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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Document preview page 1

2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 1

Document preview content for 2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions)

2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions)

2019 ATI RN Medsurg Proctored Exam with Answers is a proven way to improve exam performance with real test questions.

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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 1 preview imageATI PROCTOREDATI RNMEDSURG 2024/2025PROCTORED EXAMNEWUPDATE 2019 VERSION•Anurseisperformingavenipunctureonanolderadultclientwhoseveinsaredifficult.Whichofthefollowingactions should thenursetake?a.Applycoolcompressesb.Elevatetheclient’sextremityusingapillowc.Taptheskinaroundtheinsertionsited.Raisetheangleofthecatheterto30degreesabovetheinsertionsite•AnurseiscaringforaclientintheER followingamyocardialinfarction.whichofthefollowingactionsshouldthenurse anticipateifthe clientdevelopsasystole?a.Administeratropineb.Defibrillatewith200joulesc.Startsacontinuouslidocaineinfusiond.BeginCPR–firstlineofmedicalmanagementisCPRandACLS.
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 2 preview image
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 3 preview image•Anurseiscaringforaclientwithsevereburninjury.Thenurseshouldrecognizewhichofthefollowingclientfindingsasanindicationofhypovolemicshock?a.Potassium5.2mEq/Lb.Capillaryrefill1.5secondsc.Urineoutput45mL/hrd.PaCO337mmHg•A critical care nurse is assessing a client who has a severe head injury. Inresponsetopainfulstimulitheclient doesnotopenhereyes,displaysdecerebrate posturing, and makes incomprehensible sounds.WhichofthefollowingGlasgowcomascalescores shouldthe nurseassign theclient?a.2b.5c.10d.13•A nurse is teaching a client who has heart failure aboutself-managementtechniques. Which of thefollowingstatements bytheclientindicatesanunderstandingoftheteaching?
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 4 preview imagea.Iwillkeepanexercisediaryb.Iwilltakeibuprofenfor mildpain
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 5 preview imagec.Iwillexpectswellinginmyfeet andankled.Iwillweighmyselfeveryother day•Anurseisprovidingdischargeteachingforaclientwhohasnewtracheostomy.Whichofthefollowingstatementsbythe clientindicates anunderstandingoftheteachinga.I’llinserttheobturatoraftercleaningmystomab.I’llcutaslitinaclean gauzepadtouseasastomadressingc.I’llcleansethecannulawithhalfstrengthhydrogenperoxided.I’llremovethesoiledtracheostomytiespriortocleaningmystoma•A nurseiscaringforaclientwhohasasealedradiationimplantwhichofthefollowingactionsshouldthenursetake?a.Limitfamilymembervisitsto30minperday–pg.583➢Limitvisitorsto30-minvisits,andhavevisitorsmaintain6feetdistancefromthesourceb.Givethedosimeterbadgetotheoncomingnurseattheendoftheshiftc.Applysecondpairofglovesbeforetouchingtheclients implant ifitdislodgesd.Removesoiledlinensfromtheroomaftereachchange•Anurseisreviewing themedicalrecordofaclientwhohaspneumonia.Whichofthefollowingserumlaboratoryvaluesshouldthenurseexpect?a.WBCcount15,000/mm
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 6 preview imageb.Hematocrit35%c.Sodium130mg/dld.BUN8mg/dl•Anurse isplanningcare fora client whohasanewlyimplantedarteriovenousgraftintheright arm.Whichofthefollowingactionsshouldthenurseinclude in the plan ofcare?a.Instructtheclienttoavoidliftingtherightarmfor72hrb.Checkbloodpressureintherightarmc.Palpatethesiteforthrilld.Insertasalinelockintoasite10 cm(4in)distaltothegraft•Anurseintheemergencydepartmentiscaringforaclientwhohasagunshotwoundtotheabdomen.whichofthefollowingshould thenurse takefirst?a.Checkthecolor ofthe client’sskin–Assessmentfirstb.Preparetheclient’sclothing
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 7 preview imagec.Removealltheclientsclothingd.Administeranopioidanalgesic
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 8 preview image•Anurseisassessingaclientwhohasanarteriovenous(AV)fistulaintheleftforearm.Whichofthefollowingfindingsshouldthe nurseidentifyasanindicationofacomplicationatthevascularaccesssite?a.Presenceofpalpablethrillb.2+leftradialpulsec.Absenceofbruit–pg.367d.Dilatedappearanceof theAVsite•A nurse is caring for a client who is receiving continuous bladder irrigationfollowing a transurethralresection of the prostate. The client reports spasmsand the nurse observes decreased urinary output.Whichofthefollowingactionsshould thenursetake?a.Decreasetractiononthecatheterb.Removetheindwellingurinarycatheterc.Flushthecatheter manuallywith0.9%sodiumchlorided.Administeribuprofen400mgfor painrelief•A nurse is caring for a client who has contusion ofthe brainstem and reportsthirst. The client’s urinaryoutput was 4,000 mL over the past 24 hr. ThenurseshouldanticipateaprescriptionforwhichofthefollowingIVmedications?a.Desmopressin–pg.500➢Desmopressin,whichisasyntheticADH,oraqueousvasopressinadministeredintranasally,orally,orparenterally.Resultsinincreased water absorption from kidneysanddecreased urine
