2023 ATI RN Medical Surgical Proctored Exam With Answers (50 Solved Questions)

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RN ATIADVANCED MEDICAL SURGICAL PROCTORED EXAM 2023 WITH NGN(Answer key atthe end)QUESTION 1QUESTION 2QUESTION 3

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QUESTION 4QUESTION 5

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QUESTION 5A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the rightfemur. Which intervention will be included in the plan of care?a.Immobilization of the right legb.Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)c.Frequent weight-bearing exercised.Support of the right leg in a flexed positionThe correct answer is: Immobilization of the right legImmobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures.Weight-bearing exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed totreat pain. Flexion of the affected limb is avoided to prevent contractures.Discharge teaching for the patient with esophageal reflux disease includesinstructing the patient to: a. Decrease protein intakeb.Elevate the foot of the bed with 6-inch blocksc.Eat a high-carbohydrate snack before bedd.Reduce caffeine intake and smokingThe correct answer is: Reduce caffeine intake and smokingOnce healing has occurred, persons with a hip prosthesis are encouragedto participate in: a.High-impact exercises such as swimmingb.Low-impact exercises such as joggingc.High-impact exercises such as bowlingd.Low-impact exercises such as walkingThe correct answer is: Low-impact exercises such as walking

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A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nursethat the eyedrops cause eye burning and visual blurriness for a short time after administration. The bestresponse to the patient's statement isa."These symptoms are caused by glaucoma and may indicate a need for an increased dosage of theeyedrops."b."The drops are uncomfortable, but it is very important for you to use them as prescribed to retainyour vision."c."These are normal side effects of the drug, which should become less noticeable with time."d."If you occlude the puncta after you administer the drops, it will help relieve these side effects."The correct answer is: "The drops are uncomfortable, but it is very important for you to use them asprescribed to retain your vision."Patients should be instructed that eye discomfort and visual blurring are expected side effects of theophthalmic drops but that the drops must be used to prevent further visual-field loss. The temporaryburning and visual blurriness might not lessen withongoing use, are not relieved by avoiding systemicabsorption, and are not symptoms of glaucoma. Patients should be taught that Zollinger-Ellisonsyndrome is:a.An ulcerative syndrome caused by a gastrinomab.An infectious syndrome caused byHelicobacter pyloric.Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type of pepticulcer related to stressThe correct answer is: An ulcerative syndrome caused by a gastrinomaAfter a patient has a short-arm plaster cast applied in the emergency department, which statement bythe patient indicates a good understanding of the nurse's discharge teaching?a."I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."b."I should avoid moving my fingers and elbow until the cast is removed."c."I can get the cast wet as long as I dry it right away with a hair dryer."d."I will apply an ice pack to the cast over the fracture site for the next 24 hours."The correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24 hours."Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over thecast. Plaster casts should not get wet. The patient should be encouraged to move the joints above andbelow the cast. Patients should not insert objects inside the cast.

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The leading cause of blindness in the elderly is:a.Glaucomab.Macular degenerationc.Ocular tumorsd.Retinal detachmentThe correct answer is: Macular degenerationWhich describes a fracture located at a 45-degree angle to thelong axis of bone? a. Oblique fractureb.Impacted fracturec.Avulsion fractured.Compound fractureThe correct answer is:Oblique fracture Dumpingsyndrome after gastricsurgery:a.Can be controlled by increasing fluid ingestionb.Produces a sudden decrease in blood glucose, initiating gastric emptyingc.Is caused by rapid emptying of hypertonic chyme into the jejunumd.Is treated most effectively with a high-cholesterol, low-fat diet and fluid restrictionThe correct answer is: Is caused by rapid emptying of hypertonic chyme into the jejunumWhen performing an eye examination, the nurse will assess for accommodation bya.observing the pupils when the patient focuses on a close object and then on a distant object.b.shining a light into the patient's eye and watching the pupil response in the opposite eye.c.touching the patient's pupil with a small piece of sterile cotton and watching for a blink reaction.d.covering one eye for 1 minute and noting the pupil reaction when the cover is removed.Accommodation is defined as the ability of the lens to adjust to various distances. The other nursingactions also may be part of the eye examination, but they do not test for accommodation.The correct answer is: observing the pupils when the patient focuses on a close object and then on adistant object.
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