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med surg ati proctored exam (Sent) EXAM WITH CORRECT ANSWERS_ (1).pdf
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9/2/24, 9:05 PMmed surg ati proctored exam (Sent)
Jeremiah
Terms in this set (100)
A nurse in an emergency department is d. Perform the irrigation with sterile water for irrigation
preparing to perform an ocular irrigation for
a client. Which of the following actions
should the nurse plan to take?
a. Assess the client's visual acuity prior to
irrigation
b. Have the client turn their head toward the
unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in)
above the eye
d. Perform the irrigation with sterile water for
irrigation
A nurse is preparing to administer lactated 33 gtt/min
ringer's via continuous IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10
drops/ml. How many gtt/min should the
nurse set the IV pump to administer? Round
to near whole number
A nurse is providing discharge teaching to a b. I should lie down when I take this medication
client who has a new prescription for
sublingual nitroglycerin. Which of the
following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year
before replacing it
b. I should lie down when I take this
medication
c. I should discontinue this medication if I
develop a headache
d. I can take up to five tablets in 15 minutes
before seeking medical attention
A nurse is providing discharge teaching to an d. Install a raised toilet seat in your bathroom
older adult client following a left total hip
arthroplasty. Which of the following
instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen
peroxide
b. You can cross your legs the ankles when
sitting down
c. You should use an incentive spirometer
every 8 hours
d. Install a raised toilet seat in your bathroom
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A nurse is planning care for a client following c. Maintain the client's affected extremity in extension
a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in
extension
d. Change the client's dressing every 8 hour
A nurse is caring for a client who has a lower a. I will need to have my partner take over shopping for groceries and cooking the
extremity fracture and a prescription for meals for us
crutches. Which of the following client
statements indicates that the client is
adapting to their role change?
a. I will need to have my partner take over
shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to
care for my child
c. I feel bad that I have to ask my partner to
keep the house clean
d. Its going to be difficult to tell my parents I
cant take them to their appointments
anymore
A nurse is caring for a client who has d. Decreased BP
gastroenteritis. Which of the following
assessment findings should the nurse
recognize as an indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
2/22
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A nurse is caring for a client who has a a. Desmopressin
contusion of the brainstem and reports thirst.
The client's urinary output was 4,000 ml over
the past 24 hour. The nurse should anticipate
a prescription for which of the following IV
medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
A nurse in a clinic receives a phone call from a. "your cough may require that you stop or change your medication"
a client who recently started therapy with an
ACE inhibitor and reports a nagging dry
cough. Which of the following responses by
the nurse is appropriate?
a. "your cough may require that you stop or
change your medication"
b. "Increasing your daily fluid intake may
eliminate your cough"
c. "sucking on lozenge may reduce the
frequency of your cough"
d. You cough should go away in time"
A nurse is taking an admission history from a d. Using a nicotine transdermal patch
client who reports Raynaud's disease. Which
of the following assessment findings should
the nurse identify as a potential trigger for
exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch
A nurse is caring for a client who has a d. Clamp the catheter
central venous access device and notes the
tubing has become disconnected. The client
develops dyspnea and tachycardia. Which of
the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter
A nurse is completing an assessment of an c. Support bony prominences with pillows
older adult client and notes reddened areas
over the bony prominences, but the client's
skin is intact. Which of the following
interventions should the nurse include in the
plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a
day
med surg ati proctored exam (Sent)
3/22
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