MED SURG- PROCTORED ATI ACTUAL
EXAM QUESTIONS WITH CORRECT
ANSWERS 100% VERIFIED GRADED
A+
Anmoldermadultmismbroughtmtomanmemergencymdepartmentmbymamfamilymmember.mWhichmofmthemfo
llowingmassessmentmfindingsmshouldmcausemthemnursemtomsuspectmthatmthemclientmhasmhypertonic
mdehydration?m-mCORRECTmANSWERmUrinemSpecificmgravitym1.045m
Amurinemspecificmgravitymgreatermthanm1.030mindicatesmamdecreaseminmurinemvolumemandmanmincre
aseminmosmolarity,mwhichmismammanifestationmofmhypertonicmdehydration.
Amnurseminmamcommunitymclinicmismcaringmformamclientmwhomreportsmanmincreaseminmthemfrequency
mofmmigrainemheadaches.mTomhelpmreducemthemriskmformmigrainemheadaches,mwhichmofmthemfollow
ingmfoodsmshouldmthemnursemrecommendmthemclientmavoid?m-mCORRECTmANSWERmAgedmcheese
Foodsmthatmcontainmtyramine,msuchmasmagedmcheesemandmsausage,mcanmtriggermmigrainemheadac
hes.
Amnursemismplanningmteachingmformamclientmwhomhasmbladdermcancermandmismtomundergomamcutane
ousmdiversionmproceduremtomestablishmamureterostomy.mWhichmofmthemfollowingmstatementsmsho
uldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERm"Youmshouldmcutmthemopeningmofmthemskinmbarriermone-
eightminchmwidermthanmthemstoma."m
Themclientmshouldmcutmthemopeningmofmthemskinmbarrierm0.3mcmm(1/8in)mwidermthanmthemstomamto
mminimizemirritationmofmthemskinmfrommexposuremtomurine.
,Amnursemismprovidingmteachingmtomamclientmwhomhasmhypothyroidismmandmismreceivingmlevothyroxi
ne.mThemnursemshouldminstructmthemclientmthatmwhichmofmthemfollowingmsupplementsmcanminterfer
emwithmthemeffectivenessmofmthemmedication?m-mCORRECTmANSWERmCalcium
Calciummlimitsmthemdevelopmentmofmosteoporosisminmclientsmwhomarempostmenopausalmandmwor
ksmasmanmantacid.mCalciummsupplementsmcanminterferemwithmthemmetabolismmofmamnumbermofmm
edications,mincludingmlevothyroxine.mThemnursemshouldminstructmthemclientmtomavoidmtakingmcalciu
mmwithinm4mhrmofmlevothyroxinemadministration.
AmnursemismconductingmanmadmissionmhistorymformamclientmwhomismtomundergomamCTmscanmwithmanm
IVmcontrastmagent.mThemnursemshouldmidentifymthatmwhichmofmthemfollowingmfindingsmrequiresmfur
thermassessment?m-mCORRECTmANSWERmHistorymofmasthmam
Amclientmwhomhasmamhistorymofmasthmamhasmamgreatermriskmofmreactingmtomthemcontrastmdyemusedm
duringmthemprocedure.mOthermconditionsmthatmcanmresultminmamreactionmtomcontrastmmediaminclud
emallergiesmtomfoods,msuchmasmshellfish,meggs,mmilk,mandmchocolate.
AmnurseminmanmICUmismassessingmamclientmwhomhasmamtraumaticmbrainminjury.mWhichmofmthemfollowi
ngmfindingsmshouldmthemnursemidentifymasmamcomponentmofmCushing'smtriad?m-
mCORRECTmANSWERmBradycardiam
Amclientmwhomhasmincreasedmintracranialmpressuremfrommamtraumaticmbrainminjurymcanmdevelopmb
radycardia,mwhichmismonemcomponentmofmCushing'smtriad.mThemothermcomponentsmofmCushing'smt
riadmaremseveremhypertensionmandmamwidenedmpulsempressure.
Amnursemismplanningmtomirrigatemandmdressmamclean,mgranulatingmwoundmformamclientmwhomhasmamp
ressureminjury.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmUsemam30-mLmsyringem
Themnursemshouldmusemam30-mLmtom60-mLmsyringemwithmanm18-morm19-
mgaugemcathetermtomdelivermthemidealmpressuremofm8mpoundsmpermsquareminchm(psi)mwhenmirrigati
,ngmamwound.mTommaintainmhealthymgranulationmtissue,mthemwoundmirrigationmshouldmbemdelivere
dmatmbetweenm4mandm15mpsi.
