ATI Practice A (Medsurg) Questions And Answers 100%Solved Rated A+
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ATI Med Surg Practice A
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ATI Med Surg Practice A
ATI Practice A (Medsurg) Questions And Answers 100%Solved Rated A+
A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - correct answ...
ATI Practice A (Medsurg) Questions And
Answers 100%Solved Rated A+
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client experiencing excessive stools. Which of the following findings is an
adverse effect of this medication? - correct answer...✔✔Hypokalemia
(Lactulose works by stimulating the production of excess stools to rid the body of
excess ammonia. These excessive stools can result in hypokalemia and dehydration)
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. the client appears anxious and restless, and the high pressure alarm is
sounding. which of the following actions should the nurse take first. - correct answer...✔
✔instruct the client to allow the machine to breath for them.
(When providing client care, the nurse should first use the least restrictive intervention.
Therefore, the first action the nurse should take is to provide verbal instructions and
emotional support to help the client relax and allow the ventilator to work. Clients can
exhibit anxiety and restlessness when trying to "fight the ventilator"
A nurse is teaching a client who has a family history of colorectal cancer. to help
mitigate this risk, which of the following dietary alterations should he nurse recommend?
- correct answer...✔✔Add cabbage to the diet
(To help reduce the risk for colorectal cancer, the client should consume a diet that is
high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as
cabbage, cauliflower, and broccoli, are high in fiber)
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric cerebrovascular
accident(CVA). Which of the following neurologic deficits should the nurse expect to find
when assessing the client? - correct answer...✔✔Visual spatial deficits
Left hemianopsia
One-sided neglect
Visual spatial deficits and loss of depth perception occur secondary to a right-
hemispheric stroke
Left hemianopsia, or blindness in the left half of the visual field, occurs secondary to a
right-hemispheric stroke
One-side neglect, or an unawareness of the affected side, occurs secondary to a right-
hemispheric stroke
AGRADESOLTIONS
,A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. Which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - correct answer...✔✔Nonrebreather mask
The nurse should initiate a nonrebreather mask to deliver between 80% to 95% oxygen
to the client. A client who has an unstable respiratory status should receive oxygen vis a
nonrebreather mask.
A nurse is caring for a client who has bilateral pneumonia and a SaO2 of 85%. the client
has dyspnea with a productive cough and is using accessory muscles to breath. Which
of the following actions should the nurse take first.? - correct answer...✔✔place the
patient in high fowlers.
The greatest risk to this client is injury from airway obstruction. Therefore, the priority
intervention the nurse should take is to move the client into high-Flower's position. High-
Flower's position facilitates lung expansion and improved ventilation and gas exchange.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse include in the
plan of care to prevent pseudomonas aeruginosa infection? - correct answer...✔✔
Avoid placing plants and flowers in the patients room.
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
cause life-threatening complications. The nurse should ensure no one brings live plants
or flowers into the client's room
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - correct answer...✔✔Urine specific gravity is 1.045
A urine specific gravity greater than 1.030 indicated a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
Skin turgor is unreliable indication of dehydration
RR is to increase if dehydration occurs not decreased
a nurse in an emergency department is reviewing the providers prescriptions for a client
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
should the nurse expect? - correct answer...✔✔opioid analgesic
To promote comfort following a rattlesnake bite
Wrong answers: Apply ice for bite from a black widow spider
Corticosteroid and antihistamines for stings from bees and wasps
Keep affected extremity at heart level, not above or below it
AGRADESOLTIONS
, a nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which finding? - correct answer...✔✔Dysphagia
Indicates that this client is at greatest risk from aspiration due to impaired sensation and
function within the oral cavity. Therefore, the nurse should place priority on this finding.
Wrong answers:
-Asphasia indicated that the client is at risk for communication impairment. However,
another finding is the priority
-Ataxia indicated that the client is at risk from injury from falling. However, another
finding is the priority
-Hemianopsia indicated the client is at risk for injury when ambulating. However,
another findings is the priority.
A nurse is teaching a young adult male how to perform testicular self examination(TSE).
which of the following instructions should the nurse include? - correct answer...✔✔roll
each testicle between the thumb and fingers.
A nurse is providing instruction to a patient with type 2 DM and a new prescription for
metformin. which statement by the client indicates an understanding of the teaching. -
correct answer...✔✔I should take this with food.
The client should take metformin with or immediately following meals to improve
absorption and to minimize gastrointestinal distress.
Wrong answers:
-Metformin decreases the amount of glucose produced in the liver and increases tissue
sensitivity to insulin.
-Clients lose weight in the beginning due to N/V
a nurse is teaching a client who has venous insufficiency about self care. which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - correct answer...✔✔i will wear a clean pair of graduated
compression stockings each day
Wrong answers:
A client who has venous insufficiency should elevate the legs above heart level while in
bed to facilitate venous return and avoid venous stasis.
a nurse is assessing a client who has acute cholecystitis. Which of the following findings
is the nurse's priority? - correct answer...✔✔Tachycardia
This is a manifestation of biliary colic, which can lead to shock. The nurse should
position the head of the client's bed flat and report this finding immediately to the
provider.
AGRADESOLTIONS
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