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ATI RN MEDICAL-SURGICAL REAL EXAM AND STUDY GUIDE 130 QUESTIONS AND CORRECT ANSWERS //ALREADY GRADED A+ A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse

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ati rn medical surgical real exam and study guide

Institution ATI RN MEDICAL-SURGICAL
Course ATI RN MEDICAL-SURGICAL

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ATI RN MEDICAL-SURGICAL REAL EXAM AND STUDY GUIDE
130 QUESTIONS AND CORRECT ANSWERS 2024-
2025//ALREADY GRADED A+
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the
following findings should the nurse report to the provider as a contraindication to receiving heparin?

a) Thalassemia

b) Rheumatoid arthritis

c) COPD

d) Thrombocytopenia - answer-d) Thrombocytopenia

A nurse is caring for an older adult client who has dementia. Which of the following questions should
the nurse ask to assess the client's abstract thinking?

a) What is meant by saying "don't beat around the bush?"

b) What do you understand about your condition?

c) Can you count backwards form 100 in intervals of 7?

d) Can you state where you were born? - answer-a) What is meant by saying "don't beat around the
bush?"

A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
prominences, but the client's skin is intact. Which of the following interventions should the nurse
include int he plan of care?

a) Apply an occlusive dressing

b) Turn and reposition the client every 4 hours

c) Support bony prominences with pillows

d) Massage reddened areas three times daily - answer-c) Support bony prominences with pillows

A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following
findings should the nurse expect?

a) Progressively longer PR durations

b) Undetectable P waves

,c) Absent PR intervals with ventricular rate of 40 to 60/ minute

d) Sawtooth pattern with arterial rate of 252-400/ minute - answer-d) Sawtooth pattern with arterial
rate of 252-400/ minute

A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to
take which of the following actions?

a) Administer a stool softener following the procedure

b) Ask the client to empty his bladder prior to the procedure

c) Instruct the client to take deep breaths and hold them during the procedure

d) Assist the client into the left lateral position during the procedure - answer-b) Ask the client to empty
his bladder prior to the procedure

A nurse is planning a staff education session about hepatitis A. Which of the following information
should the nurse include?

a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas

b) The incubation of Hepatitis A is 5 to 10 days

c) Hepatitis A is transmitted through blood exposure

d) Clients who have Hepatitis A require broad-spectrum antibiotics - answer-a) Immunization for
Hepatitis A is recommended prior to travel to high-risk areas

A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results
should the nurse monitor when assessing this client?

a) Phosphate level

b) Glucose level

c) Serum troponin

d) Serum ammonia - answer-d) Serum ammonia

A nurse is planning care for a client who is status epilepticus. Which of the following interventions is the
nurses priority to include?

a) Administer phenytoin IV bolus to the client

b) Provide the client oxygen at 6 L/min using a nasal cannula

, c) Turn the client to the lateral position during seizure activity

d) Administer diazepam intravenously to the client - answer-c) Turn the client to the lateral position
during seizure activity

A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the
nurse take to prevent hip dislocation?

a) Elevate the knees higher than the hips when sitting

b) Remove the wedge device when turning

c) Encourage the client to lean forward when attempting to stand

d) Place two bed pillows between the legs when in bed - answer-d) Place two bed pillows between the
legs when in bed

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current infusion is
almost complete and the new solution os not available. Which of the following actions should the nurse
take?

a) Infuse dextrose 10% in water

b) Decrease the rate of the infusion

c) Disconnect and flush the IV access line

d) Administer lactated ringers through the peripheral IV site - answer-a) Infuse dextrose 10% in water

A nurse is caring for a client who is 6 hours postoperative following application of an external fixator for
a tibial fracture. Which of the following actions should the nurse take?

a) Adjust the clamps on the fixator frame

b) Maintain the affected extremity in a dependent position

c) Palpate the dorsalis pedis

d) Wrap gauze on the sharp point of the pins - answer-c) Palpate the dorsalis pedis

A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury
to the lower torso 1 hour ago. Which of the following findings should the nurse expect?

a) Hypotension

b) Bradycardia

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Exam (elaborations)

ATI RN MEDICAL-SURGICAL REAL EXAM AND STUDY GUIDE 130 QUESTIONS AND CORRECT ANSWERS //ALREADY GRADED A+ A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse

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