Amnurseminmanmemergencymdepartmentmismreviewingmthemprovider'smprescriptionsmformamclientmw
homsustainedmamrattlesnakembitemtomthemlowermleg.mWhichmofmthemfollowingmprescriptionsmshould
mthemexpect?m-mCORRECT mANSWERmAdministermanmopioidmanalgesicmtomthemclient.m
Themnursemshouldmexpectmamprescriptionmformanmopioidmanalgesicmtompromotemcomfortmfollowing
mamrattlesnakembite.
Amnursemismreviewingmthemhealthmrecordmofmamclientmwhomismscheduledmformallergymskinmtesting.mT
hemnursemshouldmpostponemthemtestingmandmreportmtomthemprovidermwhichmofmthemfollowingmfindi
ngs?m(Clickmonmthem"Exhibit"mbuttonmformadditionalminformationmaboutmthemclient).m-
mCORRECTmANSWERmCurrentmmedicationsm
Themnursemshouldmreviewmthemclient'smmedicationmrecordmandmidentifymmedications,mincludingmA
CEminhibitors,mbetamblockers,mtheophylline,mnifedipine,mandmglucocorticoids,msuchmasmprednisone
,mthatmcanmaltermthemallergymskinmtestmresults.mThesemmedicationsmcanmdiminishmthemclient'smreact
ionmtomthemallergens.mThemnursemshouldmnotifymthemprovidermandminstructmthemclientmtomdiscontin
uemprednisonemform2mweeksmbeforemallergymskinmtesting.
Amnursemismamcaringmformamclientmwhomismonmbedmrestmandmhasmamnewmprescriptionmformenoxaparin
msubcutaneous.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmInjectmthemmedicationmintomthemanterolateralmabdominalmwall.m
Themnursemshouldminjectmthemmedicationmintomthemanterolateralmormposterolateralmabdominalmwa
llmtomenhancemmedicationmabsorptionmandmpreventmhematomamformation.
AmnursemismcaringmformamclientmwhomhasmamstagemIIImpressureminjury.mWhichmifmthemfollowingmfindi
ngsmcontributemtomdelayedmwoundmhealing?m-mCORRECTmANSWERmUrinemoutputm25mmL/hrm
, Urinarymoutputmreflectsmfluidmstatus.mInadequatemurinemoutputmcanmindicatemdehydration,mwhich
mcanmdelaymwoundmhealing.
Amnursemismcaringmformamclientmwhomhasmamnewmprescriptionmformtotalmparenteralmnutritionm(TPN).
mThemclientmismtomreceivem2,000mkcalmpermday.mThemTPNmsolutionmhasm500kcal/L.mThemIVmpumpmsh
ouldmbemsetmatmhowmmanymmL/hr?m(Roundingmtomthemnearestmwholemnumber.)m-
mCORRECTmANSWERm167mmL/hr
Amnursemismteachingmamclientmwhomhasmamfamilymhistorymofmcolorectalmcancer.mTomhelpmmitigatemth
ismrisk,mwhichmofmthemfollowingmdietarymalterationsmshouldmthemnursemrecommend?m-
mCORRECTmANSWERmAddmcabbagemtomthemdiet.m
Tomhelpmreducemthemriskmformcolorectalmcancer,mthemclientmshouldmconsumemamdietmthatmismhighmin
mfiber,mlowminmfat,mandmlowminmrefinedmcarbohydrates.mBrassicamvegetablesmsuchmasmcabbage,mcau
liflower,mandmbroccoli,maremhighminmfiber.
Amnursemismcaringmformamclientmwhomhasmamprescriptionmformsilvermsulfadiazinemcreammtombemappli
edmtomhermburnmwounds.mThemnursemshouldmevaluatemthemclientmformwhichmofmthemfollowingmlabo
ratorymfindings?m-mCORRECTmANSWERmLeukopeniam
Transientmleukopeniamismanmadversemeffectmofmsilvermsulfadiazine.
Amnursemismteachingmamclientmwithmsystemicmerythematosusmwhomhasmamnewmprescriptionmformpre
dnisone.mThemnursemshouldminstructmthemclientmtommonitormformwhichmofmthemfollowingmadversem
effectsmofmthismmedication?m-mCORRECTmANSWERmInfectionm
Themnursemshouldminstructmthemclientmtomavoidmcontactmwithmpeoplemwhomaremillmandmmonitormfo
rmmanifestationsmofmanminfectionmsuchmasmamfevermormamsoremthroat.mPrednisonemcanmsuppressmth
emclient'smimmunemresponsemandmmaskmthemmanifestationsmofmanminfection.
