Past Exams
2023 ATI RN Adult Medical Surgical For NGN Form A, B, C with Answers (21 Solved Questions)
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2/18/24,10:54PMATIRNAdultMedicalSurgical2023FORNGNFORMA,B,CATIRNADULTMEDICALSURGICAL2023FORNGNFORMA,B&CACTUALEXAMEACHFORMCONTAINS100QUESTIONSANDCORRECTANSWERSWITHRATIONALES GUARANTEED PASSFORMAAnurseinanacutecarefacilityiscaringforaclientwhoisatriskforseizures.Which of the following precautions should the nurseimplement?-ANSWER-EnsuretheclienthasapatientIV.RATIONALE: The nurse should ensure the client has IV access in theeventthattheclientrequiresmedicationtostopseizureactivity.A nurse is caring for a client who is postoperative following a total hiparthroplasty.Whichofthefollowinglaboratoryvaluesshouldthenursereporttotheprovider?-ANSWER-Hgb8g/dLRATIONALE: The nurse should report an Hgb level of 8 g/dL, which isbelowtheexpectedreferencerangeandisanindicatorofpostoperativehemorrhageoranemia.A nurse is assessing a client who had extracorporeal shock wavelithotripsy(ESWL)6hrago.Whichofthefollowingfindingsshouldthenurseexpect?-ANSWER-StonefragmentsintheurineRATIONALE: ESWL is an effort to break the calculi so that the fragmentspassdown the ureter, into the bladder, and through the urethra duringvoiding.Followingtheprocedure,thenurseshouldstraintheclient'surinetoconfirmthepassageofstones.A nurse is caring for a client who has anorexia, low-grade fever, nightsweats,andaproductivecough.Whichofthefollowingactionsshouldthenursetakefirst?-ANSWER-Initiateairborneprecautions.RATIONALE: This client is exhibiting manifestations of tuberculosis. Thegreatest risk in this client situation is for other people in the facility toacquireanairbornediseasefromthisclient.Therefore,thefirstactionthenurseshouldtakeistoinitiateairborneprecautions.Page 2

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2/18/24,10:54PMATIRNAdultMedicalSurgical2023FORNGNFORMA,B,CA nurse is caring for a client who is receiving total parenteral nutrition(TPN). Anew bag is not available when the current infusion is nearlycompleted. Which ofthe following actions should the nurse take?-ANSWER-Administerdextrose10%inwateruntilthenewbagarrives.RATIONALE:TPNsolutionshaveahighconcentrationofdextrose.Therefore, if a TPN solution is temporarily unavailable, the nurse shouldadministerdextrose10%or20%inwatertoavoidaprecipitousdropintheclient'sbloodglucoselevel.A nurse is providing teaching to a client who has hypothyroidism and isreceivinglevothyroxine.Thenurseshouldinstructtheclientthatwhichofthefollowing supplements can interfere with the effectiveness of themedication?-ANSWER-CalciumRATIONALE:Calciumlimitsthedevelopmentofosteoporosisinclientswhoarepostmenopausal and works as an antacid. Calcium supplements caninterfere withthemetabolism of a number of medications, includinglevothyroxine.Thenurseshouldinstructtheclienttoavoidtakingcalciumwithin4hroflevothyroxineadministration.A nurse is caring for a client who has emphysema and is receivingmechanical ventilation. The client appears anxious and restless, and thehigh-pressurealarmissounding.Whichofthefollowingactionsshouldthenurse take first?-ANSWER-Instruct the client to allow the machine tobreatheforthem.RATIONALE:When providing client care, the nurse should first use theleastrestrictive intervention. Therefore, the first action the nurse should take istoprovideverbalinstructionsandemotionalsupporttohelptheclientrelaxand allowthe ventilator to work. Clients can exhibit anxiety andrestlessnesswhentryingto"fighttheventilator."Anurseiscaringforaclientwhohasaprescriptionforenalapril.Thenurseshouldidentify which of the following findings as an adverse effect of themedication?-ANSWER-OrthostatichypotensionRATIONALE:Thenurseshouldidentifythatdilationofarteriesandveinscausesorthostatichypotension,whichisanadverseeffectofenalapril.
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