ATI MED SURG PROCTORED EXAM /MED SURG ATI RN PROCTORED EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS (ALL ANSWERS ARE CORRECT) |AGRADE

ATI MED SURG PROCTORED EXAM /MED SURG ATI

RN PROCTORED EXAM 2022-2023 TEST BANK 200

QUESTIONS AND CORRECT DETAILED ANSWERS

(ALL ANSWERS ARE CORRECT) |AGRADE

A nurse enters the room of a client whose transfusion of packed RBCs

was initiated 15 min ago by the RN. The client reports dyspnea and

urticaria. What action should the nurse perform first? - ANSWER- Stop

the infusion

A nurse is preparing to auscultate the bowel sounds of a client who has a

mechanical bowel obstruction in the descending colon. When listening

in the left upper quadrant, the nurse should identify this sound as what? -

ANSWER- Hyperactive bowel sounds

A nurse is preparing to administer furosemide to a client who has heart

failure. What should the nurse report before administering the

medication? - ANSWER- Decreased potassium

A nurse is reinforcing teaching about joint protection with a client who

has an acute exacerbation of rheumatoid arthritis. What information

should the nurse include in the teaching? - ANSWER- Apply cold packs

to the joints

A nurse is collecting data from a client who has hypothyroidism. What

manifestation should the nurse expect? - ANSWER- Bradycardia

A nurse is reinforcing teaching with an older adult client who has

osteoporosis. What instructions should the nurse include in the teaching?

- ANSWER- Take the calcium supplements with meals

A nurse is reviewing the medical record for an older adult client who is

experiencing nausea & vomiting. Based on the client data, what action

should the nurse take?

(Na 142 mEq, K+ 4.2 mEq/L, BUN 36 mg/dL, Creatinine 1.4 mg/dL) -

ANSWER- Notify the charge nurse of the client's BUN level

A nurse is admitting a client who is suspected having active tuberculosis

(TB). What action should should the nurse take first? - ANSWERInstitute airborne precautions

A nurse is monitoring a client who has a wrist cast and reports intense

itching underneath the cast. What action should the nurse take? -

ANSWER- Blow cool air into the cast using a blow dryer on a cool

setting

A nurse is planning care for a group of clients after receiving change-ofshift report. What client should the nurse see first? - ANSWER- A client

who is dehydrated, has mental confusion, & was found getting out of

bed several times during the night.

A nurse is caring for a client who reports shortness of breath and has an

oxygen saturation of 90%. What action should the nurse take? -

ANSWER- Administer oxygen via nasal cannula

A nurse is caring for a client who has a prescription for digoxin 0.25mg

PO daily. While taking the client's apical pulse, the nurse notes a rate of

58/ min. What action should the nurse take? - ANSWER- Withhold the

dose

A nurse is caring for a client who has an intestinal obstruction & reports

a new onset of nausea. The client has an NG tube set at low intermittent

suction & is receiving continuous IV infusion of 0.9% sodium chloride.

What action should the nurse take first? - ANSWER- Check for kinks in

the NG tube

A nurse is reinforcing teaching with a client who is postoperative

following a cemented total hip arthroplasty. What instructions should the

nurse include in the teaching? - ANSWER- Maintain hip flex ion to 90

or less when sitting

A nurse is caring for a client who is 24hr postoperative following an

abdominal surgery. What finding requires immediate attention from the

nurse? - ANSWER- Oxygen saturation of 88%

A nurse is caring for a client following a gastrectomy. What action

should the nurse take to decrease episodes of dumping syndrome? -

ANSWER- Place the client in the supine position after meals

A home health nurse is caring for a client who has COPD. The client

tells the nurse that he becomes short of breath while eating despite the

use of home oxygen. What instructions should the nurse include? -

ANSWER- Drink beverages at the end of meals

A nurse is reinforcing teaching with a client who has chronic kidney

disease about management. What statement by the client indicates an

understanding of the teaching? - ANSWER- I will limit my daily intake

of protein

A nurse is caring for a client who has dementia due to Alzheimer's

disease. What action should the nurse take to reduce the client's

confusion? - ANSWER- Encourage reminiscence of past experiences

A nurse is reinforcing teaching with a client who has a new diagnosis of

genital herpes. What information should the nurse include in the

teaching? - ANSWER- The virus can be transmitted without lesions

present

A nurse is reinforcing teaching with a client who has coronary artery

disease and is taking a statin medication to lower cholesterol levels.

What instruction should the nurse include in the teaching? - ANSWERAdd oily fish to your diet

A nurse is reinforcing teaching with a client who has diabetes mellitus

and a new prescription for regular and NPH insulin. What instructions

on preparing the insulin should the nurse include? - ANSWERWithdraw the regular insulin before withdrawing the NPH insulin