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Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%
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  • October 12, 2024
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  • 2024/2025
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Med surg exam 3 ATI practice questions
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ect and verified 100%
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Abvnursebvisbvprovidingbvdischargebvinstructionsbvforbvabvclientbvfollowingbvcataractbvsurgerybvwithbvinsertionbvofb
vanbvintraocularbvlens.bvWhichbvofbvthebvfollowingbvinstructionbvshouldbvthebvnursebvinclude?bv-

bvcorrectbvanswers-Restrictbvliftingbvobjectsbvgreaterbvthanbv10bvpounds




Rationale:bvthebvnursebvinstructbvthebvclientbvtobvrestrictbvliftingbvobjectsbvgreaterbvthanbv10bvpoundsbvtobvreduce
bvthebvrestbvforbvincreasedbvinterocularbvpressure



Abvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvexpressivebvaphasiabvfollowingbvabvcerebrovascularbvaccidentbv(CV
A).bvWhichbvofbvthebvfollowingbvparametersbvshouldbvthebvnursebvusebvfirstbvinbvorderbvtobvassessbvthebvclient'sbvp
ainbvlevel?bv-bvcorrectbvanswers-Abvself-reportbvpainbvratingbvscalebv



Rationale:bvexpressivebvaphasiabvresultsbvfrombvdamagebvtobvanbvareabvofbvthebvfrontalbvlobebvandbvisbvabvmotorbv
speechbvproblem.bvThebvclientbvwhobvhasbvexpressivebvaphasiabvisbvablebvtobvunderstandbvwhatbvisbvsad,bvbutbvisbv
unablebvtobvcommunicatebvverbally.bvHowever,bvthisbvdoesbvnotbvnecessarilybvmeanbvthatbvabvclientbvisbvunablebv
tobvreliablybvreportbvpain.bvevidencebvbasedbvpracticebvindicatesbvthebvnursebvshouldbvfirstbvattemptbvtobvobtainb
vthebvclientbvselfbvreportbvofbvpain.bvWhenbvassessingbvabvclientbvforbvpain,bvthebvnursebvshouldbvutilizebvthebvhiera

rchybvofbvpainbvmeasuresbvwhichbvbeginsbvwithbvselfbvreport.bvItbvisbvalwaysbvbetterbvtobvusebvabvsubjectivebvmeth
od,bvsuchbvasbvabvclientbvreport,bvinsteadbvofbvanbvobjectivebvmethod,bvsuchbvasbvsomethingbvthatbvisbvobservable
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Abvnursebvisbvassessingbvabvclientbvwhobvhasbvabvconcussionbvfrombvabvsportsbvinjury.bvWhichbvofbvthebvfollowingbv
manifestationsbvshouldbvthebvnursebvexpect?bv-bvcorrectbvanswers-Sensitivitybvtobvlight



Rationale:bvthebvnursebvshouldbvexpectbvabvclientbvwhobvhasbvabvmildbvtraumaticbvbrainbvinjury,bvsuchbvasbvabvconc
ussion,bvtobvhavebvsensitivitybvtobvlightbvandbvnoise

Abvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvaphasiabvfollowingbvabvstroke.bvAbvfamilybvmemberbvasksbvthebvnurs
ebvhowbvshebvshouldbvcommunicatebvwithbvthebvclient.bvWhichbvofbvthebvfollowingbvresponsesbvbybvthebvnursebvis
bvappropriate?bv-bvcorrectbvanswers-Incorporatebvnonverbalbvcuesbvinbvthebvconversationbv




Rationale:bvnonverbalbvcues,bvenhancebvthebvclient'sbvabilitybvtobvcomprehendbvandbvusebvlanguage

,AbvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvParkinson'sbvdiseasebvandbvisbvtakingbvdiphenhydraminebv25bvmgbv
PObvTID.bvWhichbvofbvthebvfollowingbvtherapeuticbvoutcomebvshouldbvthebvnursebvexpectbvtobvsee?bv-
bvcorrectbvanswers-Decreasedbvtremors




Rationale:bvClientsbvwhobvhavebvParkinson'sbvdiseasebvoftenbvexperiencebvtrembling,bvmusclebvrigidity,bvdifficul
tybvwalkingbvandbvproblemsbvwithbvbalancebvandbvcoordination.bvAntihistamines,bvlikebvdiphenhydramine,bvhav
ebvabvmildbvanticholinergicbveffectbvandbvmaybvbebvhelpfulbvinbvcontrollingbvtremorsbvinbvthebvearlybvstagebvofbvthe
bvdisease.



Abvnursebvisbvcaringbvforbvabvclientbvwhobvisbvunconsciousbvfollowingbvabvcerebralbvhemorrhage.bvWhichbvofbvthebv
followingbvnursingbvinterventionsbvisbvofbvhighestbvpriority?bv-bvcorrectbvanswers-
Suctionbvsalivabvfrombvthebvclientsbvmouth



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kbvforbvineffectivebvairwaybvclearancebvaccordingbvtobvthebvsafetybvandbvriskbvreductionbvprioritybvsettingbvframe
work,bvmaintainingbvthebvclientsbvairway,bvbreathing,bvandbvcirculationbvisbvthebvhighestbvpriority

