ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH NGN Questions and Answers (Verified Answers) GRADED A UPDATED 2023 BRAND NEW WITH RATIONALES LATEST

ATI MED SURG PROCTORED EXAM 2019 RETAKE

WITH NGN Questions and Answers (Verified Answers)

GRADED A UPDATED 2023 BRAND NEW WITH

RATIONALES

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the

following findings should the nurse report to the surgeon?

a. Heart rate 90/min

b. Absent bowel sounds

c. Hgb 8.2 g/dl

d. Gastric pH of 3.0

Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.

2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications

should the nurse plan toadminister?

a. Desmopressin

b. Regular insulin

c. Furosemide

d. Lithium carbonate

Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH

and to stop patienton urinating.

3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several

times daily for 3 years.Which of the following test should the nurse monitor?

a. Fasting blood glucose

b. Stool for occult blood - GI bleed

c. Urine for white blood cells

d. Serum calcium

Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed

(blood

y,tarry stools, abdominal pain).

4. A nurse in the emergency department is assessing a client. Which of the following actions

should the nurse takefirst (Click on the “Exhibit” button for additional information about the client. There are

three tabs that contain separate categories ofdata.)

a. Obtain a sputum sample for culture

b. Prepare the client for a chest x-ray

c. Initiate airborne precautions

d. Administer ondansetron.

Rationale: No idea what the Exhibit is all about; won’t be able to answer it.

5. A nurse is contacting the provider for a client who has cancer and is experiencing

breakthrough pain. Which ofthe following prescriptions should the nurse anticipate?

a. Transmucosal fentanyl

b. Intramuscular meperidine

c. Oral acetaminophen

d. Intravenous dexamethasone

Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat

moderate to severe pain. Ashort-acting pain medication is administered for breakthrough pain.

6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry

monitor. Which of thefollowing should the nurse analyze to determine whether the client is experiencing a

myocardial infarction?

a. PR interval

b. QRS duration

c. T wave

d. ST segment

Rationale: ST elevation indicates MI. ST depression indicates ischemia

7. A nurse is teaching a client who has ovarian cancer about skin care following radiation

treatment. Which of thefollowing instructions should the nurse include?

a. Pat the skin on the radiation site to dry it

b. Apply OTC moisturizer to the radiation site

c. Cover the radiation site loosely with a gauze wrap before dressing

d. Use a soft washcloth to clean the area around the

radiation siteRationale: pg. 584. Dry the area thoroughly using

patting motions.

8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes

that the client hasbounding peripheral pulses, hypertension, and distended jugular veins. The nurse

should anticipate administering which of thefollowing prescribed medications?

a. Diphenhydramine

b. Acetaminophen

c. Pantoprazole

d. Furosemide

Rationale: S/S may indicate fluid retention or heart failure. It is important to administer

diuretics to preventcardiovascular/respiratory distress.

9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of

hypomagnesemia.Which of the following findings indicates effectiveness of the medication?

a. Lungs clear

b. Apical pulse 82/min

c. Hyperactive bowel sounds

d. Blood pressure 90/50 mm Hg

Rationale: pg. 278 Confirmed on answer sheet

10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The

nurse should recognizethese findings as indication of which of the following conditions?

a. Metabolic acidosis

b. Metabolic alkalosis

c. Compensated respiratory alkalosis

d. Uncompensated respiratory acidosis

Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis.

11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which

of the following labsshould the nurse expect during the first 24 hours

A. Decreased BUN (elevated due to fluid loss)

B. Hypoglycemia (High due to stress)

C. Hypoalbuminemia (Low due to fluid loss)

D. Decreased Hematocrit (Elevated due to 3rd spacing during

resuscitation phase)Rationale: Pg. 481 ATI. Total protein and albumin- low due to

fluid loss.

12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the

following actions shouldthe nurse takes?

a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to

moderate carbs page317, chapter 49 Peptic ulcer disease med surg ATI PDF 10.0)

b. Provide the client with four full meals a day (Small frequent meals)

c. Encourage the client to drink at least 360 ml of fluids with meals (Eliminate liquids with

meals for 1 hr. priorand following a meal)

d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the

movement of food within the intestines)

Rationale: ATI pg. 318 Dumping syndromes is a term that refers to a constellation of vasomotor symptoms that

occurs after eating,especially following a Billroth II procedure. Early manifestations usually occur within 30

minutes of eating and include vertigo, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie

down. The nurse should instruct the client to decrease the amount of fluid taken at meals and to avoid highcarbohydrate foods, including fluids such as fruit nectars; to assume a low-Fowler'sposition during meals; to lie

down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics as prescribed.

12. A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the

following factors shouldthe nurse include in the teaching?

a. Born with a high weight

b. Chronic infections of the middle ear

c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and gentamicin leads to

ototoxic medication

d. Perforation of the eardrum

e. Frequent exposure to low volume noise

Rationale: Peds ATI pg. 77

Exposure to loud environmental sounds. Hearing defects can be caused by a variety of conditions, including

anatomic malformation,maternal ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal

infection, chronic ear infection, and ototoxic medications.

13. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should

the nurse take?

a. Administer the plasma immediately after thawing