ANSWER...b. Elevated
central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting
that worsens when
lying down and without relief from antacids. The provider
suspects acute
pancreatitis. Which of the following lab test results should
the nurse expect to see if
the client has acute pancreatitis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium - ...ANSWER...b. Increased
serum amylase
A nurse in the ICU is caring for a client who has acute
respiratory distress
syndrome (ARDS) and is receiving mechanical via an
endotracheal tube. The
provider plans to extubate her within the next 24 hour.
Which of the following is
,an important criterion for extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen - ...ANSWER...b.
Adequate tidal volume without manually assisted breaths
A patient with massive trauma and possible spinal cord
injury is admitted to the
emergency department (ED). Which finding by the nurse
will help confirm a diagnosis
of neurogenic shock?
a. cool clammy skin
b. inspiratory crackles
c. apical heart rate of 48 beats/min
d. temperature 101.2* F - ...ANSWER...c. apical heart rate
of 48 beats/min
A patient with septic shock has a urine output of 20 mL/hr
for the past 3 hours.
The pulse rate is 120 and the central venous and pulmonary
artery wedge pressure
are 4. Which of these orders by the health care provider will
the nurse question?
a. Give furosemide (Lasix) 40 mg IV
b. increase normal saline infusion to 150 mL/hr
c. Administer hydrocortisone (SoluCortef) 100 mg IV
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
...ANSWER...a.Give furosemide (Lasix) 40 mg IV
, After receiving 1000 mL of normal saline, the central
venous pressure for a
patient who has septic shock is 10 mm Hg, but the blood
pressure is still 82/40 mm
Hg. The nurse will anticipate the administration of which of
the following?
a. Nitroglycerin (Tridil)
b. Sodium nitroprusside (Nipride)
c. Drotrecogin alpha (Xigris)
d. Norepinephrine (Levophed) - ...ANSWER...d.
Norepinephrine (Levophed)
Which of these findings is the best indicators that the fluid
resuscitation for a
patient with hypovolemic shock has been successful?
a. hemoglobin is within normal limits
b. Urine output is 60 mL over the last hour
c. Pulmonary artery wedge pressure (PAWP) is 10 mmHg
d. Mean arterial pressure (MAP) is 55 mm Hg -
...ANSWER...b. Urine output is 60 mL over the last hour
41. Which interventions will the nurse include in the plan of
the care for a patient
who has cardiogenic shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching - ...ANSWER...c.
Monitor breath sounds frequently
Which assessment is most important for the nurse to make in
order to evaluate
NEWEST TEST BANK WITH QUESTIONS
AND VERIFIED ANSWERS
While talking with a client with a diagnosis of end stage
liver disease. The nurse notices the client is unable to stay
awake and seems to fall asleep in the middle of a
sentence. The nurse recognizes these symptoms to be
indicative of what condition?
A. Hyperglycemia
B. Increased Bile production
C. Increased blood ammonia levels
D. Hypocalcaemia - ...ANSWER...C. Increased blood
ammonia levels
A nurse is about to administer warfarin (Coumadin) to a
client who has atrial
fibrillation. When the client asks what his medication will
do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial
impulses
,d. It prevents strokes in clients who have atrial fibrillation -
...ANSWER...d. It prevents strokes in clients who have atrial
fibrillation
A nurse in a cardiac care unit is caring for a client with acute
heart failure. Which
of the following findings should the nurse expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary outpu - ...ANSWER...b. Elevated
central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting
that worsens when
lying down and without relief from antacids. The provider
suspects acute
pancreatitis. Which of the following lab test results should
the nurse expect to see if
the client has acute pancreatitis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium - ...ANSWER...b. Increased
serum amylase
A nurse in the ICU is caring for a client who has acute
respiratory distress
syndrome (ARDS) and is receiving mechanical via an
endotracheal tube. The
provider plans to extubate her within the next 24 hour.
Which of the following is
,an important criterion for extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen - ...ANSWER...b.
Adequate tidal volume without manually assisted breaths
A patient with massive trauma and possible spinal cord
injury is admitted to the
emergency department (ED). Which finding by the nurse
will help confirm a diagnosis
of neurogenic shock?
a. cool clammy skin
b. inspiratory crackles
c. apical heart rate of 48 beats/min
d. temperature 101.2* F - ...ANSWER...c. apical heart rate
of 48 beats/min
A patient with septic shock has a urine output of 20 mL/hr
for the past 3 hours.
The pulse rate is 120 and the central venous and pulmonary
artery wedge pressure
are 4. Which of these orders by the health care provider will
the nurse question?
a. Give furosemide (Lasix) 40 mg IV
b. increase normal saline infusion to 150 mL/hr
c. Administer hydrocortisone (SoluCortef) 100 mg IV
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
...ANSWER...a.Give furosemide (Lasix) 40 mg IV
, After receiving 1000 mL of normal saline, the central
venous pressure for a
patient who has septic shock is 10 mm Hg, but the blood
pressure is still 82/40 mm
Hg. The nurse will anticipate the administration of which of
the following?
a. Nitroglycerin (Tridil)
b. Sodium nitroprusside (Nipride)
c. Drotrecogin alpha (Xigris)
d. Norepinephrine (Levophed) - ...ANSWER...d.
Norepinephrine (Levophed)
Which of these findings is the best indicators that the fluid
resuscitation for a
patient with hypovolemic shock has been successful?
a. hemoglobin is within normal limits
b. Urine output is 60 mL over the last hour
c. Pulmonary artery wedge pressure (PAWP) is 10 mmHg
d. Mean arterial pressure (MAP) is 55 mm Hg -
...ANSWER...b. Urine output is 60 mL over the last hour
41. Which interventions will the nurse include in the plan of
the care for a patient
who has cardiogenic shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching - ...ANSWER...c.
Monitor breath sounds frequently
Which assessment is most important for the nurse to make in
order to evaluate
