Med Surg ATI – Test Questions And Answers 100% -
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red rash on face, fever, weight loss and join pain. Nurse should prepare client
for which lab test? Correct ans - Antinuclear antibody (ANA) titer
client experienced an acute myocardial infarction 6 days ago. Which lab values should be expected to remain elevated at this time? Correct ans - Troponin T
A nurse is caring for an older adult client who has left-sided heart failure. What finding should the nurse expect? Correct ans - Frothy sputum
deep laceration on her left lower forearm and is bleeding heavily from the wound. Actions to take first ? Correct ans - Apply pressure directly to the wound
myocardial infarction; which medicine administered first? Correct ans -
needs oxygen
care of a client 2hr postoperative following a cardiac catheterization. actions should be take? Correct ans - check the clients distal pulses in both legs
client admitted to the telemetry unit after experienced chest pain, dyspnea and diaphoresis. What ECG findings is a manifestation of acute myocardial infarction? Correct ans - The ST segment is above the isoelectric line
client scheduled for coronary artery bypass grafting who reports he no longer wants to have the procedure. What responses should the nurse make?
Correct ans - "Bypass surgery must be very frightening for you"
nurse is planning a diet for a client who has an iron deficiency. What should be provided in the clients diet to increase the clients iron intake? Correct ans - roast beef
reinforcing teaching with a client who is taking warfarin about monitoring its therapeutic effect. The nurse should issue which of the following statements about the providers use of the international normalized ratio (INR)? Correct ans - "This is a standardized test, so it eliminates the variations different laboratories report in prothrombin times"
client ask why she is being prescribed aspirin 325mg daily following a myocardial infarction. Nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects? Correct ans - to prevent blood clotting
a nurse is assisting with the care of a client who was admitted to the emergency department with reports of chest pain and severe epigastric distress. The nurse should anticipate that in the presence of an acute myocardial infarction the clients creatinine kinase-MB (CK-MB) is expected to
peak how many hours after the onset of chest pain? Correct ans - 24hr
a nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider? Correct ans - Increase in serum creatinine
A nurse is reinforcing teaching with newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching? Correct ans - Agitation
a nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Multiple choices) Correct ans - nausea
tachycardia
diaphoresis
a nurse is caring for a client who is at risk for shock. which of the following findings should the nurse expect? Correct ans - Increased blood pressure
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt.
Which of the following responses should the nurse make? Correct ans -
"The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible"
Client recovering from a stroke. Client states " I feel like less of a man. My wife says she is thankful I am alive but I'm sure this is not how she expected us to spend our retirement years." Which of the following is an appropriate response? Correct ans - "In what way do you feel like you are less of a
man?"
A nurse is monitoring a clients peripheral circulation. identify where the nurse should palpate to check the posterior tibial pulse? Correct ans - ..... A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? to prevent what ? Correct ans - Place the sandbag on the clients left groin area 1 to 3 hr to prevent bleeding from the insertion site.
A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make? Correct ans - "This indicates turbulent blood flow through a valve"
A nurse is monitoring a client receiving packed RBCs. The nurse notices facial flushing, and the client reports lower back pain. Which of the following action is the priority for the nurse to take? Correct ans - Stop the transfusion
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the clients indicates a need for further teaching? Correct ans - "I will wear stockings with elastic tops"
A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. which of the following statements by the client indicates an understanding of the teaching? Correct ans - "I will need to take this medication for the rest of my life"
A nurse is assisting to monitor a client who is receiving a blood transfusion. Which of the following findings should the nurse report to the charge nurses as an indication of an allergic blood transfusion reaction? Correct ans - Generalized urticaria
A nurse is caring for a client whose history reveals the clinical manifestations
of pernicious anemia. The nurse should anticipate a prescription for which of the following diagnostic tests? Correct ans - Schilling test
Client with vascular occlusion of the right lower extremity calls the nurse and
reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the clients comfort? Correct ans - Obtain a pair of slipper socks for the client
severe radiating chest pain and shortness of breath. Client appears restless, frightened and slightly cyanotic. Provider prescribes: oxygen by nasal cannula at 2 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first? Correct ans - Initiate oxygen therapy
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