NGN RN ATI ADULT MED SURG PROCTORED EXAM 2024 LATEST VERSION WITH
VERIFIED QUESTIONS AND CORRECT ANSWERS FROM ACTUAL PAST EXAM
LATEST UPDATE
1. 0530:Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds
clear upon...
NGN RN ATI ADULT MED SURG PROCTORED EXAM 2024 LATEST VERSION WITH
VERIFIED QUESTIONS AND CORRECT ANSWERS FROM ACTUAL PAST EXAM
LATEST UPDATE
1. 0530:Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds
clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is
less than 3 seconds; +2 bilateral pedal and radial pulses.
AVF access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:
Client is reading a book. Access is visible, and lines are secure. Client reports no discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded; appears restless and slightly confused.
Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
1000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling
of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision,
especially on the right side.
Client's partner states the client had some difficulty with finding words when speaking.
Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker
than left. Client denies pain. Hand grasps is consistent with migraine, stroke, and meningitis.
,Numbness is consistent with migraine and stroke.
Aphasia is consistent with migraine and stroke.
Visual changes are consistent with migraine, stroke, and meningitis.
Family history is consistent with migraine and stroke.
1800:
Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the
right antecubital space.
Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness
burns are present on the client's face and neck.
Sinus tachycardia, pulses to brachial extremities palpable. 1+ edema to upper extremities.
Respirations even, labored with scattered rhonchi. Soot noted to the client's mouth and nose. Oxygen
40% via face tent applied.
Hypoactive bowel sounds.
16 French indwelling urinary catheter inserted with return of 250 mL of yellow urine.
Lactated Ringer's infusing to right antecubital. Provider preparing to insert right femoral central line
catheter.
1830:
Client's voice is becoming hoarse and reports difficulty swallowing. Wheezes present to upper lobes
bilaterally. Provider notified. Client positioned upright, oxygen via face tent. Blood collected During
the emergent phase of burn care, the client is at risk for developing
hypovolemia
and
respiratory failure
.
1NGN
, 000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of
the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially
on the right side.
Client's partner states the client had some difficulty with finding words when speaking.
Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker
than left. Client denies pain.1045:Client states the flashing lights, numbness, and tingling in the lips have
gone away. Client states they now have throbbing pain behind the left eye, photophobia, and nausea.
Client is requesting medication for pain that is 7 on a scale of 0 to 10.
Hand grasps are equal and strong bilaterally.1300:Client reports pain as 2 on a scale of 0 to 10 and
nausea has resolved.
Provided client with discharge instructions regarding sumatriptan and migraine triggers. "Foods that
contain tyramine might trigger my headaches" is correct.
"I will keep a food and headache diary" is correct.
"I will place a cool cloth on my forehead when I experience a migraine" is correct.
"I will take the sumatriptan once every day" is incorrect.
"I should stay awake until my headache is gone" is incorrect.
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After
ensuring a patent airway, which of the following nursing interventions is the priority? Administering
epinephrine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of
the following findings should indicate to the nurse that the client is experiencing an adverse reaction to
this medication? Report of a night cough
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following
precautions should the nurse implement? Ensure that the client has a patent IV.
A nurse in an emergency department is assessing a client who has a detached retina. Which of the
following should the nurse expect the client to report? "It's like a curtain closed over my eye."
A nurse in an emergency department is assessing an older adult client who has a fractured wrist
following a fall. During the assessment, the client states, "Last week I crashed my car because my vision
suddenly became blurry." Which of the following actions is the nurse's priority? Check the client's
neurologic status.
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