PN ADULT MEDICAL SURGICAL 2023 ACTUAL EXAM /ATI PN ADULT MEDICAL SURGICAL 2023 EXAM 230 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

PN ADULT MEDICAL SURGICAL 2023 ACTUAL

EXAM /ATI PN ADULT MEDICAL SURGICAL

2023 EXAM 230 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS WITH

RATIONALES|ALREADY GRADED A+

A nurse is collecting data from a client who has a newly placed colostomy. Which

of the following

findings should indicate to the nurse the client has accepted their new altered body

image?

a) Denies feelings of sadness about the ostomy

b) Prefers not to look at the stoma site

c) Accepts that seual activity will decrease

d) Participates in performing ostomy care - ANSWER- D. Participates in

performing ostomy care

TEST

A nurse is reviewing the laboratory data of a client who is scheduled for a liver

biopsy. Which of the following values should the nurse report to the provider?

a) Ammonia 55 mcg/dL

b) Bilirubin 1.0 mg/dL

c) Platelets 60,000/mm3

d) Aspartate aminotransferase 34 units/L - ANSWER- C. Platelets 60,000/mm3

Rationale:

The platelets provide blood clog to stop the bleeding in human body. Low PT

count indicating the patient will be susceptible to bleeding.

A nurse is assisting with the plan of care for a client who requires contact

precautions. Which of the following interventions should the nurse include in the

plan?

a) Keep a stethoscope at the client's bedside for

the duration of her hospital stay.

b) Wear an N95 mask when entering the room.

c) Use an alcohol swab to clean the

temperature probe before removing it from

the room.

d) Remove personal protective equipment

immediately after leaving the client's room. - ANSWER- A. Keep a stethoscope at

the client's bedside for

the duration of her hospital stay.

Rationale:

contact precaution!

TEST

A nurse is caring for a client who has a prescription for propranolol for the

treatment of atrial fibrillation. Which of the following actions should the nurse

take?

a) Request a dosage increase of the apical

heart rate is less than 60/min.

b) Administer the medication with an antacid.

c) Instruct the client to expect increased hair

growth.

d) Withhold the medication if the systolic blood

pressure is less than 90 mm Hg. - ANSWER- D. Withhold the medication if the

systolic blood pressure is less than 90 mm Hg.

Rationale:

propranolol is a beta block. It is usually prescribed for high blood pressure and

other heart problems. Depend on your facility, you will need to withhold the

medication when the patient BP or P is at a certain low threshold.

Antacids, although are considered harmless, can affect negatively with

Propranolol. They, just like Omeprazole, can interfere with the usual absorption of

Propranolol in your body. Magnesium antacids may not affect the absorption that

much, much aluminium containing antacids should be avoided while you're being

treated with Propranolol.

A nurse is reinforcing teaching about dietary modifications to help control blood

pressure with a client who has hypertension. Which of the following food choices

by the client indicates an understanding of the teaching?

a) A ham sandwich on rye bread

b) Broiled cod with broccoli

c) Beef bouillon with crackers

d) Pork sausage with sauteed peppers - ANSWER- B. Broiled cod with broccoli

Rationale:

What can I say? It is fish and vegi

A nurse is reinforcing teaching with a client about heart disease prevention, which

of the following client statements indicates an understanding of the teaching?

a) "I will increase my dairy intake by drinking

whole milk every meal."

b) "I will exercise by walking twice a week for 25

minutes."

c) "I will try to maintain my blood pressure

around 116/72."

d) "I will improve my LDL cholesterol by raising it

from 100 to 130." - ANSWER- C. "I will try to maintain my blood pressure around

116/72."

TEST

A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation

(TENS) unit for a client who has a herniated intervertebral disk. Which of the

following statements by the client indicates an understanding of the teaching?