RN ATI ADULT MEDSURG PROCTORED 2023 VERSION 4 EXAM LATEST VERSION 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) |ALREADY GRADED A+

RN ATI ADULT MEDSURG PROCTORED 2023

VERSION 4 EXAM LATEST VERSION 200 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIEDANSWERS) |ALREADY

GRADED A+

A nurse in a clinic is caring for a client who has been experiencing mild

to moderate vertigo due to benign paroxysmal vertigo for several weeks.

Which of the following actions should the nurse recommend to help

control the vertigo? (SATA)

A. Reduce exposure to bright lightning

B. Move head slowly when changing positions

C. Do not eat fruit high in potassium

D. Plan evenly-spaced daily fluid intake

E. Avoid fluids containing caffeine - ANSWER- A. Reduce exposure to

bright lightning

B. Move head slowly when changing positions

D. Plan evenly-spaced daily fluid intake

A nurse is caring for a client who has suspected Ménière's disease.

Which of the following is an expected finding?

A. Presence of a purulent lesion in the external ear canal

B. Feeling of pressure in the ear

C. Bulging, red bilateral tympanic membranes

D. Unilateral hearing loss - ANSWER- D. Unilateral hearing loss

A nurse is completing discharge teaching to a client following middle

ear surgery. Which of the following statements by the client indicates

understanding of the teaching?

A. "I should restrict rapid movements and avoid bending from the waist

for several weeks."

B. "I should wait until the day after surgery to wash my hair."

C. "I will remove the dressing behind my ear in 7 days."

D. "My hearing should be back to normal right after my surgery." -

ANSWER- A. "I should restrict rapid movements and avoid bending

from the waist for several weeks."

A nurse caring for a client who was recently admitted to the emergency

department following a head-on motor vehicle crash. The client is

unresponsive, has spontaneous respirations of 22/min, and has a

laceration on the forehead that is bleeding. Which of the following is the

priority nursing action at this time?

A. Keep neck stabilized

B. Insert nasogastric tube

C. Monitor pulse and blood pressure frequently

D. Establish IV access and start fluid replacement - ANSWER- A. Keep

neck stabilized

A nurse is caring for a client who has just been admitted following

surgical evacuation of a subdural hematoma. Which of the following is

the priority assessment?

A. Glasgow Coma Scale

B. Cranial nerve function

C. Oxygen saturation

D. Pupillary responses - ANSWER- C. Oxygen saturation

A nursing is caring for a client who has a closed-head injury with ICP

readings ranging from 16 to 22 mm Hg. Which of the following actions

should the nurse take to decrease the potential for raising the client's

ICP? (SATA)

A. Suction the endotracheal tube frequently

B. Decrease the noise level in the client's room

C. Elevate the client's head on two pillows

D. Administer a stool softener

E. Keep the client well hydrated - ANSWER- B. Decrease the noise

level in the client's room

D. Administer a stool softener

A nurse in the critical care unit is completing an admission assessment

of a client who has a gunshot wound to the head. Which of the following

assessment findings are indicative of increased ICP? (SATA)

A. Headache

B. Dilated pupils

C. Tachycardia

D. Decorticate posturing

E. Hypotension - ANSWER- A. Headache

B. Dilated pupils

D. Decorticate posturing

A nurse is caring for a client who has increased ICP and a new

prescription for mannitol. For which of the following adverse effects

should the nurse monitor?

A. Hyperglycemia

B. Hyponatremia

C. Hypervolemia

D. Oliguria - ANSWER- B. Hyponatremia

A nurse is caring for a client who has experienced a right-hemispheric

stroke. The nurse should expect the client to have difficulty with which

of the following? (SATA)