ATI MED-SURG PROCTORED EXAM 100% NEW REVISED UPDATE

ATI MED -SURG PROCTORED EXAM 100% NEW REVIS ED UPDATE A nurse is caring for client who has Cushing's disease. Which of the following actions should the nurse take first? (Click on the Exhibit button below for additional information about the client. There are three tabs th at contain separate categories of data.) 1.Auscultate the client's lung sounds 2.Check the client's medication administration record for antihypertensive medications 3.Determine the need for further glucose monitoring 4.Verify the client's understandin g of sodium restriction - ANSWERS -3.Determine the need for further glucose monitoring A nurse is caring for four clients. Which of the following clients is at risk for developing metabolic alkalosis? a. A client who is receiving continuous gastric suctio ning b. A client who has aspiration pneumonia c. A client who is experiencing an opioid overdose - respiratory acidosis. d. A client who has uncontrolled diabetes mellitus - ANSWERS -a. A client who is receiving continuous gastric suctioning A nurse is ca ring who is experiencing a hypertensive crisis. Which of the following actions should the nurse take? a) Initiate IV dopamine infusion b) Perform neurological assessments c) Place the client supine d) Begin an IV bolus of lacted ringer's - ANSWERS -b) Perform neurological assessments A nurse is collecting a medical history from an older adult client who has hypertension and new prescription of nadolol. Which of the following findings should the nurse report to the provider? a. cataracts b. GERD c. Asthma d. Hypothyroidism - ANSWERS -c. Asthma A nurse is completing an admission assessment for a client. The nurse should expect the provider to prescribe which of the following medications for the clien t? EXHIBIT VITAL SIGNS: Temperature (98.3 F), HR (100/min), RR (20/min), BP (152/94mmHg) a. Atorvastatin b. Allopurinol c. Metoprolol d. levothyroxine - ANSWERS -c. Metoprolol A nurse is completing an assessment of an older adult client and notes redde ned areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? 1.Massage the reddened areas three times daily 2.Turn and reposition the client every 4 hr. 3.Suppor t bony prominences with pillows 4.Apply an occlusive dressing - ANSWERS -3.Support bony prominences with pillows 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 inta ct. Which of the following interventions should the nurse include in the 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 Tourette in areas three times daily - ANSWERS -c) support bony prominences with pillows A nurse is completing discharge teaching who has a peripherally inserted central catheter ( PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching? a) Do not elevate the arm above the level of the heart b) Change the catheter dressing daily c) Use 10 - mL syringe to flush line d) Clean the insertion site using 20 - mL of hydrogen peroxide - ANSWERS -a) Do not elevate the arm above the level of the heart A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching? a) I will need to take my clothes to the dry cleaners to sterilize them b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed of the trash (should be cleaned with bleach not alcohol) c) I will be sure to wear gloves and wash my hands when I change my cat's litter box d) I will increase the amoun t of fresh fruits and vegetables I consume - ANSWERS -c) I will be sure to wear gloves and wash my hands when I change my cat's litter box A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of the following stateme nts should the nurse take? a) Plan to include high protein foods in each of your meals b) increase your intake of vegetables such as broccoli and brussel sprouts c) drink a glass of milk with each meal d) consume three large meals throughout the day - ANSWERS -a) Plan to include high protein foods in each of your meals A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reaction? a) back pain b) Hypertension c) Chills d) bradycardia - ANSWERS -a) back pain A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. 1.Institute bleeding precautions 2.Determine the client's blood type 3.Avoid administering IV pain medication 4.Implement airborne precautions - ANSWERS -1.Institute bleeding precautions A nurse is monitoring an older adult client who has an extrapolation of chronic lymphocytic leukemia. The nurse notes patika yy on the client's skin which of the following actions should the nurse take? a) Determine the client's blood type b) avoid administering IV pain medication c) Implement airborne precautions d) Institute bleeding precautions - ANSWERS -d) Institute bleeding precautions 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 pri or to travel to high -risk areas b) the incubation. Of hepatitis A is 5 to 10 days c) hepatitis A is transmitted is Through Blood to blood exposure d) clients who have Hepatitis A require a broad -spectrum antibiotic - ANSWERS -a) Immunization for Hepatiti s A is recommended prior to travel to high -risk areas A nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions should the nurse include in the plan of care? a) Flush a cathete r using a 10 mL syringe b) Use clean technique when changing the dressing c) Cleanse the site with Provo dine iodine d) Change the dressing every 24 hours - ANSWERS -a) Flush a catheter using a 10 mL syringe A nurse is planning care for a client who has a full -thickness burns on the lower extremities. Which of the following interventions should the nurse include? a) Limit visitation time for client's children to 40 minutes per day b) clean the equipment in the client's room once per week c) provide a diet of fresh fruits and vegetable for the client d) apply new gloves when alternating between wound care sites - ANSWERS -d) apply new gloves when alternating between wound care sites A nurse is planning care for a client who has left -sided hemiplegia fo llowing a stroke which of the following actions should the nurse include in the plan of care? a) Place a plate guard on the client's meal tray b) position the bedside table on the client's left side c) remind the client to use a cane on his left side wh ile ambulating d) provide the client with a short handled Reacher - ANSWERS -a) Place a plate guard on the client's meal tray A nurse is planning care for a client who has 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 - ANSWERS -c) turn the client to the lateral position during seizure activi ty A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take? a) Provide ketorolac for abdominal pain b) Administer nitroprusside IV based on the cli ent's weight c) Insert a large bore nasogastric tube d) Ensure that the client has a 22 - gauge iv line in place - ANSWERS -c) Insert a large bore nasogastric tube A nurse is planning care for an older adult client who has Meniere's disease. Which of the following interventions should the nurse include in the plan? a) Perform range of motion exercises to the client's neck every 4 hours b) limited clients fluid intake to 1500 ml / day c) administer aspirin if the client reports a headache d) encourage t he client to change position slowly - ANSWERS -d) encourage the client to change position slowly A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following typ es of pharmacologic therapy? a) Opioid analgesic b) Anticonvulsant c) anti thrombotic d) diuretic - ANSWERS -c) anti thrombotic A nurse is planning to teach a client whose provider has prescribed a low purine diet. The nurse should plan to instruct the client that he can include which of the following Foods in his diet (select all that apply) a) Sardines b) Nuts c) Apricots d) liver e) scallops - ANSWERS -b) Nuts c) Apricots