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Exam (elaborations)

2023 ATI RN MEDSURG PROCTORED EXAM WITH 100% CORRECT QUESTIONS AND VERIFIED ANSWERS

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2023 ATI RN MEDSURG PROCTORED EXAM WITH 100% CORRECT QUESTIONS AND VERIFIED ANSWERS A nurse at a long-term care facility is assessing an older adult client. Which of the followingfindings should thenurseidentifyasanindicationthat theclienthas recallmemoryimpairment? a. Inability tostate whathe hadfordinner lastnightb. Inability to Namethe members of his family c. Inabilityto countbackwards from 10d. Inability tostate his current age A nurse on an intensive care unit is planning care for a client who has increased intracranialpressure followingaheadinjury. Whichof thefollowingIV medicationsshould the nurseplan to administer? a. Chlorpromazineb. Dobutamine c. Mannitold. Propanol . A nurseon a medicalunit is planning carefor a groupof clients. Whichof the followingclients should the nurse attendto First?  A client whohas thrombocytopeniaandreports andnosebleed  A client whohaschronic obstructionpulmonarydiseaseandoxygensaturationof89%  A client whohas multiplesclerosis and Ataxiaandvertigo  A client whohas left-sidedparalysis andslurredspeechfrom apriorstroke A home care nurse is planning to use non pharmacological pain relief measures for anolder client who hassevere chronicbackpain. Whichof thefollowingguidelines shouldthenurseuse? a. Useimagery withclients whohavedifficulty withfocus andconcentration b. Painrelief from theuseof heatandcoldcontinues forseveralhours after removalofthestimulus c. Discontinueopioidsbefore tryingnonpharmacological methodsofpainrelief d. Distractionchanges theclient's perceptionofpainbutdoesnotaffect thecause A nurse is caringforaclient whohaspneumothoraxandachest tube withclosed watersealdrainage system. Whichof the following actions shouldthe nurse take? a. Striporclear the chest tube every 8 hoursb. Refill the water chamber if the fluid is low c. Empty the system at leastevery 8 hr d. Change thechest tosite dressingevery24hour – A nurse is inanemergencydepartment is reviewingaclient's ECG reading. whichof thefollowing findings should the nurse identify as an indication that the client has first degreeheartblock?  Prolonged PR intervals  Morep waves than QRS complexesc. Non discernible p waves d. Nocorrelationbetweenpand QRS waves A nurse ispreparingtoadminister aunitofpacked rbc's toaclient who is anemic.Identify the sequence of steps the nurseshould follow. 1. Obtainvenous accessusinga 19 gaugeneedle 2.Obtainthe unitofpacked rbc's from Blood Bankalign3.Verify bloodcompatibility with anothernurse 4. Initiate transfusionof the unitofpacked rbc's 5. Remain with the client for thefirst 15 to 30 minutesof the infusion . A nurse is teachingaclient who is tobeginchemotherapyaboutperipherally insertedCentral catheter. which of the following statements should the nurse include in the teaching? a. We will replacethe PICC every month b. Wecandraw bloodsamples from the PICC fordiagnostic testc. We will change thedressing daily d. Wecan measureyourblood pressure ineither arm A nurseis assessingaclient whohas Pyelonephritis andreports flankpain. whichof thefollowingactions should the nursetake? a. Assist the client to a sitting positionb. Percuss thesideof tenderness first c. Auscultate fora bruitover the coastal vertebralarea d.Thumpthearea of tenderness directly with a closedfist A nurse is assessingaclient who hasacute kidneyfailure. Whichof the followingfindings should the nurse report to the provider? a. Peripheralpulses2 + bilaterally b. Weightgain1.1 kilogram to2.4pound in24-hourc. Urine specific gravity 1.045 d. Creatinine 0.8 milliliter A nurse is caring for an older adult client who is 72 hour postoperative following a totalhiparthroplasty. the client requires a PRN medication prior to ambulation. Which of thefollowing medications should the nurseanticipateadministering? a. Indomethacin b. Meperidinec. Naproxen d. Oxycodone A nurse is caringforaclient whohas Haemophilus Influenzaetype B. whichof thefollowingtypes of isolation should the nurse implement? a. Droplet b. Contact c. Airborne d. Protective A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Whichof the followingfindings should thenurse includeas anindication the client is nolonger infectious? a. Mantouxskintestreveals and indurationof less than1mmb. Clientno longer coughingup bloodtingedsputum c. PositivequantiferonTB gold test d. Negative sputum cultureforacidfastbacillus . A nurse working in the emergency department is caring for a client who has a burn injury. After securingthe client's Airway whichof thefollowing interventions should thenursetake first? a. Cleansetheclient wound b. Administer Analgesic medicationc. Increasethe room temperature d. Startan IV witha largeboreneedle A nurse is caring for a client who has a central venous access device and notes the tubinghasbecome disconnected.Theclientdevelops dyspneaandtachycardia. Whichof the following actions should the nurse take first? a. Obtain ABG valuesb. Perform an ECG c. turnthe client tohis left sided. Clampthe catheter A nurseis assessingaclient who is 12hrpostoperative following acolonresection.Whichof the following findings should the nurse report to thesurgeon? a. Heart rate 90/min b.Absentbowelsoundsc. Hgb 8.2g/dl d. GastricpH of 3.0 (normal 0-4) A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurseplan toadminister? a. Desmopressin b. Regular insulin c. Furosemide d.Lithium carbonate

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