NGN ATI PN ADULT MEDICAL SURGICAL 2020 (NEXT GENERATION) EXAMS COMPLETE EXAM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is collecting data from a client who has hype rthyroidism and is taking propylthiouracil. Which of the following statements by the client indicates the medication is effective? a) "I no longer feel nervous." b) "I no longer take a stool softener." c) "I have less oily skin." d) "I continue to lose wei ght." - ....ANSWER....A. "I no longer feel nervous." A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include i n the plan of care? a) Offer artificial saliva frequently. b) Add honey to sweeten fruit smoothies. c) Heat food before serving . d) Provide three large meals daily. - ....ANSWER....C. Heat food before serving. A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take? a) Raise all four side rails while the client is in bed. b) Apply a motion sensor mat to the client's bed. c) Leave the television on in the client's room. d) Move the overbed table away from the bed. - ....ANSWER....B. Apply a motion sensor mat to the client's bed. A nurse is reinforcing teaching with a client about increasing her intake of fiber. Which of the following foods should the nurse encourage the client to eat? a) Cheese b) Pears c) Yogurt d) Eggs - ....ANSWER....B. Pears A nurse is reviewing the medical record of a client who reports his urine is red -orange. The nurse should identify which of the following medications can caus e this adverse effect? a) Isoniazid b) Metoprolol c) Furosemide d) Rifampin - ....ANSWER....D. Rifampin A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previo us week. Which of the following is an appropriate response by the nurse? a) "Encourage your partner to wake up to interact with family members." b) "Sitting quietly near the bedside can provide comfort and support." c) "I will call the provider to discuss your concerns." d) "I can ask the provider to prescribe a medication that will minimize drowsiness." - ....ANSWER....B. "Sitting quietly near the bedside can provide comfort and support." A nurse is reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the following information should the nurse include? a) Drink fluids through a straw. b) Plan to shampoo hair in 1 week. c) Resume exercising in 10 days. d) Close mouth when sneezing. - ....ANSWER....B. Plan to shampoo ha ir in 1 week. A nurse is reinforcing discharge teaching about dietary changes with a client who has a new colostomy. Which of the following foods should the nurse recommend? a) Asparagus b) Bananas c) Grapes d) Broccoli - ....ANSWER....B. Bananas A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory results should the nurse report to the provider? a) Glycosylated hemoglobin 5.2% b) Urine positive for ketones c) Urine negative for bilirubin d) Fasting blood glucose 70 mg/dL - ....ANSWER....b. Urine positive for ketones A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider? a) Urinary output of 1,000 mL in 12 hr b) Potassium level 4.5 m Eq/L c) PaCO2 55 mm Hg d) Chest x -ray showing cardiomegaly - ....ANSWER....C. PaCO2 55 mm Hg A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads, "Apply t o the left food for 20 min." Which of the following actions should the nurse take? a) Complete Semmes -Weinstein monofilament testing following treatment. b) Apply the heating pad as prescribed by the provider. c) Clarify the prescription with the provider. d) Observe the skin 10 min after the start of treatment. - ....ANSWER....C. Clarify the prescription with the provider A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following statements by the client indicates an und erstanding of the teaching? a) "I should clean around the stoma with moisturizing soap." b) "I should avoid broccoli and chewing gum." c) "I should decrease the amount of fresh fruit in my diet." d) "I should place an aspirin in the pouch to eliminate odor ." - ....ANSWER....B. "I should avoid broccoli and chewing gum." A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image? a) Denies feelings of sadness about the ostomy b) Prefers not to look at the stoma site c) Accepts that seual activity will decrease d) Participates in performing ostomy care - ....ANSWER....D. Participates in performing ostomy care A nurse is reviewing t he laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider? a) Ammonia 55 mcg/dL b) Bilirubin 1.0 mg/dL c) Platelets 60,000/mm3 d) Aspartate aminotransferase 34 units/L - ....AN SWER....C. Platelets 60,000/mm3 A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan? a) Keep a stethoscope at the client's bedside for the dura tion of her hospital stay. b) Wear an N95 mask when entering the room. c) Use an alcohol swab to clean the
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