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ATI RN MED SURG PROCTORED EXAM WITH NGN / ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS – NEW UPDATE 2024 FINAL EXAM WITH 100% VERIFIED ANSWERS/ GRADED A+$13.99
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ATI RN MED SURG PROCTORED EXAM WITH NGN / ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS – NEW UPDATE 2024 FINAL EXAM WITH 100% VERIFIED ANSWERS/ GRADED A+
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Course
ATI RN MED SURG
Institution
ATI RN MED SURG
ATI RN MED SURG PROCTORED EXAM WITH NGN /
ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS – NEW UPDATE 2024 FINAL EXAM WITH
100% VERIFIED ANSWERS/ GRADED A+
ATI RN MED SURG PROCTORED EXAM WITH NGN /
ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS – NEW UPDATE 2024 FINAL EXAM WITH
100% VERIFIED ANSWERS/ GRADED A+
A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which
of the following manifestations indicates that the client is experiencing autonomic dysreflexia
(AD)?
A. Temperature 38.9ºC (102ºF)
B. Systolic BP 70mmHg
C. HR 52/min
D. RR 8/min - ANSWER - C
AD is an exaggerated response to stimuli in clients who have high-level spinal injuries. Can
result in stroke, organ damage, or death. Clients with SCI that involves cervical or high thoracic
vertebrae can experience AD any time after the shock on the initial spinal injury. Manifestations
of AD include bradycardia, severe headache, flushing, diaphoresis above the site of the SCI,
sudden and significant rise in systolic and diastolic pressures, and anxiety (causing tachypnea)
A nurse is performing a preoperative assessment for a client. The nurse should identify that an
allergy to which of the following foods can indicate a latex allergy?
A. Shellfish
B. Peanuts
C. Avocados
D. Eggs - ANSWER - C
Avocado allergy, as well as certain fruits including strawberries and bananas, can indicate
allergy or sensitivity to latex. Shellfish allergy might indicate allergy to povidone-iodine. Peanut
or egg allergy might indicate allergy to propofol.
A nurse is caring for a client who has increased ICP and is receiving mannitol via continuous IV
infusion. Which of the following findings should the nurse report to the provider as an adverse
effect of this medication?
A. Decreased HR
pg. 1
,B. Crackles heard on auscultation
C. Increased urinary output
D. Decreased deep tendon reflexes - ANSWER - B
Mannitol is an osmotic diuretic that prevents the reabsorption of water in the kidneys, thus
increasing urinary output. With exception of the brain, mannitol can leave the vascular system at
the capillary site, which can result in edema. Crackles are a manifestation of pulmonary edema
and the provider should be notified. Other manifestations include dyspnea and decreased
oxygen saturation. Tachycardia is an adverse effect that should be reported. Deep tendon reflex
is a response indicative of hypercalcemia or hypermagnesemia, and an adverse effect of
mannitol is electrolyte loss.
A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis.
Which of the following information should the nurse include in the teaching?
A. Avoid using glucosamine with chondroitin
B. Glucosamine can cause degradation of cartilage when used over a long time
C. Avoid taking glucosamine if you have a shellfish allergy
D. You can take glucosamine with an anticoagulant medication - ANSWER - C The medication is
made from the exoskeletons of shellfish
A nurse is caring for a client who has visual loss. Which so the following actions should the
nurse implement?
A. Remove all objects from the client's bedside table
B. Instruct the client to open items in the food tray
C. Walk a step behind the client when assisting with ambulation
D. Count steps to the bathroom with the client - ANSWER - D Orient the client to the room to
reduce the risk of falls
A nurse is discussing activity modification with a client who had a right total hip arthroplasty.
Which of the following statements should the nurse include in the information?
A. Plan to sit in a straight-backed chair when out of bed
B. Place a pillow between your legs when lying in bed
C. You can cross your legs at the ankles when sitting
D. You should bend at the waist when tying your shoes - ANSWER - B Prevent adduction of the
hip and possible dislocation
pg. 2
,A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract
infection for a client who has an indwelling urinary catheter. Which of the following instructions
should the nurse include?
A. Ensure the urinary catheter tubing is not kinked
B. Rest the catheter bag on the floor when the client is sitting in a chair
C. Clean the perineal area with an antiseptic solution
D. Empty the collection bag for the client every 12 hr. - ANSWER - A Kinks can cause blockage
of urinary flow and result in a UTI
A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of
the following interventions should the nurse include in the plan?
A. Measure the depth of the wound with a cotton-tipped applicator
B. Measure the wound using a reusable tape measure
C. Cover the wound bed with dry gauze dressings
D. Cleanse the wound with soap and water - ANSWER - A Check wound for tunneling
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients is the nurse's priority?
A. A client who had a stroke and has expressive aphasia
B. A client who has a hemoglobin of 11g/dL and requires 1 unit of blood
C. A client who has asthma and a peak expiratory flow rate in the green zone
D. A client who has peptic ulcer disease and a rigid abdomen - ANSWER - D The client is
unstable and a rigid abdomen is a manifestation of a perforated peptic ulcer and could lead to
septicemia and shock.
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients should the nurse see first?
A. A client who is receiving propranolol and has a HR of 55/min
B. A client who is receiving warfarin and has an INR of 2.5
C. A client who has a pacemaker and has persistent hiccupping
pg. 3
, D. A client who has cholecystitis and reports rebound tenderness - ANSWER - C Hiccupping is a
manifestation of a dislocation of the pacemaker lead and could lead to bradycardia and
decreased CO
A nurse is reviewing the laboratory data of a client who is taking the herbal supplement feverfew
to reduce the frequency of migraine headaches. The nurse should identify that which of the
following findings indicates a potential contraindication to taking this herbal supplement?
A. Potassium 3.5mEq/L
B. Platelet count 100,000/mm3
Cholesterol 250mg/dL
D. Urine bilirubin 0.2mg/dL - ANSWER - B
Feverfew can lead to platelet dysfunction by suppressing platelet aggregation. A patient with a
decreased platelet count should not take fever few because it can increase the risk of bleeding.
Monitor for bleeding and impaired coagulation while taking feverfew
Ranges:
-Platelet 150,000-450,000/mm3
-Potassium 3.5-5mEq/L
-Cholesterol <200mg/dL
-Urine Bilirubin 0.0mg/dL
A nurse is caring for a client who is postoperative and has a history of heart failure. The client
reports slight dyspnea when ambulating. Which of the following findings should the nurse expect
when performing a skin assessment?
A. Petechiae over the client's chest and abdomen
B. Tenting of the skin on the client's arm
C. Shiny areas on the client's ankles and feet
D. Dry, flaky skin on the client's arms and hands - ANSWER - C Edema is an expected finding
for HF with dyspnea with exertion. Edematous skin appears taut and shiny, and can also look
swollen and blanched.
A hospice nurse is planning end-of-life comfort care for a client. Which of the following
interventions should the nurse include in the plan?
A. Cover the client with an electric blanket if extremities become mottled
B. Provide frequent feedings during the day
pg. 4
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