2024 ATI RN MEDICAL SURGICAL EXAM LATEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | NEWEST EXAM A nurse is caring for a client who has bladder cancer and a WBC of 900/mm 3. Which of the following actions should the nurse take? a) Instruct the client to avoid eating raw fruit b) Move the client to a negative pressure room c) Use contact isolation while providing care d) Apply pressure to venipuncture sites for 10 minutes ------CORRECT ANSWER --------------- a) Instruct the client to avoid eating raw fruit A nurse is caring for patient who has hypotension, cool and clammy skin, tachycardia and tachypnea. Which of the following positions should the nurse place the client? a) Reverse trendelenburg b) Feet elevated c) Side lying d) High -fowler's ------CORRECT ANSWER --------------- a) Reverse trendelenburg A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA protein is 0.8 g/k g of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) ------CORRECT ANSWER --------------- 69 grams A nurse is planning care for a client what 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 catheter using a 10 mL syringe b) Use clean technique when cha nging the dressing c) Cleanse the site with provodine iodine d) Change the dressing every 24 hours ------CORRECT ANSWER ------------
---a) Flush a catheter using a 10 mL syringe A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin? a) Thalassemia b) Rheumatoid arthritis c) COPD d) Thrombocytopenia ------CORRECT ANSWER --------------- d) Thrombocytopenia A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking? a) What is meant by saying "don't beat around the bush?" b) What do you understand about your co ndition? c) Can you count backwards form 100 in intervals of 7? d) Can you state where you were born? ------CORRECT ANSWER ------------
---a) What is meant by saying "don't beat around the bush?" A nurse is completing an assessment of an older adult clien t and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include int he plan of care? a) Apply an occlusive dressing b) Turn and reposition the client every 4 hours c) Sup port bony prominences with pillows d) Massage reddened areas three times daily ------CORRECT ANSWER ----
----------- c) Support bony prominences with pillows A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect? a) Progressively longer PR durations b) Undetectable P waves c) Absent PR intervals with ventricular rate of 40 to 60/ minute d) Sawtooth pattern with arterial rate of 252 -400/ minute ------CORRECT ANSWER --------------- d) Sawtooth pattern with arterial rate of 252 -400/ minute A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions? a) Administer a stool softener following the procedure b) Ask the client to empty his bladder prior to the procedure c) Instruct the client to take deep breaths and hold them during the procedure d) Assist the client into the left lateral position during the procedure ------
CORRECT ANSWER --------------- b) Ask the client to empty his bladder prior to the procedure A nurse is planning a staff education session about hepatitis A. Which of the following informat ion should the nurse include? a) Immunization for Hepatitis A is recommended prior to travel to high -risk areas b) The incubation of Hepatitis A is 5 to 10 days c) Hepatitis A is transmitted through blood exposure d) Clients who have Hepatitis A require br oad-spectrum antibiotics ------
CORRECT ANSWER --------------- a) Immunization for Hepatitis A is recommended prior to travel to high -risk areas A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client? a) Phosphate level b) Glucose level c) Serum troponin d) Serum ammonia ------CORRECT ANSWER --------------- d) Serum ammonia A nurse is planning care for a client who is 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 th e client to the lateral position during seizure activity d) Administer diazepam intravenously to the client ------CORRECT ANSWER --------------- c) Turn the client to the lateral position during seizure activity A nurse is caring for a client who had a to tal hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? a) Elevate the knees higher than the hips when sitting b) Remove the wedge device when turning c) Encourage the client to lean forward when attempting to stand d) Place two bed pillows between the legs when in bed ------CORRECT ANSWER --------------- d) Place two bed pillows between the legs when in bed A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current infusion is almost complete and the new solution os not available. Which of the following actions should the nurse take? a) Infuse dextrose 10% in water b) Decrease the rate of the infusion c) Disconnect and flush the IV access line
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