ATI RN Med Surg Comprehensive Predictor Exam

1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? a. Bradycardia b. Flushed skin c. Frothy Sputum (Left sided) d. Jugular vein distention→ Right Rationale: ATI MS: pg. 2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area where the nurse should expect the client to have referred pain. (Find “hot spots” in the artwork) Pain travels downward to the inguinal area and lower back 3. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all the apply?). Check answer I read pg. 644-647 med surg it’s not so specific a. Monitor the access site for drainage. b. Strip the catheter tubing c. Measure the amount of the dialysate outflow d. Raise the client to high fowlers position e. Position the client to her other side. 4. Same questions 5. A nurse is planning to insert an indwelling catheter for a female client. Which of the following actions should the nurse plan to take? a. Collect urine specimen from the drainage bag 1 hr. after insertion- from port b. Raise the head of the bed to 45 degrees prior to insertion- lithotomy c. Secure the catheter to the client's inner thigh d. Attach the bag to the rail of the bed. -under. On non-movable area 6. A nurse is providing teaching for a client who has age-related macular degeneration which of the following information should the nurse include in the teaching a. A possible cause of this problem is long-term lack of dietary protein b. You probably have a Detachment of your retina -vision is like having curtains over eyes c. You probably have noticed a decline in your central vision d. The doctor can perform surgery to correct the start paying the folds in your retina Rationale: ATI MS: PG. 63 Macular degeneration, often called age‑related macular degeneration (AMD), is the central loss of vision that affects the macula of the eye. 7. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report? a. Platelets 70,000/mm3- risk of bleed b. Distended abdomen- expected c. Alkaline phosphatase 125 units/L -norm d. Clay colored stools- bile not on your shit 8. A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects? a. Hyperglycemia b. Diarrhea c. Constipation d. Hypoglycemia (Repeat) Since your body is producing enough insulin to take on higher loads, you must taper it down to avoid hypoglycemia with lower concentrations of TPN Abruptly discontinuing TPN will cause rebound hypoglycemia 9. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse plan to take? a. Administer the unit of packed RBC’s over 1 hr. b. Obtain the client’s first set of vital signs 1 hr. after initiating the transfusion c. Initiate venous access with a 21-gauge needle - no more than 19 d. Use Y tubing with 0.9% sodium chloride when administering the transfusion. Pg. 249 10. TOXIC SHOCK SYNDROME- · Generalized rash