Patientbvadmittedbvwithbvabvpossiblebvdiagnosisbvofbvinfectivebvendocarditisbvandbvprescribedbvgentamicin.bvCli
entbvisbvexhibitingbvsignsbvofbvheadache,bvdizziness,bvnauseabvandbvtinnitus.bvClient'sbvdiagnosticbvlabbvwailersbva
lsobvindicatedbvanbvincreasebvinbvBUN,bvcreatinine,bvgentamicinbvpeakbvlevel,bvAST/ALT.bv-bvcorrectbvanswers-
Thebvnursebvshouldbvidentifybvthatbvthebvprioritybvhypothesisbvisbvthatbvthebvgreatestbvriskbvforbvthebvclientbvisbvde
velopingbvhearingbvlossbvduebvtobvantibiotics.bvOtotoxicitybvmaybvoccurbvinbvclientsbvwhobvarebvreceivingbvamino
glycosides,bvsuchbvasbvgentamicin.bvAnbvincreasebvinbvBUN,bvcreatinine,bvgentamicinbvpeakbvlevel,bvALT/ASTbvallbv
placebvthebvclientbvatbvriskbvforbvototoxicitybvandbvhearingbvloss.bvHearingbvlossbvisbvgenerallybvinbvthebvhighbvfrequ
encybvrangebvandbvisbvassociatedbvwithbvpeakbvaminoglycosidebvlevelsbvthatbvcontinuebvtobvremainbvelevated.

Abvnursebvisbvcaringbvforbvabvclientbvfollowingbvcataractbvsurgery.bvWhichbvofbvthebvfollowingbvcommentsbvfrombvt
hebvclientbvshouldbvthebvnursebvreportbvtobvthebvclientsbvprovider?bv-bvcorrectbvanswers-
"Ibvneedbvsomethingbvforbvthebvpainbvinbvmybveye.bvIbvcan'tbvstandbvit"



Rationale:bvfollowingbvcataractbvsurgery,bvthebvclientbvshouldbvexpectbvonlybvmildbvpainbvandbvshouldbvimmediat
elybvreportbvanybvpain,bvdecreasebvinbvvision,bvorbvincreasebvinbvdischargebvfrombvthebveye.bvSeverebveyebvpainbvaf
terbvsurgerybvmightbvindicatebvincreasedbvintraocularbvpressurebvorbvhemorrhage.

Abvnursebvisbvassessingbvabvclientbvwhobvhasbvabvspinalbvcordbvinjury.bvWhichbvofbvthebvfollowingbvactionbvshouldbvt
hebvnursebvtakebvtobvmonitorbvC4bvfunction?bv-bvcorrectbvanswers-
Applybvdownwardbvpressurebvwhilebvthebvclientbvshrugsbvtheirbvshouldersbvupward



Rationale:bvthisbvassessmentbvmonitorsbvthebvmotorbvfunctionbvofbvC4bvtobvC5

, Abvnursebvisbvplanningbvcarebvforbvabvclientbvwhobvhadbvabvtraumaticbvbrainbvinjurybvandbvisbvemergingbvrestlesslybv
frombvabvcoma.bvwhichbvofbvthebvfollowingbvinterventionbvshouldbvthebvnursebvincludebvinbvthebvplan?bv-
bvcorrectbvanswers-Reducebvstimulibv




Rationale:bvthebvnursebvshouldbvreducebvstimulibvbybvdecreasingbvthebvnumberbvofbvvisitors,bvspeakingbvcalmly,bv
andbvcreatingbvabvquietbvenvironment

AbvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvhadbvabvspinalbvcordbvinjurybvatbvthebvlevelbvofbvthebvT2-
T3bvvertebra.bvWhenbvplanningbvcare,bvthebvnursebvanticipatebvwhichbvofbvthebvfollowingbvtypesbvofbvdisability?bv
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Rationale:bvParaplegiabvorbvparalysisbvofbvbothbvlegs,bvisbvseenbvafterbvabvSCIbvbelowbvT1

Abvnursebvisbvcaringbvforbvabvclientbvfourbvhoursbvfollowingbvevacuationbvofbvabvsubduralbvhematoma.bvWhichbvofbv
thebvfollowingbvassessmentbvisbvthebvnursesbvpriority?bv-bvcorrectbvanswers-Respiratorybvstatusbv



Rationale:bvWhenbvusingbvthebvairway,bvbreathing,bv

circulationbvapproachbvtobvclientbvcare,bvthebvnursebvshouldbvplacebvthebvprioritybvonbvassessingbvthebvclient'sbvre
spirations,bvnotingbvthebvratebvandbvpatternbvandbvevaluatingbvarterialbvbloodbvgases.bvFollowingbvintercranialbvs
urgery,bvevenbvslightbvhypoxiabvcanbvworsenbvcerebralbvischemia.

Abvnursebvisbvcaringbvforbvanbvolderbvadultbvclientbvwhobvhasbvdementiabvandbvhandlesbvanxietybvbybvconfabulatin
g.bvThebvnursebvshouldbvrecognizebvconfabulationbvwhenbvthebvclientbv..bv-bvcorrectbvanswers-
Makesbvupbvstoriesbvwhenbvhebvisbvunablebvtobvrememberbvactualbveventsbv



Rationale:bvConfabulatingbvisbvfillingbvinbvgapsbvinbvmemorybvbybvfabrication.bvAbvclientbvwhobvhasbvdementiabvm
aybvdobvthisbvunconsciouslybvtobvcoverbvforbvandbvdecreasebvanxietybvaboutbvmemorybvgaps.

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bvanbvMAOI.bvWhichbvofbvthebvfollowingbvfoodsbvshouldbvthebvnursebveliminate?bv-bvcorrectbvanswers-

Cheddarbvcheesebv



Rationale:bvthebvnursebvshouldbveliminatebvagedbvcheesesbvfrombvthebvdietbvofbvabvclientbvwhobvisbvprescribedbvse
legiline.bvCheddarbvcheesebvcontainsbvtyramine,bvwhichbvcanbvcausebvabvhypertensivebvcrisis.

Abvnursebvisbvassessingbvabvclientbvwhobvhasbvmeningitis.bvWhichbvofbvthebvfollowingbvfindingsbvshouldbvthebvnurs
ebvexpect?bv-bvcorrectbvanswers-Severebvheadache

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