and Correct Detailed Answers (Verified Answers) Graded A+
1. A Nurse is assessing a client Lack of bowel sounds as it would be in-
who has acute pancreatic : active of paralytic ilieus....Elevated WBC,
what would be alarming nausea , throwing up and jaundice is an
expected finding
2. what Position to you put a - trendelenburg position for easier access
client when inserting a non tun- to vessels and to decrease risk of an air
neled percutaneous central ve- emboli .
nous catheter - patient should remain motionless during
procedure
- sterile transparent dressing should be ap-
plied to the insertion site
- nurse should cleanse the upper chest or
neck for a CVC
3. PT has intraventricular - sleepiness
catheter placed. What findings - increased systolic with concurrent de-
would indicates client is expe- crease in diastolic ( widening pulse pres-
riencing increased intracranial sure)
pressure ICP - decerebrate posturing (and decoriticate
posturing)
4. When a type one diabetic is - every four hours
sick , how often should they -if blood glucose reaches 250mg/dl
check their blood glucose, and
when should they call their
provider
5. a PT with a tracheostomy re- - preoxygenate client for at least 3o sec-
quires suctionining. what is the onds to 3 minutes to prevent hypoxemia.
most important thing to do first - nurse should limit each suction to 10/15
seconds to prevent hypoxia and mucosal
injury
- suction pressure 80-120 mmHG
- x3 passes for each suction
, ATI Med Surg Exam 1 Latest 2025
6. Cholecystitis normal finding pain radiating to the right shoulder
7. urolithiasis normal finding flank pain extending to the perineum
8. peritonitis normal finding rigid board like abdomen
9. pancreatitis normal finding piercing abdominal pain
10. PT has a saline lock on clients - assess client, compare the site to the
forearm, client reports discom- opposite extremity, looking and measuring
fort and coolness. what is the for edema as it is an indication of infiltration,
first most appropriate action then elevate arm and maybe apply a warm
compress to reduce pain, and maybe after
take the IV out
11. a women who is peri- - pain in calf ;DVT
menopausal and is going - intense headache and or numbness in
through hormonal replacement the arms as they are both indicative of a
therapy is being taught what possible CVA
signs to report back with ASAP,
name 3
12. Left sided heart failure findings oliguria DAytime due to decreased blood
flow to the kidneys
13. Right sided heart failure find- - jugular vein distention, dependent edema,
ings distended abdomen
14. when peritoneal fluid is slug- turn PT on side
gish when draining during peri- - do not push catheter further into abdomen
toneal dialysis what should it can cause an infection, and head of bed
the nurse do the facilitate the should be elevated
drainage
15. Client has DKA diabetic ketone - if glucose reading is less then300 mg/dl it
acidosis, what are some find- is improving
ings - a low ph is an expected finding
- potassium levels are above the expectant