2019-2024 ATI RN Adult Medical Surgical Nursing Practice Exam With Answers (88 Solved Questions)

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RN VATI Adult Medical Surgical 2019 Exam Latest Updated 2024 WithComplete SolutionsA nurse is assessing a client who has hypocalcemia. In which of the followingareas should the nurse tap on the client's face to detect the presence ofChvostek's sign? (You will find hot spots to select in the artwork below. Select onlythe hot spot that corresponds to your answer.) - A is correct. The nurse shouldtap the client's cheek just in front of the ear and below the zygomatic arch. Theclient who has hypocalcemia will display a Chvostek's sign, which is a twitching ofthe facial muscle.A nurse in an emergency department is assessing a client who is overusingprescribed diuretics and has a sodium level of 127 mEq/L. Which of the followinglaboratory findings should the nurse expect? - Low urine specific gravityA home health nurse is assisting a client with planning care for a family memberwho has Alzheimer's disease. Which of the following instructions should the nurseinclude? - Review the daily schedule with the client every morning.A nurse is caring for a client who has developed acute respiratory distresssyndrome (ARDS). Which of the following findings should the nurse identify as amanifestation of this syndrome? - Refractory hypoxemiaAn emergency room nurse is assessing a client who has asthma and difficultybreathing. Which of the following findings should indicate to the nurse that theclient is experiencing status asthmaticus? - Flat neck veins

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A nurse is teaching a client who has a new prescription for phenytoin to treat aseizure disorder. Which of the following adverse effects should the nurse instructthe client to report immediately to the provider? - Skin rashA nurse is monitoring a client following a lumbar laminectomy. The client has adrain and indwelling urinary catheter. The nurse should identify which of thefollowing findings as an indication of a complication of the surgery? - Cleardrainage on the dressingsA nurse is caring for a client who has atopic dermatitis and a prescription fortriamcinolone ointment. The nurse should assess the client to monitor for which ofthe following adverse effects? - Increased pigmentationTopical glucocorticoid therapy can cause the adverse effect of hypopigmentation.Localized hair lossLong-term glucocorticoid therapy can cause hypertrichosis, or excessive hairgrowth, especially on the facial area.Thinning of the skinassessing a client who has left-sided heart failure. Which of the following findingsshould the nurse identify as a manifestation of left-sided heart failure? - FrothysputumA nurse in a long-term care facility is caring for a client who has dementia. Whichof the following actions should the nurse take? - Provide finger food at mealtime.

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A nurse is completing an admission assessment for a client who has bacterialmeningitis. Which of the following personal protective equipment should the nurseuse while caring for the client? - Surgical maskA nurse is assessing a client for fluid volume deficit following lumbar spinalsurgery. The nurse should identify which of the following findings as an indicationthe client is at risk for fluid volume deficit? - Surgical drain output 300 mL duringan 8-hr shiftA nurse is assessing a client who has a central venous catheter (CVC) withintravenous (IV) fluids infusing. The client suddenly develops shortness of breath,and the nurse notes that the IV tubing and needleless connector device aredisconnected. Which of the following actions should the nurse take first? - Closethe pinch clamp on the CVC.A nurse is planning care for a client who is scheduled for surgery and has a latexallergy. Which of the following actions should the nurse plan to take? - Placemonitoring cords and tubes in a stockinette.A nurse is providing preoperative teaching about stool consistency to a client whowill undergo a colectomy with the placement of an ileostomy. Which of thefollowing information about stool consistency should the nurse include in theteaching? - The stool will have a high volume of liquid.A nurse is providing teaching to a client who has a new prescription forlevothyroxine to treat hypothyroidism. Which of the following statements by theclient indicates an understanding of the teaching? - "If my heart starts racing, myprovider might need to adjust my dosage."

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A nurse is assessing a client who has an exacerbation of diverticular disease. Inwhich of the following quadrants should the nurse anticipate the client to beexperiencing abdominal pain? - Left lower quadrantA nurse is caring for a client who is experiencing anxiety as well as numbness andtingling of the lipsandfingers.Theclient'sABGsare:pH7.48,PCO2 30mmHg,HCO3-24mEq/L,PaO2 85mm Hg. Which of the following acid-base imbalances should thenurse identify that the client is experiencing? - Respiratory alkalosisA nurse is assessing a client who has Cushing's syndrome. Which of the followingfindings should the nurse expect? - OsteoporosisA nurse is inspecting the skin of a client who has basal cell carcinoma. The nurseshould identify which of the following lesion characteristics on the client's skin? -A pearly, waxy noduleA nurse is assessing a client who has right-sided heart failure. Which of thefollowing findings should the nurse identify as a manifestation of right-sided heartfailure? - Increased abdominal girthA nurse is caring for a client who recently assumed the role of caregiver for theiraging parents who have chronic illnesses. The nurse should identify that which ofthe following statements by the client indicates acceptance of the role change? -"I changed the floor plan of our home to accommodate my father's wheelchair."A nurse is caring for a client who is receiving vancomycin intermittent IV bolustherapy for methicillin-resistant Staphylococcus aureus (MRSA). Which of thefollowing findings is an indication to the nurse that the client is experiencing anadverse effect of the medication? - The client's blood pressure is elevated.

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