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 9 preview imageoutput.b.Epinephrinec.Furosemided.Nitroprusside•A nurse is preparing to administer daily medications to a client who isundergoing a procedure at 1000thatrequiresIVcontrastdye.Whichofthefollowingroutinemedicationstogiveat0800shouldthenursewithhold?a.Valproicacidb.Metformin–pg.530c.Metoprolold.FluticasoneStopMetforminfor48hrbeforeanytypeofelectiveradiographictestwithiodinatedcontrast dyeandrestart48hrafter(cancauselacticacidosisduetoacute kidneyinjury).
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 10 preview image•Anurseispreparingaclientwhoistoundergoathoracentesis.Thenurseshouldplacetheclientin whichofthefollowingpositions?a.Onheraffectedsidewithherheadloweredb.Inhigh-Fowler’spositionwithherarmsathersidec.Pronepositionwith her armsaboveherheadd.Uprightontheedgeofthebedleaningoverthebedside table•Anurseisteachingaclientabouttheuseofanincentivespirometer.Whichofthefollowinginstructionsshouldthenurse includeintheteaching?a.Positionthemouthpiece2.5cm(1in)fromthemouthb.Holdbreaths3to5secondsbeforeexhalingc.Placehandsontheupperabdomenduringinhalationd.Exhaleslowlythroughpursedlips•A nurse is caring for a client who is 2 days postoperative following abdominalsurgery and has aprescription for opioid analgesia. Which of the followingactions should the nurse implement to helpfacilitatethe client’s recovery?a.Provideanalgesicmedicationpriortophysicalactivitiesb.Informtheclienttomonitorforloosestoolswhiletakingopioidanalgesiac.Withholdanalgesicmedicationunlesstheclientreportspaind.Administernaloxoneiftheclient’srespiratoryrateisgreaterthan24/minGiveanalgesictorelievepainbeforegettinginvolvedinanyphysicalactivity
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 11 preview image•Anurseispreparingtoassisttheproviderwiththoracentesisforaclientwhohasleftpleuraleffusion.Whichofthefollowinginterventionsisthepriorityforthe nurse?a.Describethesensationtheclientwillfeelduringtheprocedureb.Reinforcetheimportanceoflyingstillduringtheprocedurec.Administerasedativemedicationd.Determinewhether theclienthasanallergytolocalanesthetics-Assessment•Anurseisreviewingthemedicalrecordofaclientwhohasnephroticsyndrome.Whichofthefollowingfindingsshouldthenurseexpect?a.Decreasedserumlipidlevelsb.Proteinuriac.Hypoalbuminemiad.Decreasedcoagulation
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 12 preview imageNephroticsyndromeisakidneydisordercharacterizedbymassiveproteinuria,hypoalbuminemia,edema,andelevatedserumlipids,anorexia, andpallor.
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 13 preview image•Anurseisplanningcareforaclientfollowingacardiaccatheterization.Whichofthefollowingactionsshouldthenurse take?a.Limittheclient’sfluidintaketo1Lperdayb.Keeptheclientonbedrestfor24hrc.Changetheclient’sdressingevery8hrd.Maintaintheclient’saffectedextremityinextension•A nurse is caring for a clientwho has a traumatic brain injury. The client,who has been quiet andcooperative, becomes agitated and restless. Which ofthe following assessments should the nurse performfirst?a.Urinaryoutputb.Motorresponses–pg.75c.Bloodpressured.Bloodglucose•61.Anurseisprovidingdischargeteachingtoaclientwhohassystemiclupuserythematosus.Whichofthefollowingstatementsbytheclientindicatesanunderstandingof theteaching?(Selectallthatapply)a.IwilluseNSAIDStotreatachesandpains–pg.561b.Iwillusecosmeticswithoutmoisturizerc.Iwilldisinfectskinlesionswithrubbingalcohold.Iwillwearlongsleevewhenoutdoore.IwillincreasemyintakeofsodiumCLIENTEDUCATION
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2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions) - Page 14 preview image●●AvoidUVandprolongedsunexposure.Usesunscreenwhenoutsideandexposedtosunlight.●●Usemildproteinshampooandavoid harsh hairtreatments.●●Usesteroidcreamsforskinrash.●●Reportperipheralandperiorbitaledemapromptly.●●Reportevidenceofinfectionrelatedtoimmunosuppression.●●Avoidcrowds andindividualswho are sick,because illnesscanprecipitateanexacerbation.●●Educateclientofchildbearingage regardingrisksofpregnancywithlupusandtreatmentmedications•AnurseisreviewingthelaboratoryresultsofaclientwhohasCOPDandseveredyspnea.WhichofthefollowingABGvaluesshould thenurseexpect?a.PaCO250mmHgb.pH7.4c.PaO295mmHg
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