NGN ATI RN ADULT MEDICAL SURGICAL 2023 PROCTORED EXAM 90 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES /A+ GRADE ASSURED A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has just undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? - ...ANSWER... dyspnea A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current inf usion is nearly completed. Which of the following actions should the nurse take? - ...ANSWER... Administer dextrose 10% in water until the new bag arrives. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omepraz ole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ...ANSWER... Suppressing gastric acid production A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ...ANSWER... Use a 30 -mL syringe . A nurse is providing teaching to a client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - ...ANSWER..." You should void every 4 hours to decrea se the risk of urinary retention." A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ...ANSWER... Report of a night cough A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - ...ANSWER ..."Ibuprofen can cause gastrointestinal bleeding in older adult clients." A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? - ...ANSWER... Restlessness A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse's priority? - ...ANSWER... Temperature 38.9° C (102° F) A nurse is providing education to a client who has tuberculosis (T B) and their family. Which of the following information should the nurse include in the teaching? - ...ANSWER... Family members in the household should undergo TB testing. A nurse is providing discharge instructions to a client following an upper gastroint estinal series with barium contrast. Which of the following information should the nurse provide? - ...ANSWER... Increase fluid intake 1NGN 000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of the lips. M anifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side. Client's partner states the client had some difficulty with finding words when speaking. Client is alert and oriented x 3 and appears anxi ous. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain.1045:Client states the flashing lights, numbness, and tingling in the lips have gone away. Client states they now have throbbing pain behind the left eye, photophobia, and nausea. Client is requesting medication for pain that is 7 on a scale of 0 to 10.
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