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ATI RN Med Surg / RN Med Surg 2023 Proct
ATI RN Med Surg Proctored / RN Med Surg 2023 Proctored RN Exam New Latest Version With All Questions And Correct Answers With Rationale
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?
...
ATI RN Med Surg Proctored /
RN Med Surg 2023 Proctored
RN Exam New Latest Version
With All Questions And
Correct Answers With
Rationale
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the
following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0 - ✔✔✔ANSWER-c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
,2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the
nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate - ✔✔✔ANSWER-a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH
and to stop patient on urinating.
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times
daily for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood - GI bleed
c. Urine for white blood cells
d. Serum calcium - ✔✔✔ANSWER-b. Stool for occult blood - GI bleed
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed
(bloody, tarry
stools, abdominal pain).
4. A nurse in the emergency department is assessing a client. Which of the
following actions
should the nurse take first (Click on the "Exhibit" button for additional information
about the client. There are three
tabs that contain separate categories of data.)
,a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron. - ✔✔✔ANSWER-c. Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is
experiencing
breakthrough pain. Which of the following prescriptions should the nurse
anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone - ✔✔✔ANSWER-a. Transmucosal fentanyl
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat
moderate
to severe pain. A short-acting pain medication is administered for breakthrough
pain.
6. A nurse is admitting a client who reports chest pain and has been placed on a
telemetry
monitor. Which of the following should the nurse analyze to determine whether the
client is experiencing a
myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment - ✔✔✔ANSWER-d. ST segment
, Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following
radiation
treatment. Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site -
✔✔✔ANSWER-a. Pat the skin on the radiation site to dry it
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the
client has bounding peripheral pulses, hypertension, and distended jugular veins.
The nurse should anticipate
administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - ✔✔✔ANSWER-d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to
administer
diuretics to prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of
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