EXAM QUESTIONS WITH CORRECT
ANSWERS 100% VERIFIED GRADED
A+
Anmoldermadultmismbroughtmtomanmemergencymdepartmentmbymamfamilymmember.mWhichmofmthemfo
llowingmassessmentmfindingsmshouldmcausemthemnursemtomsuspectmthatmthemclientmhasmhypertonic
mdehydration?m-mCORRECTmANSWERmUrinemSpecificmgravitym1.045m
Amurinemspecificmgravitymgreatermthanm1.030mindicatesmamdecreaseminmurinemvolumemandmanmincre
aseminmosmolarity,mwhichmismammanifestationmofmhypertonicmdehydration.
Amnurseminmamcommunitymclinicmismcaringmformamclientmwhomreportsmanmincreaseminmthemfrequency
mofmmigrainemheadaches.mTomhelpmreducemthemriskmformmigrainemheadaches,mwhichmofmthemfollow
ingmfoodsmshouldmthemnursemrecommendmthemclientmavoid?m-mCORRECTmANSWERmAgedmcheese
Foodsmthatmcontainmtyramine,msuchmasmagedmcheesemandmsausage,mcanmtriggermmigrainemheadac
hes.
Amnursemismplanningmteachingmformamclientmwhomhasmbladdermcancermandmismtomundergomamcutane
ousmdiversionmproceduremtomestablishmamureterostomy.mWhichmofmthemfollowingmstatementsmsho
uldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERm"Youmshouldmcutmthemopeningmofmthemskinmbarriermone-
eightminchmwidermthanmthemstoma."m
Themclientmshouldmcutmthemopeningmofmthemskinmbarrierm0.3mcmm(1/8in)mwidermthanmthemstomamto
mminimizemirritationmofmthemskinmfrommexposuremtomurine.
,Amnursemismprovidingmteachingmtomamclientmwhomhasmhypothyroidismmandmismreceivingmlevothyroxi
ne.mThemnursemshouldminstructmthemclientmthatmwhichmofmthemfollowingmsupplementsmcanminterfer
emwithmthemeffectivenessmofmthemmedication?m-mCORRECTmANSWERmCalcium
Calciummlimitsmthemdevelopmentmofmosteoporosisminmclientsmwhomarempostmenopausalmandmwor
ksmasmanmantacid.mCalciummsupplementsmcanminterferemwithmthemmetabolismmofmamnumbermofmm
edications,mincludingmlevothyroxine.mThemnursemshouldminstructmthemclientmtomavoidmtakingmcalciu
mmwithinm4mhrmofmlevothyroxinemadministration.
AmnursemismconductingmanmadmissionmhistorymformamclientmwhomismtomundergomamCTmscanmwithmanm
IVmcontrastmagent.mThemnursemshouldmidentifymthatmwhichmofmthemfollowingmfindingsmrequiresmfur
thermassessment?m-mCORRECTmANSWERmHistorymofmasthmam
Amclientmwhomhasmamhistorymofmasthmamhasmamgreatermriskmofmreactingmtomthemcontrastmdyemusedm
duringmthemprocedure.mOthermconditionsmthatmcanmresultminmamreactionmtomcontrastmmediaminclud
emallergiesmtomfoods,msuchmasmshellfish,meggs,mmilk,mandmchocolate.
AmnurseminmanmICUmismassessingmamclientmwhomhasmamtraumaticmbrainminjury.mWhichmofmthemfollowi
ngmfindingsmshouldmthemnursemidentifymasmamcomponentmofmCushing'smtriad?m-
mCORRECTmANSWERmBradycardiam
Amclientmwhomhasmincreasedmintracranialmpressuremfrommamtraumaticmbrainminjurymcanmdevelopmb
radycardia,mwhichmismonemcomponentmofmCushing'smtriad.mThemothermcomponentsmofmCushing'smt
riadmaremseveremhypertensionmandmamwidenedmpulsempressure.
Amnursemismplanningmtomirrigatemandmdressmamclean,mgranulatingmwoundmformamclientmwhomhasmamp
ressureminjury.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmUsemam30-mLmsyringem
Themnursemshouldmusemam30-mLmtom60-mLmsyringemwithmanm18-morm19-
mgaugemcathetermtomdelivermthemidealmpressuremofm8mpoundsmpermsquareminchm(psi)mwhenmirrigati
,ngmamwound.mTommaintainmhealthymgranulationmtissue,mthemwoundmirrigationmshouldmbemdelivere
dmatmbetweenm4mandm15mpsi.
