lOMoAR cPSD| 11700591
lOMoAR cPSD| 11700591
ATI RN ADULT MEDICAL SURGICAL 2023/2024 FOR NGN
FORM A, B & C ACTUAL EXAM EACH FORM CONTAINS
100 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
|ALREADY GRADED A+
FORM A
A nurse in an acute care facility is caring for a client who is at risk for
seizures.Which of the following precautions should the nurse
implement? - ANSWER- Ensure the client has a patient IV.
RATIONALE: The nurse should ensure the client has IV access in the
event that
the client requires medication to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse
report tothe provider? - ANSWER- Hgb 8 g/dL
RATIONALE: The nurse should report an Hgb level of 8 g/dL, which is
below
, lOMoAR cPSD| 11700591
the expected reference range and is an indicator of postoperative
hemorrhage oranemia.
A nurse is assessing a client who had extracorporeal shock wave
lithotripsy (ESWL) 6 hr ago. Which of the following findings should the
nurse expect? -ANSWER- Stone fragments in the urine
RATIONALE: ESWL is an effort to break the calculi so that the fragments
passdown the ureter, into the bladder, and through the urethra during
voiding.
Following the procedure, the nurse should strain the client's urine to
confirm thepassage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night
sweats, anda productive cough. Which of the following actions should the
nurse take first? - ANSWER- Initiate airborne precautions.
RATIONALE: This client is exhibiting manifestations of tuberculosis. The
greatest risk in this client situation is for other people in the facility to
acquire an airborne disease from this client. Therefore, the first action the
nurse should take isto initiate airborne precautions.
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). Anew bag is not available when the current infusion is nearly
completed. Which ofthe following actions should the nurse take? -
ANSWER- Administer dextrose 10% in water until the new bag arrives.
RATIONALE: TPN solutions have a high concentration of dextrose.
Therefore, if a TPN solution is temporarily unavailable, the nurse should
administer dextrose 10% or 20% in water to avoid a precipitous drop in the
client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is
receivinglevothyroxine. The nurse should instruct the client that which of the
following supplements can interfere with the effectiveness of the
medication? - ANSWER- Calcium
RATIONALE: Calcium limits the development of osteoporosis in clients who
are
postmenopausal and works as an antacid. Calcium supplements can
interfere withthe metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking calcium
, lOMoAR cPSD| 11700591
within 4 hr of levothyroxine administration.
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 issounding. Which of the following actions should the
nurse take first? - ANSWER-Instruct the client to allow the machine to
breathe for them.
RATIONALE: 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 allowthe ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse
shouldidentify which of the following findings as an adverse effect of the
medication? - ANSWER- Orthostatic hypotension
RATIONALE:
Causes The nurse should identify that dilation of arteries and veins
orthostatic hypotension, which is an adverse effect of enalapril.
, lOMoAR cPSD| 11700591
A nurse is caring for a client who has a stage III pressure injury.
Which of the following findings contributes to delayed wound healing?
- ANSWER- Urineoutput 25 mL/hr
RATIONALE: Urinary output reflects fluid status. Inadequate urine output
can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and
a new prescription for an opioid analgesic for pain management. Which of
the followinginformation should the nurse include in the teaching? -
ANSWER- "You should void every 4 hours to decrease the risk of urinary
retention."
RATIONALE: The nurse should instruct the client to void at least every 4 hr
to
decrease the risk of urinary retention, which is an adverse effect of
opioidanalgesics.
A nurse is caring for a client who has portal hypertension. The client is
vomitingblood mixed with food after a meal. Which of the following actions
should the nurse take first? - ANSWER- Obtain vital signs.
RATIONALE: The first action the nurse should take using the nursing
process is
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lOMoAR cPSD| 11700591
ATI RN ADULT MEDICAL SURGICAL 2023/2024 FOR NGN
FORM A, B & C ACTUAL EXAM EACH FORM CONTAINS
100 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
|ALREADY GRADED A+
FORM A
A nurse in an acute care facility is caring for a client who is at risk for
seizures.Which of the following precautions should the nurse
implement? - ANSWER- Ensure the client has a patient IV.
RATIONALE: The nurse should ensure the client has IV access in the
event that
the client requires medication to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse
report tothe provider? - ANSWER- Hgb 8 g/dL
RATIONALE: The nurse should report an Hgb level of 8 g/dL, which is
below
, lOMoAR cPSD| 11700591
the expected reference range and is an indicator of postoperative
hemorrhage oranemia.
A nurse is assessing a client who had extracorporeal shock wave
lithotripsy (ESWL) 6 hr ago. Which of the following findings should the
nurse expect? -ANSWER- Stone fragments in the urine
RATIONALE: ESWL is an effort to break the calculi so that the fragments
passdown the ureter, into the bladder, and through the urethra during
voiding.
Following the procedure, the nurse should strain the client's urine to
confirm thepassage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night
sweats, anda productive cough. Which of the following actions should the
nurse take first? - ANSWER- Initiate airborne precautions.
RATIONALE: This client is exhibiting manifestations of tuberculosis. The
greatest risk in this client situation is for other people in the facility to
acquire an airborne disease from this client. Therefore, the first action the
nurse should take isto initiate airborne precautions.
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). Anew bag is not available when the current infusion is nearly
completed. Which ofthe following actions should the nurse take? -
ANSWER- Administer dextrose 10% in water until the new bag arrives.
RATIONALE: TPN solutions have a high concentration of dextrose.
Therefore, if a TPN solution is temporarily unavailable, the nurse should
administer dextrose 10% or 20% in water to avoid a precipitous drop in the
client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is
receivinglevothyroxine. The nurse should instruct the client that which of the
following supplements can interfere with the effectiveness of the
medication? - ANSWER- Calcium
RATIONALE: Calcium limits the development of osteoporosis in clients who
are
postmenopausal and works as an antacid. Calcium supplements can
interfere withthe metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking calcium
, lOMoAR cPSD| 11700591
within 4 hr of levothyroxine administration.
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 issounding. Which of the following actions should the
nurse take first? - ANSWER-Instruct the client to allow the machine to
breathe for them.
RATIONALE: 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 allowthe ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse
shouldidentify which of the following findings as an adverse effect of the
medication? - ANSWER- Orthostatic hypotension
RATIONALE:
Causes The nurse should identify that dilation of arteries and veins
orthostatic hypotension, which is an adverse effect of enalapril.
, lOMoAR cPSD| 11700591
A nurse is caring for a client who has a stage III pressure injury.
Which of the following findings contributes to delayed wound healing?
- ANSWER- Urineoutput 25 mL/hr
RATIONALE: Urinary output reflects fluid status. Inadequate urine output
can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and
a new prescription for an opioid analgesic for pain management. Which of
the followinginformation should the nurse include in the teaching? -
ANSWER- "You should void every 4 hours to decrease the risk of urinary
retention."
RATIONALE: The nurse should instruct the client to void at least every 4 hr
to
decrease the risk of urinary retention, which is an adverse effect of
opioidanalgesics.
A nurse is caring for a client who has portal hypertension. The client is
vomitingblood mixed with food after a meal. Which of the following actions
should the nurse take first? - ANSWER- Obtain vital signs.
RATIONALE: The first action the nurse should take using the nursing
process is
Downloaded by Answerdone ()
