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MED SURG ATI PROCTORED EXAM (SENT) QUESTIONS AND ANSWERS
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MED SURG ATI PROCTORED EXAM (SENT) QUESTIONS AND ANSWERS
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MED SURG ATI PROCTORED EXAM(SENT) QUESTIONS AND ANSWERS
Axnursexinxanxemergencyxdepartmentxisxpreparingxtoxperformxanxocularxirrigationxforxaxclie
nt.xWhichxofxthexfollowingxactionsxshouldxthexnursexplanxtoxtake?
a.xAssessxthexclient'sxvisualxacuityxpriorxtoxirrigation
b.xHavexthexclientxturnxtheirxheadxtowardxthexunaffectedxeye
c.xHoldxthexirrigatorxsyringex3.81xcmx(1.5xin)xabovexthexeye
d.xPerformxthexirrigationxwithxsterilexwaterxforxirrigationx-xans--
✔✔d.xPerformxthexirrigationxwithxsterilexwaterxforxirrigation
Axnursexisxpreparingxtoxadministerxlactatedxringer'sxviaxcontinuousxIVxinfusionxatx200xml/h
r.xThexIVxtubingxhasxaxdropxfactorxofx10xdrops/ml.xHowxmanyxgtt/minxshouldxthexnursexsetx
thexIVxpumpxtoxadminister?xRoundxtoxnearxwholexnumberx-xans--✔✔33xgtt/min
Axnursexisxprovidingxdischargexteachingxtoxaxclientxwhoxhasxaxnewxprescriptionxforxsubling
ualxnitroglycerin.xWhichxofxthexfollowingxclientxstatementsxindicatesxanxunderstandingxofxt
hexteaching?
a.xIxcanxkeepxmyxmedicationsxforx1xyearxbeforexreplacingxit
b.xIxshouldxliexdownxwhenxIxtakexthisxmedication
c.xIxshouldxdiscontinuexthisxmedicationxifxIxdevelopxaxheadache
d.xIxcanxtakexupxtoxfivextabletsxinx15xminutesxbeforexseekingxmedicalxattentionx-xans--
✔✔b.xIxshouldxliexdownxwhenxIxtakexthisxmedication
Axnursexisxprovidingxdischargexteachingxtoxanxolderxadultxclientxfollowingxaxleftxtotalxhipxart
hroplasty.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexincludexinxthexteaching?
a.xCleanxthexincisionxdailyxwithxhydrogenxperoxide
b.xYouxcanxcrossxyourxlegsxthexanklesxwhenxsittingxdown
c.xYouxshouldxusexanxincentivexspirometerxeveryx8xhours
d.xInstallxaxraisedxtoiletxseatxinxyourxbathroomx-xans--
✔✔d.xInstallxaxraisedxtoiletxseatxinxyourxbathroom
Axnursexisxplanningxcarexforxaxclientxfollowingxaxcardiacxcatheterization.xWhichxofxthexfollo
wingxactionsxshouldxthexnursextake?
a.xKeepxthexclientxonxbedxrestxforx24xhours
b.xLimitxthexclient'sxfluidxintakextox1xlxperxday
c.xMaintainxthexclient'sxaffectedxextremityxinxextension
d.xChangexthexclient'sxdressingxeveryx8xhourx-xans--
✔✔c.xMaintainxthexclient'sxaffectedxextremityxinxextension
,Axnursexisxcaringxforxaxclientxwhoxhasxaxlowerxextremityxfracturexandxaxprescriptionxforxcrut
ches.xWhichxofxthexfollowingxclientxstatementsxindicatesxthatxthexclientxisxadaptingxtoxtheirx
rolexchange?
a.xIxwillxneedxtoxhavexmyxpartnerxtakexoverxshoppingxforxgroceriesxandxcookingxthexmealsx
forxus
b.xThesexcrutchesxwillxmakexitximpossiblextoxcarexforxmyxchild
c.xIxfeelxbadxthatxIxhavextoxaskxmyxpartnerxtoxkeepxthexhousexclean
d.xItsxgoingxtoxbexdifficultxtoxtellxmyxparentsxIxcantxtakexthemxtoxtheirxappointmentsxanymor
ex-xans--
✔✔a.xIxwillxneedxtoxhavexmyxpartnerxtakexoverxshoppingxforxgroceriesxandxcookingxthexme
alsxforxus
Axnursexisxcaringxforxaxclientxwhoxhasxgastroenteritis.xWhichxofxthexfollowingxassessmentxf
indingsxshouldxthexnursexrecognizexasxanxindicationxthatxthexclientxisxexperiencingxdehydr
ation?
