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ATI MEDSURG PROCTORED FINAL EXAM COMPLETE QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+
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ATI MEDSURG PROCTORED FINAL EXAM COMPLETE QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+
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ATI MEDSURG PROCTORED FINAL EXAM COMPLETEQUESTIONS AND ANSWERS WITH RATIONALES 2023/2024
GRADED A+
1…. A nurse is reviewing the laboratory data of a client who has acute
pancreatitis. The nurse should expect to find an elevation of which of
following values? Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars
that can be used by the body. It is produced by the pancreas and
salivary glands and released into the mouth, stomach, and intestines
to aid in digestion. The amylase level of a client who has acute
pancreatitis usually increases within 12 to 24 hr and can remain
elevated for 2 to 3 days.
2…. A nurse in a clinic is interviewing a client who has a possible
diagnosis of endometriosis. Which of the following findings in the
client's history should the nurse recognize as consistent with a
diagnosis of endometriosis? Dysmenorrhea that is unresponsive to
NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that lines
the uterus implants in locations outside the uterus. This typically
causes pelvic pain around the time of the menstrual
,period but can cause pain at other times in the cycle. The
discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a client who has had a
spinal cord injury that resulted in paraplegia. After a week on the
unit, the nurse notes that the client is withdrawn and increasingly
resistant to rehabilitative efforts by the staff.
Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable goals.
Rational
The nurse should develop a plan of care for this client with mutually
set goals. This action invests the client in the rehabilitation process,
which encourages feelings of ownership for it, and sees the goals as
more attainable
4….A nurse in a burn treatment center is caring for a client who is
admitted with severe burns to both lower extremities and is
scheduled for an escharotomy. The client's spouse asks the nurse
what the procedure entails. Which of the following nursing
statements is appropriate?
Large incisions will be made in the eschar to improve
circulation.
Rational
,An escharotomy is a surgical incision made to release pressure and
improve circulation in a part of the body that has a deep burn and is
experiencing excessive swelling. Burn injuries that encircle a body
part, such as an arm or the chest, can cause swelling and tightness in
the affected area, resulting in reduced circulation.
Making surgical incisions into the burned tissue allows the skin to
expand, reduces tightness and pressure, and improves circulation.
5….A nurse is caring for a client who has suspected cholecystitis. The
nurse should expect the client's urine to appear which of the following
colors? Dark and foamy
Rational
The nurse should expect the client to have dark and foamy urine,
which indicates the kidneys are filtering excess bilirubin from the
blood.
6….A nurse is caring for an older adult client who has rheumatoid
arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of
the following diagnostic tests should the nurse monitor to evaluate the
effectiveness of this medication? Erythrocyte sedimentation rate
(ESR)
Rational
, Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful
in detecting and monitoring tissue inflammation in clients with RA. As
the disease improves the ESR decreases.
7….A nurse is providing dietary teaching to a client who has a history
of recurring calcium oxalate kidney stones. Which of the following
instructions should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the client to drink at least 3 to 4 L of
fluid every day to dilute the urine and reduce the risk for stone
formation.
8….A nurse is assessing a client who has disseminated intravascular
coagulation (DIC). Which of the following findings should the nurse
expect? Excessive thrombosis and bleeding
Rational
The nurse should expect excessive thrombosis and bleeding of
mucous membranes because both DIC impairs both coagulation
and anticoagulation pathways.
9….A nurse is caring for a middle adult client who has just received
the diagnosis of endometrial cancer. In taking a
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