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2023 NGN ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE A AND B (2VERSIONS) EACH WITH 90 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ RN MEDICAL SURGICAL 2023 A & B$28.99
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2023 NGN ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE A AND B (2VERSIONS) EACH WITH 90 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ RN MEDICAL SURGICAL 2023 A & B
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Course
2023 NGN ATI RN ADULT MEDICAL SURGICAL ONLINE
Institution
2023 NGN ATI RN ADULT MEDICAL SURGICAL ONLINE
2023 NGN ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE A AND B (2VERSIONS) EACH WITH 90 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ RN MEDICAL SURGICAL 2023 A & B
2023 NGN ATI RN ADULT MEDICAL SURGICAL
ONLINE PRACTICE A AND B (2VERSIONS) EACH
WITH 90 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES/ RN MEDICAL SURGICAL
2023 A & B
RN Adult Medical Surgical Online Practice 2023 a
*1000:Client is alert and oriented and reports not feeling well for a few days.
Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports
dialysate appeared cloudy this morning.Reports abdominal pain as 4 on a scale of 0
to 10.Bowel sounds active in all quadrants.Peritoneal dialysis access site red, warm
to touch, with a small amount of purulent drainage noted on dressing.
*1300:Client is lying in bed with the knees flexed, guarding the abdomen.
Abdomen is slightly distended, hypoactive bowel sounds. Client reports nausea.
Reports pain as 6 on a scale of 0 to 10. Provider notified and updated with client
condition and diagnostic results.
The client is experiencing manifestations of peritonitis due to x-ray results
Dropdown 1
Peritonitis is correct. The client is experiencing manifestations of peritonitis, such
as abdominal pain, cloudy dialysate, and an elevated white blood cell count.
Myxedema coma, hemorrhage, dysrhythmias and pneumonia are
incorrect. The client does not exhibit manifestations of any of these conditions
based on assessment and laboratory findings.
Dropdown 2
X-ray results are correct. The client’s abdominal x-ray shows fluid in the
abdomen along with inflammation, both of which are indications of peritonitis.
Thyroid level, platelet count, potassium level and oxygen saturation are
incorrect. These laboratory findings and the oxygen saturation are within the
expected reference range and do not indicate peritonitis.
pg. 1
,A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings?
Dysphagia
Dysphagia indicates that this client is at greatest risk for aspiration due to impaired
sensation and function within the oral cavity. Therefore, the nurse should place
priority on this finding.
A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take?
Place a pillow between the client's legs.
The nurse should place a pillow between the client's legs to prevent hip dislocation.
NGN
*0900:Client presents with abdominal pain in the upper left quadrant for the past 2
days. States pain became worse this morning and is radiating to the back. Rates
pain as 8 on a scale of 0 to 10.Hypoactive bowel sounds; reports nausea, no
vomiting; client is passing flatus.Febrile, oriented to person, place, and
time.Tachypnea with diminished breath sounds.Sinus tachycardia.Client voids 300
mL of clear, amber urine.
*0930:Client vomited 100 mL brown liquid.
The client is experiencing manifestations of pancreatitis as evidenced by
the amylase and lipase.
Drop Down 1:
Pancreatitis is correct. The client's laboratory results and physical assessment
indicate the client is experiencing manifestations of pancreatitis. Clients who have
pancreatitis experience an increase in pancreatic enzymes, amylase, and lipase.
Paralytic ileus, adult respiratory distress syndrome (ARDS), cardiogenic
shock, and a cerebral vascular accident (CVA) are incorrect. The client is not
experiencing manifestations of paralytic ileus because they have bowel sounds and
are passing flatus. The client is not experiencing manifestations of ARDS because
there is no indication the client is in respiratory distress. The client is not
experiencing manifestations of cardiogenic shock because there is no indication
from the client's medical record that there is a risk for cardiogenic shock. The
pg. 2
,client is not experiencing manifestations of a CVA because there is no indication
from the client's medical record that there is a risk for a CVA.
Drop Down 2:
Amylase and lipase is correct. The client's laboratory results and physical
assessment indicate the client is experiencing manifestations of pancreatitis.
Clients who have pancreatitis experience an increase in pancreatic enzymes,
amylase, and lipase.
Oxygen saturation, urine output, platelet levels, and blood pressure are
incorrect. These findings do not indicate pancreatitis.
A nurse is caring for a client who is postoperative.
Client admitted to medical-surgical unit from PACU. Client reports incisional pain
as 2 on a scale of 0 to 10. Client appears restless and frequently asks for water.
Bilateral lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the
past 2 hr. Moderate amount of bright red drainage noted on surgical incision
dressing.
Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor to assess
the client's progress.
*Insert a large-gauge
*IV.Initiate a fluid challenge.
*Hypovolemia
*Urine output
*Blood pressure
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's
restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and
decreased urine output. The nurse should monitor the client's urine output
A nurse on a medical-surgical unit is reviewing the medical record of an older
adult client who is receiving IV fluid therapy. Which of the following client
information should indicate to the nurse that the client requires re-evaluation of the
pg. 3
, IV therapy prescription? (Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain separate categories of data.)
BUN
The client's Hct and BUN levels indicate dehydration and require an increase in the
IV fluid infusion rate.
***A nurse is assessing a client while suctioning the client's tracheostomy tube.
Which of the following findings should indicate to the nurse the client is
experiencing hypoxia?
The client starts to cough.
The client's heart rate increases.
The client is diaphoretic.
The client's blood pressure decreases.
The client's heart rate increases.
Hypoxia related to suctioning can cause the client's heart rate to increase. If this
occurs, the nurse should discontinue the suctioning and manually oxygenate the
client with 100% oxygen. The nurse should instruct the client to take three or four
deep breaths prior to suctioning to reduce the risk for hypoxia.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make?
"Ginkgo biloba can cause an increased risk for bleeding."
Ginkgo biloba increases blood flow and is effective in decreasing the pain
associated with peripheral artery disease. The supplement also decreases platelet
aggregation, which in turn increases the risk for bleeding. Clients who have been
prescribed antiplatelet medications, such as aspirin, should avoid taking ginkgo
biloba without first speaking with their provider.
A nurse is teaching a class about client rights. Which of the following instructions
should the nurse include?
A client should sign an informed consent before receiving a placebo during a
research trial.
pg. 4
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