a.xPitting,xdependentxedema
b.xDistendedxjugularxveins
c.xIncreasedxBP
d.xDecreasedxBPx-xans--✔✔d.xDecreasedxBP
Axnursexisxcaringxforxaxclientxwhoxhasxaxcontusionxofxthexbrainstemxandxreportsxthirst.xThe
xclient'sxurinaryxoutputxwasx4,000xmlxoverxthexpastx24xhour.xThexnursexshouldxanticipatexa
xprescriptionxforxwhichxofxthexfollowingxIVxmedication?
a.xDesmopressin
b.xEpinephrine
c.xFurosemide
d.xNitroprussidex-xans--✔✔a.xDesmopressin
Axnursexinxaxclinicxreceivesxaxphonexcallxfromxaxclientxwhoxrecentlyxstartedxtherapyxwithxa
nxACExinhibitorxandxreportsxaxnaggingxdryxcough.xWhichxofxthexfollowingxresponsesxbyxth
exnursexisxappropriate?
a.x"yourxcoughxmayxrequirexthatxyouxstopxorxchangexyourxmedication"
b.x"Increasingxyourxdailyxfluidxintakexmayxeliminatexyourxcough"
c.x"suckingxonxlozengexmayxreducexthexfrequencyxofxyourxcough"
d.xYouxcoughxshouldxgoxawayxinxtime"x-xans--
✔✔a.x"yourxcoughxmayxrequirexthatxyouxstopxorxchangexyourxmedication"
AxnursexisxtakingxanxadmissionxhistoryxfromxaxclientxwhoxreportsxRaynaud'sxdisease.xWhi
chxofxthexfollowingxassessmentxfindingsxshouldxthexnursexidentifyxasxaxpotentialxtriggerxfor
xexacerbations
ofxRaynaud's?
a.xEatingxaxstrictxvegetarianxdiet
b.xAxhistoryxofxherpesxzoster
c.xTakingxamiodipinexforxhypertension
d.xUsingxaxnicotinextransdermalxpatchx-xans--✔✔d.xUsingxaxnicotinextransdermalxpatch
,Axnursexisxcaringxforxaxclientxwhoxhasxaxcentralxvenousxaccessxdevicexandxnotesxthextubin
gxhasxbecomexdisconnected.xThexclientxdevelopsxdyspneaxandxtachycardia.xWhichxofxthe
xfollowing
actionsxshouldxthexnursextakexfirst?
a.xPerformxanxECG
b.xObtainxABGxvalues
c.xTurnxthexclientxtoxhisxleftxside
d.xClampxthexcatheterx-xans--✔✔d.xClampxthexcatheter
Axnursexisxcompletingxanxassessmentxofxanxolderxadultxclientxandxnotesxreddenedxareasxo
verxthexbonyxprominences,xbutxthexclient'sxskinxisxintact.xWhichxofxthexfollowingxinterventio
nsxshouldxthexnursexincludexinxthexplanxofxcare?
a.xTurnxandxrepositionxthexclientxeveryx4xhr
b.xApplyxanxocclusivexdressing
c.xSupportxbonyxprominencesxwithxpillows
d.xMassagexthexreddenedxareasxthreextimesxaxdayx-xans--
✔✔c.xSupportxbonyxprominencesxwithxpillows
Axhomexhealthxnursexisxmakingxanxinitialxvisitxtoxaxclientxwhoxhasxmultiplexsclerosis.xWhic
hxofxthexfollowingxactionsxisxthexpriorityxforxthexnursextoxtake?
a.xDiscussxrecommendationsxforxeatingxandxswallowingxtechniques
b.xListxstrategiesxforxfamilyxcopingxwhenxdealingxwithxpossiblexrolexchanges
c.xReviewxthexusexofxadaptivexgroomingxdevicesxtoxpromotexclientxindependence
d.xGivexthexclientxinformationxaboutxthexlocalxnationalxmultiplexsclerosisxsocietyx-xans--
✔✔a.xDiscussxrecommendationsxforxeatingxandxswallowingxtechniques
Axnursexinxthexemergencyxdepartmentxisxassessingxaxclient.xWhichxofxthexfollowingxaction
sxshouldxthexnursextakexfirst?xExhibit
a.xObtainxaxsputumxsamplexforxculture
b.xAdministerxondansetron
c.xInitiatexairbornexprecautions
d.xPreparexthexclientxforxaxchestxx-rayx-xans--✔✔c.xInitiatexairbornexprecautions
Axnursexisxreviewingxthexmedicalxrecordxofxaxclientxtoxidentifyxriskxfactorsxforxcolorectalxca
ncer.xThexnursexshouldxidentifyxwhichxofxthexfollowingxfindingsxasxincreasingxthexclient'sxri
sk?
