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ATI RN MED SURG RETAKE 2023 UPDATED VERSION 100 QUESTIONS AND UPDATED CORRECT ANSWERS A++
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ATI RN MED SURG RETAKE 2023 UPDATED VERSION 100 QUESTIONS AND UPDATED CORRECT ANSWERS A++
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ATI RN MED SURG RETAKE 2023 UPDATED VERSION 100QUESTIONS AND UPDATED CORRECT ANSWERS
1. A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
a. Bounding distal pulses
b. Intense pain with movement
c. Capillary refill less than 2 seconds
d. Erythema of the toes
2. A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
a. Bradycardia
b. Back pain
c. Chills
d. Hypertension
3. A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation?
a. Remove the wedge device when turning
b. Encourage the client to lean forward when attempting to stand
c. Place two bed pillows between the legs when in bed
d. Elevate the knees higher than the hips when sitting
,4. A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross-reactivity to which of the following
substances
1. Povidone-iodine
2. Adhesive tape
3. Latex
4. Anesthetics
5. A nurse is teaching a client about the use of an incentive spirometer. Which of the following
instructions should the nurse include in the teaching?
a. Place hands on the upper abdomen during inhalation
b. Exhale slowly through pursed lips
c. Hold breaths about 3 to 5 seconds before exhaling
d. Position the mouthpiece 2.5 cm (1 in) from the mouth
,6 A nurse is caring for a client who arrives at the emergency department and reports vomiting
and diarrhea for the past 3 days. The client’s serum potassium level is 2.8mEq/L. Which of the
following interventions should the nurse implement first? Priority question remember, what can
I do first, you can start a K+ drip without knowing how their heart is affected.
1. Check the clients hand grasps
2. Administer an IV potassium drip
3. Listen to the client’s bowel sounds
4. Initiate cardiac monitoring for the clients
23. A nurse is preparing to administer peritoneal dialysis to a client. Which of the following
actions should the nurse take?
a. Use clean technique to access the catheter
b. Chill the dialysate before administration
c. Hang the drainage bag below the client’s abdomen
d. Place the client in high-Fowler’s position
45. A nurse is performing a cranial nerve assessment on a client following a head injury. Which
of the following findings should the nurse expect if the client has impaired function of the
, vestibulocochlear nerve (cranial nerve VIII)?
a. Loss of peripheral vision
b. Deviation of the tongue from midline
c. Disequilibrium with movement
d. Inability to smell
16. A nurse is planning care for a client who is 1 day postoperative following an open
cholecystectomy. Which of the following interventions should the nurse include in the plan of
care?
a. Place pillows under the client’s knees
b. Avoid use of anticoagulants
c. Discourage leg exercises while in bed
d. Apply compression stockings to the lower extremities
10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of the
following prescriptions should the nurse expect to receive from the provider? (click on the
“exhibit” button for additional information about the client. There are 3 tabs that contain
separate categories of data.)
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