2022-2023 ATI RN Medical Surgical Nursing Proctored Exam With Answers (93 Solved Questions)

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2022-2023 ATI RN Medical Surgical Nursing Proctored Exam With Answers (93 Solved Questions) - Page 1 preview image

ATI RN MEDSURG 2022/2023 PROCTOREDEXAM-LATEST 100% CORRECT STUDYGUIDE.Q$A WITH RATIONALES.

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1.Anurse is assessing a client who is 12hr postoperative followinga colon resection. Which of the following findings should thenurse report to the surgeon?1.Heart rate 90/min2.Absent bowel sounds → normal findings after major bowel surgery;takes several days to return to normal.3.Hgb 8.2 g/dl4.Gastric pH of 3.0Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possiblehemorrhaging.•A nurse is caring for a client who has pneumothorax and a chest tube withclosed water seal drainage system. Which of the following actions should thenurse take?a.Strip or clear the chesttube every 8 hoursb. Refill the water chamberif the fluid is lowc. Empty the system at least every 8 hrd.Change the chest to site dressing every 24 hour

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•Anurseisinanemergencydepartmentisreviewingaclient'sECGreading. which of the following findings should the nurse identify as anindicationthat theclienthas firstdegreeheart block?Prolonged PR intervals(PerTiamson)Morepwaves than QRScomplexes Non discerniblepwavesNocorrelationbetweenpandQRS waves

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•A nurse is preparing to administer a unit of packed rbc's to a client whois anemic.Identify thesequence ofstepsthenurse shouldfollow.1.Obtainvenousaccessusinga19gauge needle2.Obtaintheunitofpacked rbc'sfromBloodBankalign3.verifybloodcompatibilitywithanothernurse4.Initiatetransfusionoftheunitofpacked rbc's5.Remainwiththeclientforthefirst15to30minutesof theinfusionRationale:seeATIMed-Surgp.249nursingactionsBCADE•A nurse is teaching A client who is to beginchemotherapy about peripherallyinserted Central catheter. which of the following statements should the nurseincludein the teaching?WewillreplacethePICC everymonthWecandrawbloodsamplesfromthePICCfordiagnostictestWewillchangethedressingdailyWecanmeasure yourbloodpressureineitherarmRationale:ATI Med-Surg p. 166 PICC lines can be used up to 12 months,http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/site-care.htmlchangegauzedressingsevery48hoursandtransparentdressings3to7daysorwhenevertheyareno

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longerintact.MeasureBPinoppositearm•Anurseisassessing aclientwhohasPyelonephritisandreportsflankpain.whichof the followingactionsshouldthenursetake?Assist the client to asitting positionPercuss the side of tenderness firstAuscultate for a bruit over the coastalvertebral area Thump the area oftendernessdirectlywithaclosedfistA nurse is assessing a client who has acute kidney failure. Which of thefollowingfindingsshouldthe nursereporttotheprovider?Peripheralpulses2+bilaterallyWeightgain1.1kilogramto2.4poundin 24-hourUrine specificgravity1.045Creatinine 0.8milliliterRationale:weight gain can indicate fluid retention. normal urine specificgravity:1.000-1.030, normalcreatinine:0.5-1.2

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89.A nurse is caring for an older adult client who is 72 hour postoperativefollowing atotal hip arthroplasty. the client requires a PRN medication prior toambulation. Which of the following medications should the nurse anticipateadministering?Page437 MS ATI PDFIndomethacinMeperidineNaproxenOxycodone.Anurse is caring for a client who has Haemophilus Influenzae type B. whichof the following types of isolation should the nurse implement?Page 32 MSATI PDF 10.0DropletContactAirborne

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Protective.Anurse is providing discharge teaching to a client who has pulmonarytuberculosis. Which of the following findings should the nurse include as anindication the client is no longer infectious?PAGE 136 MS ATI PDFMantoux skin test reveals and induration of less than 1mm -only indicates animmune reponse but does not confirm if activer disease is presentClient no longer coughing up blood tinged sputum

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PositivequantiferonTBgoldtestNegativespeedomcultureforacidfastbacillus.A nurse working in the emergency department is caring for a client who has aburn injury. Aftersecuring the client's Airway which of the followinginterventionsshouldthe nursetakefirst?Cleansetheclientwound AdministerAnalgesic medicationIncreasetheroomtemperatureStart an IVwithalargeboreneedle.Anurse is caring for a client who has a central venous access device andnotes the tubing has become disconnected. The client develops dyspnea andtachycardia. Whichofthefollowingactions shouldthenurse takefirst?ObtainABGvaluesPerforman

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ECGTurntheclienttohisleftsideClampthecatheter.A nurse is providing discharge teaching to a client who has impaired immunesystem due to chemotherapy. Which of the following information should thenurse include in the teaching?Wash your perineal area 2 times each day with antimicrobial soapChange the water in your drinking glass every 4 hoursp.581 avoidfluids sitting at room temp for longer than 1hrWash your toothbrush in the dishwasher once each monthp.581 washtoothbrush daily in dishwasherChange your pet litter box dailyp.581 avoid changingpet’s litterbox•A nurse is assessing a clients who reports numbness and tingling of histoes and exhibits a positive TROUSSEAU. Which of the followingelectrolyte imbalance should the nurse suspect? (ch 44 page 277 MS ATIPDF 10.0) HypoatremiaHyperchloremia

