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ATI RN Medical-Surgical Proctored 2019:ATI Adult Medical Surgical Proctored Exam:ATI MED Surg Proctored Exam:ATI RN ADULT Medical Surgical Practice Questions & Answers: MERGED: Guaranteed A+ Score Solutions

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MED SURG ATI PROCTORED EXAM
A nurse in an emergency department is preparing to perform an ocular
irrigation for a client. Which of the following actions should the nurse plan to
take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
(Ans- d. Perform the irrigation with sterile water for irrigation

A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How
many gtt/min should the nurse set the IV pump to administer? Round to
near whole number
(Ans- 33 gtt/min

A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical
attention
(Ans- b. I should lie down when I take this medication

A nurse is providing discharge teaching to an older adult client following a
left total hip arthroplasty. Which of the following instructions should the
nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom

,(Ans- d. Install a raised toilet seat in your bathroom

A nurse is planning care for a client following a cardiac catheterization.
Which of the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour
(Ans- c. Maintain the client's affected extremity in extension

A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
that the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and
cooking the meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their
appointments anymore
(Ans- a. I will need to have my partner take over shopping for groceries and
cooking the meals for us

A nurse is caring for a client who has gastroenteritis. Which of the following
assessment findings should the nurse recognize as an indication that the
client is experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
(Ans- d. Decreased BP

,A nurse is caring for a client who has a contusion of the brainstem and
reports thirst. The client's urinary output was 4,000 ml over the past 24
hour. The nurse should anticipate a prescription for which of the following
IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
(Ans- a. Desmopressin

A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports a nagging dry cough. Which of
the following responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time"
(Ans- a. "your cough may require that you stop or change your medication"

A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse
identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch
(Ans- d. Using a nicotine transdermal patch

A nurse is caring for a client who has a central venous access device and
notes the tubing has become disconnected. The client develops dyspnea
and tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values

, c. Turn the client to his left side
d. Clamp the catheter
(Ans- d. Clamp the catheter

A nurse is completing an assessment of an older adult client and notes
reddened areas over the bony prominences, but the client's skin is intact.
Which of the following interventions should the nurse include in the plan of
care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day
(Ans- c. Support bony prominences with pillows

A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client
independence
d. Give the client information about the local national multiple sclerosis
society
(Ans- a. Discuss recommendations for eating and swallowing techniques

A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray
(Ans- c. Initiate airborne precautions

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