ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST VERSION A, B AND C COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching? A) Temporary, reversible loss of brain function B) Forgetfulness gradually progressing to disorientation C) Sleeping more during the day than nighttime D) Hyper vigilant behaviors - ANSWERS,B A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan? A) Limit fluid intake.. B) Monitor client's cardinal fields of vision. C) Encourage ambulation. D) Ensure the room is brightly lit. - ANSWERS,B A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan? A) Apply ice to the extremity B) Monitor platelet levels C) Restrict oral fluids D) Administer vasodilating medications - ANSWERS,B A nurse is caring for a client who comes to the clinic to be tested for tuberculosis (TB) after a close family contact tests positive. Which of the following measures should the nurse anticipate preparing for this client? A) Tuberculin skin test B) Sputum culture for acid fast bacillus (AFB) C) Bacille Calmette-Guérin (bCG) vaccine D) Chest x-ray - ANSWERS,D A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus? A) Serum sodium AD5 mEq/L B) Urine specific gravity A.0B8 C) Urine output 650 mL/hr D) Blood glucose A98 mg/dL - ANSWERS,C A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an Intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client? A) "I took a laxative yesterday." B) "I took my metformin before breakfast." C) "I haven't had anything to eat or drink since last night." D) "The last time I voided it was painful." - ANSWERS,B A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds? A) Expiratory wheeze B) Pleural friction rub C) Fine rales D) Rhonchi - ANSWERS,A A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take? A) Remove the entire dressing at once. B) Loosen the dressing by pulling the tape away from the wound. C) Don clean gloves to remove the dressing. D) Open sterile supplies before removing the dressing. - ANSWERS,C A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the proce