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ATI MED-SURG PROCTORED EXAM A & B AND C 2023 – STUDY GUIDE ALL QUESTIONS AND ANSWERS WITH RATIONALES LATEST 2024 AGRADE £16.43
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ATI MED-SURG PROCTORED EXAM A & B AND C 2023 – STUDY GUIDE ALL QUESTIONS AND ANSWERS WITH RATIONALES LATEST 2024 AGRADE

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ATI MED-SURG PROCTORED EXAM A & B AND C 2023 – STUDY GUIDE ALL QUESTIONS AND ANSWERS WITH RATIONALES LATEST 2024 AGRADE

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  • June 18, 2024
  • 154
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • ATI MED-SURG PROCTORE
  • ATI MED-SURG PROCTORE

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Page 1 of 154 1 ATI MED SURG PROCTORED EXAM A ,B & C 2023 ACTUAL EXAM GUIDE ALL QUESTIONS AND ANSWERS WITH RATIONALES| LATEST 2024 AGRADE A nurse is contributing to the plan of care for a client who has just transferred to the medical -
surgical unit form the PACU following a right total knee arthroplasty. Which of the following interventions should the nurse include in the plan of care? - ANSWER>> Assist the client to change positions at least every 2 h r. Rationale: The nurse should assist the client to change positions at least every 2 hr to promote return of respiratory function following anesthesia and prevent atelectasis and pneumonia. A nurse is reinforcing teaching with a client who has chronic k idney disease about disease management. Which of the following statements by the client indicated an understanding of the teaching? - ANSWER >>"I will limit my daily intake of protein." Rationale: The client should decrease their intake of protein to slow the progression of kidney failure. Therefore, the nurse should identify this statement as an understanding of the teaching. Page 2 of 154 2 The nurse should reinforce that the client should avoid eating foods hig h in potassium, such as bananas, because kidney impairment causes hyperkalemia. The nurse should reinforce that the client should maintain adequate intake of carbohydrates as part of a balanced diet to maintain tissue integrity. Restriction of fluids and phosphorus are necessary. The nurse should caution the client to avoid salt substitutes, which are high in potassium, because kidney impairment causes hyperkalemia. A nurse is reviewing the medical record of a client who is postoperative. Which of the fo llowing findings should the nurse identify as a complication of surgery? - ANSWER>> WBC count of 15,000/mm3 Rationale: The nurse should monitor laboratory findings for indications of a postoperative complication. This WBC count is above the expected refere nce range and indicates the presence of infection. A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? - ANSWER>> Check the incisional dressing. Page 3 of 154 3 Rationale : The greatest risk to the client is hemorrhage following an amputation of the lower extremity. Therefore, the first action the nurse should take is to check the client's incisional dressing for excessive bleeding . A nurse is caring for a client following a thyroidectomy. Which of the following findings should alert the nurse to the possibility of parathyroid gland injury? - ANSWER>> Muscle twitching Rationale: A common complication of a thyroidectomy is parathyroid gland injury, leading to hypocalcemia. C lients experiencing hypocalcemia can have twitching, numbness, and tingling of fingers, toes, and around the mouth. A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of the following statements should indicated to the nurse that the client understand the teaching? - ANSWER>>"I will feel vibrations on my leg from the cast cutter." Rationale: The client will feel heat and vibrations from the cast cutter on the affected extremity. The nurse should assure the client that cast removal should not cause any pain. Page 4 of 154 4 A nurse is car ing for a client who has end -stage liver disease and just underwent an abdominal paracentesis. For which of the following manifestations should the nurse monitor as an adverse effect of the procedure? - ANSWER>> Decreased blood pressure Rationale: Followin g an abdominal paracentesis, the nurse should monitor the client for a decrease in blood pressure. This finding indicates hypovolemia as a result of excess fluid withdrawal. Depending on the amount of fluid withdrawn, hypovolemia can lead to shock. A home health nurse is caring for a client who has COPD. The client reports shortness of breath while eating, despite the use of home oxygen. Which of the following recommendations should the nurse make? - ANSWER>>"Use a bronchodilator 30 minutes before your mea l." Rationale: The client should use a bronchodilator 30 min before meals to prevent shortness of breath while eating. ------------- The nurse should recommend that the client consume a diet that is high in protein to promote lung tissue repair.

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