ATI RN MEDICAL SURGICAL EXAMS (1, 2&3) 2019 WITH NGN FORMAT (100% PASS GUARANTEE)

Exam 1: 1. A nurse identifies that a patient is unable to identify the correct number of oral medications to take each morning. Which step of the nursing process does this involve? A. Assessment B. Planning C. Implementation D. Evaluation 2. Which of the following roles do nurses play in health promotion? A. Initiate health promotion and health screening programs B. Participate with other health care personnel in providing health promotion services. C. Promote activities that foster well-being D. All of the above 3. The nurse receives a 22-year-old woman from the operating room after an emergent appendectomy due to a ruptured appendix. Upon arrival to the post anesthesia care unit, the patient is drowsy but arousable to voice; she was extubated in the operating room and is receiving supplemental oxygen by facemask. She has two peripheral IVs in her left arm that is infusing Lactated Ringer solution at 100 mL/hr. A nasogastric tube is attached to low constant suction, and a small amount of aspirate is noted. She has a urinary catheter that is draining clear, yellow urine. Her abdominal dressing is dry and intact. Upon arousal, she complains of abdominal pain. What ICNP (International Classification for Nursing Practice) nursing diagnoses may be relevant to this patient? Select all apply. A. Acute pain B. Fear C. Impaired Mobility D. Intra-abdominal abscess (IAA) 4. The nurse navigator is coordinating the transition from the hospital to a rehabilitation facility of a client who had a total hip replacement. Which activity would be an example of the nurse navigator role for this client? A. Ensuring cost-effective care B. Educating the client on the goals of rehabilitation C. Communicating with the medical insurance company D. Providing direct care to the client 5. A hospital audit reveals that four clients in the hospital have current orders for restraints. The nurse knows that restraints are an intervention of last resort, and that it is inappropriate to apply restraints to which of the following clients? A. A post laryngectomy client who is attempting to pull out the tracheostomy tube B. A client in hypovolemic shock trying to remove the dressing over a central venous catheter C. A client with urosepsis who is ringing the call bell incessantly to use the bedside commode D. A client with depression who has just tried to commit suicide and whose medications are not achieving adequate symptom control 6. The nurse cites a list of skills that support critical thinking in clinical situations. The nurse should describe skills in which of the following domains? Select all that apply. A. Self-esteem B. Self-regulation C. Inference D. Autonomy E. Interpretation 7. An adult client with a history of diabetes is scheduled for a transmetatarsal amputation. When should the client’s discharge planning begin? A. The day prior to discharge B. The day that the client is admitted C. The day of estimated discharge D. Once the nursing care plan has been finalized 8. A home health nurse is preparing to make the initial visit to a new client’s home. When planning educational interventions, what information should the nurse provide to the client and family? Select all that apply. A. Available community resources to meet their needs B. Information on other clients in the area with similar health care needs C. The goals of care established by the nurse D. Dates and times of scheduled home are visits E. The nurse’s contact information 9. The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the client? A. Arthritis B. Cerebral ischemia C. Pulmonary edema D. Hypothermia 10. A surgical nurse is preparing to enter the restricted zone of the operating room. Which surgical attire should this nurse wear? Select all that apply. A. Cap B. Mask C. Shoe covers D. Street clothes E. Scrub clothes 11. The nurse anesthetist is coming to the surgical admissions unit to see a client prior to surgery scheduled for tomorrow morning. What is the priority information that the nurse should provide to the anesthetist during the visit? A. Latex allergy B. Number of pregnancies C. Difficulty falling asleep D. Last bowel movement 12. An operating room (OR) nurse is teaching a nursing student about the principles of surgical asepsis as a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the OR? A. Bubble mask B. Mask covering the nose and mouth C. Goggles D. Gloves 13. The circulating nurse in an outpatient surgery center is assessing a client who is scheduled to receive moderate sedation. Which principle should guide the care of a client receiving this form of anesthesia? A. The client should begin a course of antiemetics the day before surgery. B. The client should be informed that the client will remember most of the procedure. C. The client must never be left unattended by the nurse. D. The client must be able to maintain the client’s own airway. 14. The recovery room nurse is admitting a client from the OR following the client's successful splenectomy. What is the first assessment that the nurse should perform on this newly admitted client? A. Heart rate and rhythm B. Skin integrity C. Core body temperature D. Airway patency