2019 ATI Los Angeles Trade Technical College RN Medical Surgical Proctored Exam With Answers (67 Solved Questions)

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ATI RN Medsurg 2019 Proctored EXAMNursing Pharmacology (Los Angeles Trade Technical College)ATI RN Medsurg 2019 Proctored EXAMNursing Pharmacology (Los Angeles Trade Technical College)lOMoARcPSD|13778330

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ATI RN MEDSURG 2019 PROCTORED EXAM1.The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan todiscontinue the TPN gradually to reduce the risk of which of the following adverse effects?a.Hyperglycemiab.Diarrheac.Constipationd.Hypoglycemia- You taper it off to avoid this!!!Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated.An abrupt rate change can alter blood glucose levels significantly.Rationale PDF nutrition p.58:don’tdiscontinue abruptly, must taper to prevent rebound hypoglycemia2.A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipmentwill give him an electric shock. Which of the following is an appropriate response by the nurse?a.The machine only senses and records electrical currents coming from your heart–pg.170➢Electrocardiography uses an electrocardiograph to record the electrical activity of theheart over time.b.The lead wires and cables are insulated for your safetyc.The electrode pads will prevent the conduction of electricity to your skind.The machine voltage delivery is low enough that youwon’tfeel any discomfort3.A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurseshould consult with the provider about which of the following medications in the client’s medicationadministration record?a.Potassium chlorideb.Levothyroxinec.Acetaminophend.Metformin4.A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Whichof the following assessment findings indicates to the nurse that the medication is effective?a.Elevation in blood pressureb.Adventitious breath soundsc.Weight loss of 1.8 kg (4 lb) in the past 24 hrd.Respiratory rate of 24/min5.Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the bestat…Erb’sPoint (3rd Intercostal, Central)

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6.A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of thefollowing statements by the nurse indicates an understanding of the teaching?

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a.I will increase the amount of fresh veggiesb.I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trashc.I will need to take my clothes to the dry cleaners to sterilize themd.I will be sure to wear gloves and wash my hands when I change mycat’s litterbox7.A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of thefollowing actions should the nurse take?a.Apply cool compressesb.Elevate theclient’sextremity using a pillowc.Tap the skin around the insertion sited.Raise the angle of the catheter to 30 degrees above the insertion site8.A nurse is caring for a client in the ER following a myocardial infarction. which of the following actionsshould the nurse anticipate if the client develops asystole?a.Administer atropineb.Defibrillate with 200 joulesc.Starts a continuous lidocaine infusiond.Begin CPR–first line of medical management is CPR and ACLS.9.A nurse is caring for a client with severe burn injury. The nurse should recognize which of the followingclient findings as an indication of hypovolemic shock?a.Potassium 5.2 mEq/Lb.Capillary refill 1.5 secondsc.Urine output 45 mL/hrd.PaCO3 37 mmHg10.A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli theclient does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds.Which of the following Glasgow coma scale scores should the nurse assign the client?a.2b.5c.10d.1311.A nurse is teaching a client who has heart failure about self-management techniques. Which of thefollowing statements by the client indicates an understanding of the teaching?

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a.I will keep an exercise diaryb.I will take ibuprofen for mild pain

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c.I will expect swelling in my feet and ankled.I will weigh myself every other day12.A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the followingstatements by the client indicates an understanding of the teachinga.I’llinsert the obturator after cleaning my stomab.I’llcut a slit in a clean gauze pad to use as a stoma dressingc.I’llcleanse the cannula with half strength hydrogen peroxided.I’llremove the soiled tracheostomy ties prior to cleaning my stoma13.A nurse is caring for a client who has a sealed radiation implant which of the following actions shouldthe nurse take?a.Limit family member visits to 30 min per day–pg. 583➢Limit visitors to 30-min visits, and have visitors maintain 6 feet distance from the sourceb.Give the dosimeter badge to the oncoming nurse at the end of the shiftc.Apply second pair of gloves before touching the clients implant if it dislodgesd.Remove soiled linens from the room after each change14.A nurse is reviewing the medical record of a client who has pneumonia. Which of the followingserum laboratory values should the nurse expect?a.WBC count 15,000/mmb.Hematocrit 35%c.Sodium 130 mg/dld.BUN 8 mg/dl15.A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm.Which of the following actions should the nurse include in the plan of care?a.Instruct the client to avoid lifting the right arm for 72 hrb.Check blood pressure in the right armc.Palpate the site for thrilld.Insert a saline lock into a site 10 cm (4in) distal to the graft16.A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen.which of the following should the nurse take first?a.Check the color ofthe client’sskin–Assessment firstb.Prepare theclient’sclothing

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