ATI RN MED SURG PROCTORED EXAM
2022/2023
.A nurse is assessing a client who is 12hr postoperative following acolon
resection. Which of the following findings should the nurse report to the
surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
tak...
ATI RN MED SURG PROCTORED EXAM
2022/2023
.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?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
nurse take?
a.Strip or clear the chest
tube every 8 hours
b. Refill the water chamber
if the fluid is low
c. Empty the system at least every 8 hr
d.Change the chest to site dressing every 24 hour
• A nurse is in an emergency department is reviewing a client's ECG reading.
which of the following findings should the nurse identify as an indication that
the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson) More p
waves than QRS
complexes Non discernible
p waves
,No correlation between p and QRS waves
,• A nurse is preparing to administer a unit of packed rbc's to a client who is
anemic. Identify the sequence of steps the nurse should follow.
1. Obtain venous access using a 19 gauge needle
2. Obtain the unit of packed rbc's from Blood Bank align
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed rbc's
5. Remain with the client for the first 15 to 30 minutes of the infusion
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
• A nurse is teaching A client who is to begin chemotherapy about peripherally
inserted Central catheter. which of the following statements should the nurse
include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up tchange gauze
dressings every 48 hours and transparent dressings 3
to 7 days or whenever they are no
longer intact. Measure BP in opposite arm
• A nurse is assessing a client who has Pyelonephritis and reports flank pain.
which of the following actions should the nurse take?
Assist the client to a sitting position
Percuss the side of tenderness first
Auscultate for a bruit over the coastal
vertebral area Thump the area of
tenderness directly with a closed fist
, .A nurse is assessing a client who has acute kidney failure. Which of the
following findings should the nurse report to the provider?
Peripheral pulses 2 + bilaterally
Weight gain 1.1 kilogram to 2.4 pound in 24-hour
Urine specific
gravity 1.045
Creatinine 0.8
milliliter
Rationale: weight gain can indicate fluid retention. normal urine specific
gravity: 1.000-1.030, normal creatinine: 0.5-1.2
89.A nurse is caring for an older adult client who is 72 hour postoperative
following a total hip arthroplasty. the client requires a PRN medication prior to
ambulation. Which of the following medications should the nurse anticipate
administering? Page 437 MS ATI PDF
Indometh
acin
Meperidi
ne
Naproxe
n
Oxycodo
ne
.A nurse is caring for a client who has Haemophilus Influenzae type B. which of
the following types of isolation should the nurse implement? Page 32 MS ATI
PDF 10.0 droplets
.A nurse is providing discharge teaching to a client who has pulmonary
tuberculosis. Which of the following findings should the nurse include as an
indication the client is no longer infectious? PAGE 136 MS ATI PDF
Mantoux skin test reveals and induration of less than 1mm -only indicates an
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