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HypermagneHyperHypocalcemia (low calcium = low ca causes increased firing = spasms.Learned this is LVN school.)•A home health nurse is teaching a clientshow to care for a peripherallycentral catheter in his right arm. Which of the following statementsshould the nurseinclude in theteaching?(Chapter27cardiovascular diagnosticsandtherapeuticproceduresp.165MSATIPDF10.0)Change the transparentdressing over the insertion site every 48 hours-transparent dressing can be up to 7 days Clean the insertion site with mild soapandwater-when showering,mustinsertionsite must becovered!!!!!Nowatercan beinit .Measure your right armcircumference once weekly-does not say in the chapterUse a 10 milliliter syringe when flushing the catheter - flush with 10 ml NSb4 and after med administration•A nurse is caring for a client who has a central venous access device.Which of the following assessment findings should the nurse report to

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theprovider?(P.166MSATIPDF10.0)RBCcountof4.7million/mm 3BUN22mg/dl-notdramaticallyhighenoughtopayattentionto.WBC count of 16,000/ mm 3-phlebitis is a complication , infection is acomplicationthatcanhappen7daysafterinsertion,alsotempincreaseif1degreecan happen.Bloodglucoseof120 mg/dl•A nurse isproviding dietary teaching to a client who has chronic kidneydisease and a decreased glomerular filtration rate. Which of the followingstatements by the client indicates an understanding of the teaching? (p.382chapter59)Iwillspreadmyproteinallowancesovertheentireday-thedoctorissuethepatientanallowedamountofprotein so itsok.I should increase my intake of canned salmon to three times per week (NOSODIUM)I will season my food with lemon pepper rather than salt(We do not want togive the dietary sodium, potassium, phosphorus , and magnesium. I don’tknow what lemon pepper has, but we want to RESTRICT sodium, potassium,phosphorus andmagnesium.)

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I should limit my intake of hard cheese to 3 ounces each day (NO SODIUM atall)•Anurseiscaringforaclientwhohasaperipherallyinsertedcentralcatheter.The client is receiving an antibiotic via intermittent IV bolus.Which of thefollowing actions should the nurse take? (PAGE 166 ch 27 MS ATI PDF10.0)

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Administer 20 ml of 0.9 sodium chloride after each doseof medication (you onlyflushwith 10 ml of NS,not•20isfor flushingblood)Flushthecatheterusinga5mlsyringe-youusea10mLsyringetoflushVerifytheplacementwithanxraypriortotheinitialdoseChange the transparent membranes dressingdaily (dressing can last for up to 7days)•A nurse is teaching a client using a metered dose rescue inhaler. Which ofthefollowingstatementsshouldthenurseinclude intheteaching?Donotshake yourinhalerbeforeuse (suppose toshake it)ExhalefullybeforebringingtheinhalertoyourlipsDepress the canister after you inhale (depress the canister before inhaling,and 5 seconds later you inhale) Use peroxide to clean the mouthpiece ifyourinhaler (warm water)Textbookpg573.•A nurse isassessing the pain status of a group of clients. Which of thefollowing findings indicate a client is experiencing referred pain? (page 30)Aclient whohas anginareportssubsternalchestpain

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A client who has pancreatitis reports pain in the left shoulder-referredpain is pain that is felt in ANOTHER PLACE THAT IS NOT IN THESAMEAREAASWHERETHEPAINSHOULDBEFELT.THEPAINISFELTSOMEWHEREELSEAclientwhois postoperativereportsincisionalpainAclientwhohasperitonitisreportsgeneralizedabdominal pain•A nurse is caring for a client who has just returned from surgery with anexternal fixator to the left tibia. Which of thefollowing assessmentsfindingsrequiresimmediateinterventionbythenurse?(p.456MSATIPDF10.0chapter71)Theclientreportsapainlevelof7onascalefrom0-10attheoperativesite.(Thisfoojustcamefromsurgerysopainis normalforpostoppatients forfirstcoupleof hours.)Theclientscapillaryrefillinthelefttoeis6secondssxsofcompartmentsyndrome. ABCs are compromised. (Cap refill should be below 3seconds. This is sxs for compartment syndrome. Untreated can lead tonecrosis.)The client has an oral temperature of 38.3 (100.9 F) (I wouldn’t pick thisbecause i always see temp 101 as a priority from previous rationales withotheratis.)

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The client has 100 ml of blood in the closed suction drained. (I believe this isnormalfor post-op patients.)•A nurse is assessing a client who has acute pancreatitis and has beenreceiving total parenteral nutrition for thepast 72 hours. Which of the followingfindings requires the nurse to intervene? (chapter 47 page 299 MS ATIPDF10.0)Right upper quadrant pain (Dude has acutepancreatitis, so it’s normal) Capillary blood glucoselevelof 164mg/dl-glucose notsignificantlyhighWBC count 13,000/mm3 (Infection is one complication of TPNadministrationbut WBCisinnormalrange.)Crackleinbilaterallowerlobes(ABC’scompromised,alsooneofthecomplicationsof TPNisfluidimbalanceakafluidvolumeexcess.)•.. A nurse is caring for a client who has hypotension, cool and clammyskin, tachycardia, and tachypnea. In which of the following positionsshould the nurse place the client? (THIS IS CARDIOGENIC SHOCK!!!!!!P195.Chapter31 MS ATIPDF10.0)ReverseTrendelenburg(page232saysforhypotensionpatientsmustbeflat

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