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ATI RN ADULT MEDICAL-SURGICAL NURSING /RN ADULT MEDICAL SURGICAL NURSING ACTUAL EXAM TEST BANK 150 QUESTIONS AND CORRECT DETAILED ANSWERS RATED 100% $13.79   Add to cart

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ATI RN ADULT MEDICAL-SURGICAL NURSING /RN ADULT MEDICAL SURGICAL NURSING ACTUAL EXAM TEST BANK 150 QUESTIONS AND CORRECT DETAILED ANSWERS RATED 100%

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A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? Flex the foot every hour when awake. Rationale: The nurse should instruct the client to flex the foot every hour to reduce the risk for t...

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  • November 15, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI
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ATI RN ADULT MEDICAL-SURGICAL
NURSING 2024-2025 /RN ADULT MEDICAL
SURGICAL NURSING ACTUAL EXAM TEST
BANK 150 QUESTIONS AND CORRECT
DETAILED ANSWERS RATED 100%
A nurse is providing postoperative teaching for a client who had a total knee

arthroplasty. Which of the following instructions should the nurse include?


✓ Flex the foot every hour when awake.

✓ Rationale: The nurse should instruct the client to flex the foot every hour

to reduce the risk for thromboembolism and promote venous return.




A nurse is caring for a client who has a pneumothorax and a closed-chest

drainage system. Which of the following findings is an indication of lung re-

expansion?


✓ Bubbling in the water seal chamber has ceased.

✓ Rationale: Bubbling in the water seal chamber ceases when the lung

re-expands.




A nurse is reviewing the medical record of a client who is taking warfarin for

chronic atrial fibrillation. Which of the following values should the nurse

identify as a desired outcome for this therapy?



Master01 | November, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ INR 2.5

✓ Rationale: Clients receive warfarin therapy to decrease the risk of

stroke, myocardial infarction (MI), or pulmonary emboli (PE) from blood

clots. Since warfarin is an anticoagulant, the medication must be

monitored to ensure the anticoagulation is within the therapeutic

range and prevent hemorrhage (high levels of anticoagulation) or

stroke, MI, or PE (low levels of anticoagulation). An INR of 2.5 is within

the targeted therapeutic range of 2 to 3 for a client who has atrial

fibrillation.




A home health nurse is providing teaching to a client who has a stage 1

pressure injury on the greater trochanter of his left hip. Which of the following

instructions should the nurse include in the teaching?


✓ Change position every hour

✓ Rationale: Changing position every 1 to 2 hr decreases pressure on

bony prominences. The nurse should also instruct the client to limit the

angle of the hips when in a lateral position to no more than 30°. This

positioning prevents direct pressure on the trochanter.




A nurse is assessing a client following the completion of hemodialysis. Which

of the following findings is the nurse's priority to report to the provider?




Master01 | November, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ Restlessness

✓ Rationale: Using the urgent vs. nonurgent approach to client care, the

nurse should determine that the priority finding to report to the provider

is restlessness, which can be an indication the client is experiencing

disequilibrium syndrome. Disequilibrium syndrome is caused by the

rapid removal of electrolytes from the client's blood and can lead to

dysrhythmias or seizures. Other manifestations include nausea,

vomiting, fatigue, and headache.




A nurse is caring for a client who is 8 hr postoperative following a total hip

arthroplasty. The client is unable to void on the bedpan. Which of the

following actions should the nurse take first?


✓ Scan the bladder with a portable ultrasound.

✓ Rationale: The first action the nurse should take using the nursing

process is to assess the client. Scanning the bladder with a portable

ultrasound device will determine the amount of urine in the bladder




A nurse is planning a health promotional presentation for a group of African

American clients at a community center. Which of the following disorders

presents the greatest risk to this group of clients?




Master01 | November, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ Hypertension

✓ Rationale: When using the safety/risk reduction approach to client

care, the nurse should determine that the disorder with the greatest risk

for this group of clients is hypertension. The prevalence of hypertension

is highest among African American clients, followed by Caucasian

clients, and then Hispanic clients.




A nurse is caring for a client who has DKA. Which of the following findings

should indicate to the nurse that the client's condition is improving?


✓ Glucose 272 mg/dL

✓ Rationale: A glucose reading less than 300 mg/dL indicates

improvement in the client's status.




A nurse is caring for a client following extubation of an endotracheal tube 10

min. ago. Which of the following findings should the nurse report to the

provider immediately?




Master01 | November, 2024/2025 | Latest update

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