Amnurseminmanmemergencymdepartmentmismreviewingmthemprovider'smprescriptionsmformamclientmw
homsustainedmamrattlesnakembitemtomthemlowermleg.mWhichmofmthemfollowingmprescriptionsmshould
mthemexpect?m-mCORRECT mANSWERmAdministermanmopioidmanalgesicmtomthemclient.m
Themnursemshouldmexpectmamprescriptionmformanmopioidmanalgesicmtompromotemcomfortmfollowing
mamrattlesnakembite.
Amnursemismreviewingmthemhealthmrecordmofmamclientmwhomismscheduledmformallergymskinmtesting.mT
hemnursemshouldmpostponemthemtestingmandmreportmtomthemprovidermwhichmofmthemfollowingmfindi
ngs?m(Clickmonmthem"Exhibit"mbuttonmformadditionalminformationmaboutmthemclient).m-
mCORRECTmANSWERmCurrentmmedicationsm
Themnursemshouldmreviewmthemclient'smmedicationmrecordmandmidentifymmedications,mincludingmA
CEminhibitors,mbetamblockers,mtheophylline,mnifedipine,mandmglucocorticoids,msuchmasmprednisone
,mthatmcanmaltermthemallergymskinmtestmresults.mThesemmedicationsmcanmdiminishmthemclient'smreact
ionmtomthemallergens.mThemnursemshouldmnotifymthemprovidermandminstructmthemclientmtomdiscontin
uemprednisonemform2mweeksmbeforemallergymskinmtesting.
Amnursemismamcaringmformamclientmwhomismonmbedmrestmandmhasmamnewmprescriptionmformenoxaparin
msubcutaneous.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmInjectmthemmedicationmintomthemanterolateralmabdominalmwall.m
Themnursemshouldminjectmthemmedicationmintomthemanterolateralmormposterolateralmabdominalmwa
llmtomenhancemmedicationmabsorptionmandmpreventmhematomamformation.
AmnursemismcaringmformamclientmwhomhasmamstagemIIImpressureminjury.mWhichmifmthemfollowingmfindi
ngsmcontributemtomdelayedmwoundmhealing?m-mCORRECTmANSWERmUrinemoutputm25mmL/hrm
, Urinarymoutputmreflectsmfluidmstatus.mInadequatemurinemoutputmcanmindicatemdehydration,mwhich
mcanmdelaymwoundmhealing.
Amnursemismcaringmformamclientmwhomhasmamnewmprescriptionmformtotalmparenteralmnutritionm(TPN).
mThemclientmismtomreceivem2,000mkcalmpermday.mThemTPNmsolutionmhasm500kcal/L.mThemIVmpumpmsh
ouldmbemsetmatmhowmmanymmL/hr?m(Roundingmtomthemnearestmwholemnumber.)m-
mCORRECTmANSWERm167mmL/hr
Amnursemismteachingmamclientmwhomhasmamfamilymhistorymofmcolorectalmcancer.mTomhelpmmitigatemth
ismrisk,mwhichmofmthemfollowingmdietarymalterationsmshouldmthemnursemrecommend?m-
mCORRECTmANSWERmAddmcabbagemtomthemdiet.m
Tomhelpmreducemthemriskmformcolorectalmcancer,mthemclientmshouldmconsumemamdietmthatmismhighmin
mfiber,mlowminmfat,mandmlowminmrefinedmcarbohydrates.mBrassicamvegetablesmsuchmasmcabbage,mcau
liflower,mandmbroccoli,maremhighminmfiber.
Amnursemismcaringmformamclientmwhomhasmamprescriptionmformsilvermsulfadiazinemcreammtombemappli
edmtomhermburnmwounds.mThemnursemshouldmevaluatemthemclientmformwhichmofmthemfollowingmlabo
ratorymfindings?m-mCORRECTmANSWERmLeukopeniam
Transientmleukopeniamismanmadversemeffectmofmsilvermsulfadiazine.
Amnursemismteachingmamclientmwithmsystemicmerythematosusmwhomhasmamnewmprescriptionmformpre
dnisone.mThemnursemshouldminstructmthemclientmtommonitormformwhichmofmthemfollowingmadversem
effectsmofmthismmedication?m-mCORRECTmANSWERmInfectionm
Themnursemshouldminstructmthemclientmtomavoidmcontactmwithmpeoplemwhomaremillmandmmonitormfo
rmmanifestationsmofmanminfectionmsuchmasmamfevermormamsoremthroat.mPrednisonemcanmsuppressmth
emclient'smimmunemresponsemandmmaskmthemmanifestationsmofmanminfection.