a.xHistoryxofxCrohn'sxdisease
b.xBMIxofx24
c.xDietxhighxinxfiber
d.xAgex46xyearsx-xans--✔✔a.xHistoryxofxCrohn'sxdisease
Axnursexisxcaringxforxaxclientxwhoxisxscheduledxforxaxmastectomy.xThexclientxtellsxthexnurs
e,x"I'mxnotxsurexIxwantxtoxhavexaxmastectomy."xWhichxofxthexfollowingxstatementsxshouldxt
hexnursexmake?
a.x"Ixcanxgivexyouxaxlistxofxotherxpeoplexwhoxhadxthexsamexprocedure"
, b.x"Youxwillxbexcancer-freexifxyouxhavexthexprocedure"
c.x"Ixcanxgivexyouxadditionalxinformationxaboutxthexprocedure"
d.x"Youxshouldxshouldxgetxaxsecondxopinionxregardingxthexprocedure"x-xans--
✔✔c.x"Ixcanxgivexyouxadditionalxinformationxaboutxthexprocedure"
AxnursexisxpreparingxtoxadministerxaxunitxofxpackedxRBCsxtoxaxclientxwhoxisxanemic.xIdenti
fyxthexsequencexofxstepsxthexnursexshouldxfollow.x
e.xRemainxwithxthexclientxforxthexfirstx15xtox30xminxofxthexinfusion
a.xObtainxvenousxaccessxusingx19-gaugexneedle
c.xVerifyxbloodxcompatibilityxwithxanotherxnurse
d.xInitiatextransfusionxofxthexunitxofxpackedxRBCs
b.xObtainxthexunitxofxpackedxRBCsxfromxbloodxbankx-xans--
✔✔a.xObtainxvenousxaccessxusingx19-gaugexneedle
b.xObtainxthexunitxofxpackedxRBCsxfromxbloodxbank
c.xVerifyxbloodxcompatibilityxwithxanotherxnurse
d.xInitiatextransfusionxofxthexunitxofxpackedxRBCs
e.xRemainxwithxthexclientxforxthexfirstx15xtox30xminxofxthexinfusion
Axnursexisxpreparingxaxteachingxplanxforxaxclientxwhoxhasxmucositisxrelatedxtoxchemothera
pyxtreatment.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexinclude?
a.x"rinsexyourxmouthxwithxhydrogenxperoxide"
b.x"brushxyourxteethxforx60xsecondsxtwicexdaily"
c.x"wearxyourxdenturesxonlyxduringxmeals"
d.x"flossxyourxteethxfollowingxeachxmeals"x-xans--
✔✔d.x"flossxyourxteethxfollowingxeachxmeals"
Axcriticalxcarexnursexisxassessingxaxclientxwhoxhasxseverexheadxinjury.xInxresponsextoxpai
nfulxstimuli,xthexclientxdoesxnotxopenxherxeyes,xdisplaysxdecerebratexposturing,xandxmake
sxincomprehensiblexsounds.xWhichxofxthexfollowingxGlasgowxComaxScalexscoresxshouldxt
hexnursexassignxthexclient?
a.x5
b.x2
c.x13
d.x10x-xans--✔✔a.x5
Axnursexisxprovidingxdischargexteachingxtoxaxclientxwhoxhasxheartxfailurexandxinstructsxhim
xtoxlimitxsodiumxintakextox2xgxperxday.xWhichxofxthexfollowingxstatementsxbyxthexclientxindic
atesxanxunderstandingxofxthexteaching?
a.x"Ixcanxseasonxmyxfoodsxwithxgarlicxandxonionxsalts"
b.x"Ixcanxhavexmayonnaisexonxmyxsandwiches"
c.x"Ixcanxhavexaxfrozenxfruitxjuicexbarxforxdessert"
d.x"Ixcanxdrinkxvegetablexjuicexwithxaxmeal"x-xans--
✔✔c.x"Ixcanxhavexaxfrozenxfruitxjuicexbarxforxdessert"
Axnursexisxpreparingxtoxperformxocularxirrigationxforxaxclientxfollowingxchemicalxsplashxtoxt
hexeye.xWhichxofxthexfollowingxactionsxshouldxthexnursexplanxtoxtakexfirst?
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