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ATI PN MED SURG PROCTORED ACTUAL EXAM TEST BANK CONTAINS 360 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GRADED A+/ PN ATI MEDICAL SURGICAL PROCTORED EXAM 2024/2025/ PN MED SURGE€30,26
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ATI PN MED SURG PROCTORED ACTUAL EXAM TEST BANK CONTAINS 360 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GRADED A+/ PN ATI MEDICAL SURGICAL PROCTORED EXAM 2024/2025/ PN MED SURGE
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ATI PN MED SURG PROCTORED ACTUAL EXAM TEST BANK CONTAINS 360 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GRADED A+/ PN ATI MEDICAL SURGICAL PROCTORED EXAM 2024/2025/ PN MED SURGE
pg. 1 ATI PN MED SURG PROCTORED ACTUAL EXAM 2024 -2025 TEST BANK CONTAINS 360 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONAL ES GRADED A+/ PN ATI MEDICAL SURGICAL PROCTORED EXAM 2024/2025/ PN MED SURGE A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound as which of the following? - ANSWER -Hyperactive bo wel sounds. Rationale: A mechanical bowel obstruction prevents a portion or all of the bowel contents from moving forward through the bowel. The nurse should expect to auscultate high-pitched, hyperactive bowel sounds above the point of the intestinal obstruction as the intestines attempt to propel the blockage forward. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadi one 10 mg/mL. How many mL should the nurse administer? - ANSWER -0.7mL 7mg/x = 10mg/1mL = x =7/10 x = 0.7 mL pg. 2 A nurse is assisting with the discharge planning for a client who is postoperative following a total hip arthroplasty. Which of the following inst ructions should the nurse include in the discharge plan? - ANSWER -Obtain a raised toilet seat. Rationale: The nurse should instruct the client to use a raised toilet seat to avoid flexing the hip more than 90°, which increases the risk for dislocation. A nurse is assisting with the care of a client who has a newly -inserted closed chest tube. Which of the following findings should the nurse report to the provider? - ANSWER -Chest drainage is greater than 70 mL/hr Rationale: The nurse should identify that chest drainage of greater the 70 mL/hr can indicate a complication and should be reported to the provider. A nurse is contributing to the plan of care for a client who was admitted to t he neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? - ANSWER -Keep the client in a side -
lying position. Rationale: The greatest risk to the client following a stroke is aspiratio n. The nurse should position the client in a lateral, or side -lying, position to allow any secretions to drain out of the mouth, decreasing the risk for aspiration. Additionally, the nurse should have suction equipment available in the event that any secre tions are present in the oral cavity. pg. 3 A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? - ANSWER -Encourage weight bearing exercises Rationale: Weight -bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis. A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following instructions should the nurse include in the teaching? - ANSWER -Increase fiber -rich foods. Rationale: The nurse should instruct the client to increase the amount of fiber -rich foods in their diet. Dried beans and brown rice are exa mples of fiber -rich foods. Instruct the client to increase their fluid intake to 2,000 mL/day to maintain soft stools. Instruct the client to increase activity to stimulate the evacuation of stool. A nurse enters the room of a client whose transfusion o f packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. After stopping the infusion, which of the following actions should the nurse take next? - ANSWER -Take the client's vital signs . Rationale: The first action the nur se should take when using the nursing process is to collect data from the client to determine what actions should be taken next. pg. 4 A nurse is contributing to the plan of care for a client who has a methicillin -
resistant Staphylococcus aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions should the nurse take? - ANSWER -
Have a designated stethoscope in the client's room. Rationa le: The nurse should designate equipment to leave in the client's room to avoid cross -
contamination. The designated equipment should be disposed of or decontaminated before leaving the client's room. A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? - ANSWER -
Herpes zoster Rationale: The nurse should recommend the herpes zoster vaccine for adults who are 60 years of age and older. The nurse should recommend the meningococcal vaccine to college students and military recruits who are living in shared housing. The nurse should recommend the HPV vaccine for clients who are 9 to 26 years of age. The nurse should recommend the MMR vaccine to clients who are 62 y ears of age. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedures? - ANSWER -Creatinine 1.9 mg/dL
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