ATI PN ADULT MEDICAL SURGICAL 2024 PROCTORED EXAM WITH NGN (EXTRACTED FROM REAL SCREENSHOTS
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Course
PN ATI ADULT MEDICAL SURGICAL (NURSING)
Institution
Walden University
ATI PN ADULT MEDICAL SURGICAL 2024 PROCTORED
EXAM WITH NGN (EXTRACTED FROM REAL
SCREENSHOTS / ATI PN ADULT MEDICAL SURGICAL 2024 PROCTORED
EXAM WITH NGN (EXTRACTED FROM REAL
SCREENSHOTS / ATI PN ADULT MEDICAL SURGICAL 2024 PROCTORED
EXAM WITH NGN (EXTRACTED FROM REAL
SCREENSHOTS / ATI PN ADUL...
ATI PN ADULT MEDICAL SURGICAL 2024 PROCTORED
EXAM WITH NGN (EXTRACTED FROM REAL
SCREENSHOTS)
Question 1 of 90:
A nurse is preparing to care for a client following a descending colon resection with colostomy
placement. The nurse should expect to assess the stoma at which of the following locations?
(You will find hot spots to select in the artwork below. Select only the hot spot that corresponds
to your answer.)
Physical Assessment:
o The client has undergone a descending colon resection with a stoma placement.
o The nurse is asked to assess the stoma location on the abdomen.
Answer:
Correct Location: The lower left quadrant of the abdomen (which would be labeled as
"C" on the image).
Rationale: A descending colon stoma is typically located in the lower left quadrant of the
abdomen because the descending colon is situated in that region.
,Question 2 of 90:
A nurse in a provider's office is caring for a client. The client reports a history of joint pain,
alopecia, and oral ulcerations. On physical examination, the nurse observes a butterfly-shaped
rash across the client’s cheeks and nose, along with edema and tenderness in the joints. The
client's chest is clear on auscultation, and there are no urinary or gastrointestinal issues noted.
Physical Examination:
Rash and cutaneous plaques on scalp, face, and neck.
Areas of hyperpigmentation.
Butterfly rash present on the cheeks.
Alopecia and mouth ulcerations.
Joint tenderness and edema.
Chest clear on auscultation.
Complete the diagram:
1. Condition the client is most likely experiencing:
(Drag and drop from the following options: Lupus, Psoriasis, Rheumatoid Arthritis,
Scleroderma)
2. Actions to Take: (Drag and drop two actions from the following options: Administer
corticosteroids, Recommend wearing sunscreen, Initiate seizure precautions, Elevate the
head of the bed, Assist with ambulation)
3. Parameters to Monitor: (Drag and drop two parameters to monitor from the following
options: Monitor renal function, Check for chest pain, Monitor blood pressure, Assess for
signs of infection)
Answer Key for the Case Study:
1. Condition the client is most likely experiencing:
Lupus
Rationale: The presence of a butterfly rash, joint pain, alopecia, and mouth ulcers are
classic signs of systemic lupus erythematosus (SLE).
2. Actions to Take:
Administer corticosteroids (to manage inflammation)
Recommend wearing sunscreen (to prevent skin flare-ups triggered by sun exposure)
3. Parameters to Monitor:
Monitor renal function (as lupus can affect the kidneys)
Assess for signs of infection (due to immunosuppression from lupus and corticosteroid
therapy)
,Question 3 of 90:
A nurse in the emergency department is assessing a client who presents with nausea, severe
upper right quadrant pain radiating to the shoulder, and jaundice. The client has a history of
hyperlipidemia and obesity. On physical examination, the nurse notes tenderness upon palpation
of the right upper quadrant and a positive Murphy's sign.
Physical Examination:
Severe right upper quadrant pain
Jaundice
Nausea and vomiting
Tenderness upon palpation
Positive Murphy’s sign
Complete the diagram:
1. Condition the client is most likely experiencing:
(Drag and drop from the following options: Cholecystitis, Pancreatitis, Hepatitis, Peptic
Ulcer Disease)
2. Actions to Take: (Drag and drop two actions from the following options: Prepare the
client for surgery, Administer antibiotics, Encourage a low-fat diet, Insert a nasogastric
tube, Initiate seizure precautions)
3. Parameters to Monitor: (Drag and drop two parameters to monitor from the following
options: Monitor liver function tests, Monitor bilirubin levels, Monitor oxygen saturation,
Check for signs of bleeding)
Answer Key for the Case Study:
1. Condition the client is most likely experiencing:
Cholecystitis
Rationale: Severe upper right quadrant pain, radiating to the shoulder, with jaundice and
a positive Murphy’s sign suggests inflammation of the gallbladder, likely cholecystitis.
2. Actions to Take:
Prepare the client for surgery (if cholecystectomy is indicated)
Administer antibiotics (to treat or prevent infection)
3. Parameters to Monitor:
Monitor bilirubin levels (due to jaundice)
Monitor liver function tests (to assess for any liver involvement)
, Question 4 of 90:
A nurse is caring for a client who has diabetes mellitus and a new prescription for insulin
glargine. Which of the following instructions should the nurse provide?
A) "Administer this medication 30 minutes before meals."
B) "Shake the vial before drawing up the insulin."
C) "This insulin has no peak time."
D) "Mix this insulin with your regular insulin."
Answer: C) "This insulin has no peak time."
Rationale: Insulin glargine is a long-acting insulin that does not have a peak and provides steady
insulin levels.
Question 5 of 90:
A nurse is reinforcing teaching with a client who has a new prescription for metoprolol. Which
of the following should the nurse include in the teaching?
A) "Check your blood pressure daily."
B) "This medication will help prevent blood clots."
C) "Avoid taking this medication with meals."
D) "You should stop taking this medication if you feel dizzy."
Answer: A) "Check your blood pressure daily."
Rationale: Metoprolol is a beta-blocker used to manage hypertension, and clients should
monitor their blood pressure regularly.
Question 6 of 90:
A nurse is assisting in the plan of care for a client who has hypothyroidism and is starting
levothyroxine. Which of the following should the nurse include?
A) "You may experience insomnia while on this medication."
B) "Take this medication with food."
C) "You can expect your heart rate to decrease."
D) "This medication can cause weight gain."
Answer: A) "You may experience insomnia while on this medication."
Rationale: Levothyroxine can increase metabolism, which may cause symptoms like insomnia
and nervousness.
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