MED SURG ATI ADVANCED FINAL EXAM /ATI
MED SURG ADVANCED FINAL PROCTORED
2024-2025 ACTUAL EXAM 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
Practice questions for this set
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C.
The primary feature of MG is fluctuating weakness of skeletal muscle. Bowel
incontinence and confusion are unlikely signs of MG, and although sleep
disturbance is likely, activity intolerance is usually of primary concern.
Give this one a try later!
When a patient with splenomegaly is scheduled for splenectomy, which action will the
nurse include in the preoperative plan of care?
a. Discourage deep breathing to reduce risk for splenic rupture.
1
b. Teach the patient to use ibuprofen (Advil) for left upper quadrant pain.
c. Schedule immunization with the pneumococcal vaccine (Pneumovax).
d. Avoid the use of acetaminophen (Tylenol) for 2 weeks prior to surgery.
, A 50-year-old man complains of recurring headaches. He describes these as sharp,
stabbing, and located around his left eye. He also reports that his left eye seems to
swell and get teary when these headaches occur. Based on this history, you suspect
that he has
2
a. cluster headaches.
b. tension headaches.
c. migraine headaches.
d. medication overuse headaches.
A 45-year-old patient is admitted to the emergency department with severe abdominal
pain and rebound tenderness. Vital signs include temperature 102° F (38.3° C), pulse
120, respirations 32, and blood pressure (BP) 82/54. Which prescribed intervention
should the nurse implement first?
3
a. Administer IV ketorolac (Toradol) 15 mg.
b. Draw blood for a complete blood count (CBC).
c. Obtain a computed tomography (CT) scan of the abdomen.
d. Infuse 1 liter of lactated Ringer's solution over 30 minutes.
Which nursing diagnosis is likely to be a priority in the care of a patient with myasthenia
gravis (MG)?
A. Acute confusion
B. Bowel incontinence
C. Activity intolerance
D. Disturbed sleep pattern
Don't know?
Terms in this set (1085)
,1. A 62-year old man with ANS: D
chronic anemia is The patient's clinical manifestations indicate moderate
experiencing increased anemia, which is consistent with a Hgb of 6 to 10 g/dL.
fatigue and occasional The other values are all within the range of normal.
palpitations at rest. The
nurse would expect the
patient's laboratory findings
to include
a. a hematocrit (Hct) of
38%.
b. an RBC count of
4,500,000/L.
c. normal red blood cell
(RBC) indices.
d. a hemoglobin (Hgb) of
8.6 g/dL (86 g/L).
1. A patient is to receive an ANS:
infusion of 250 mL of 21
platelets over 2 hours To infuse 250 mL over 2 hours, the calculated drip rate is
through tubing that is 20.8 drops/minute or 21 drops/minute.
labeled: 1 mL equals 10
drops. How many drops per
minute will the nurse
infuse?
, 1. While assessing a 68- C
year-old with ascites, the The jugular veins empty into the superior vena cava and
nurse also notes jugular then into the right atrium, so JVD with the patient sitting
venous distention (JVD) with at a 45-degree angle reflects increased right atrial
the head of the patient's pressure. JVD is an indicator of excessive fluid volume
bed elevated 45 degrees. (increased preload), not decreased fluid volume. JVD is
The nurse knows this finding not caused by incompetent jugular vein valves or
indicates atherosclerosis.
a. decreased fluid volume.
b. jugular vein DIF: Cognitive Level: Understand (comprehension) REF:
atherosclerosis. 769
c. increased right atrial TOP: Nursing Process: Assessment MSC:
pressure.
d. incompetent jugular vein
valves.
2. A patient is diagnosed b, c, d, f. Cluster headaches have only alcohol as a
with cluster headaches. The dietary trigger and have an abrupt onset lasting 5
nurse knows that which minutes to 3 hours with severe, sharp, penetrating pain.
characteristics are Cluster headaches may be accompanied by unilateral
associated with this type of ptosis, lacrimation, rhinitis, facial flushing or pallor and
headache (select all that commonly recur several times each day for several
apply)? weeks, with months or years between clustered attacks.
Family history and nausea, vomiting, or irritability may be
a. Family history seen with migraine headaches. Bilateral pressure
b. Alcohol is the only occurring between migraine headaches and intermittent
dietary trigger occurrence over long periods of time are characteristics
c. Abrupt onset lasting 5 to of tension-type headaches.
180 minutes
d. Severe, sharp,
penetrating head pain
e. Bilateral pressure or
tightness sensation
f. May be accompanied by
unilateral ptosis or
lacrimation
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