ATI RN MED SURG PROCTORED EXAM TEST BANK
k k k k k k k
FORM A &B /COMPLETE 200 QUESTIONS AND
k k k k k k k
CORRECT DETAILEDSOLUTIONS BRAND NEW!
k k k k
(VERIFIED RIGHT |ALREADY GRADED A+
k k k k k
FORM A k
While talking with a Patient with a diagnosis of end stageliver disease. The
k k k k k k k k k k k k k
k Caregiver notices the Patient is unable to stay awake and seems to fall
k k k k k k k k k k k k
asleep in the middle of a sentence. The Caregiver recognizes these
k k k k k k k k k k k
k symptoms to beindicative of what condition? k k k k k k
A. Hyperglycemia
B. Increased Bile production k k
C. Increased blood ammonia levels k k k
D. Hypocalcaemia - ...RIGHT SOLUTION:>>>...C. Increased blood k k k k k
ammonia levels
k k
A Caregiver is about to administer warfarin (Coumadin) to aPatient who
k k k k k k k k k k k
k has atrial
k
fibrillation. When the Patient asks what his medication willdo, which of the
k k k k k k k k k k k k
following is an appropriate nursing response?
k k k k k
a. It helps convert atrial fibrillation to sinus rhythmb. Is dissolves
k k k k k k k k k k k
k clots in the bloodstream
k k k
c. It slows the response of the ventricles to the fast atrialimpulses
k k k k k k k k k k k k
d. It prevents strokes in Patients who have atrial fibrillation -
k k k k k k k k k k
,...RIGHT SOLUTION:>>>...d. It prevents strokes in Patients who have atrial
k k k k k k k k k
fibrillation
k
A Caregiver in a cardiac care unit is caring for a Patient with acuteheart failure.
k k k k k k k k k k k k k k k
k Which
of the following findings should the Caregiver expect?a. Decreased
k k k k k k k k k
k brain natriuretic peptide (BNP)
k k k
b. Elevated central venous pressure (CVP)c. Decreased
k k k k k k k
k pulmonary pressure k
d. Increases urinary outpu - ...RIGHT SOLUTION:>>>...b. Elevated
k k k k k k k
central venous pressure (CVP)
k k k k
A Patient comes into the ED reporting nausea and vomitingthat worsens when
k k k k k k k k k k k k
lying down and without relief from antacids. The providersuspects acute
k k k k k k k k k k
pancreatitis. Which of the following lab test results shouldthe Caregiver
k k k k k k k k k k
k expect to see if k k k
the Patient has acute pancreatitis?a.
k k k k k
k Decreased WBC k
b. Increased serum amylasec.
k k k k
k Decreased serum lipase k k
d. Increased serum calcium - ...RIGHT SOLUTION:>>>...b. Increased
k k k k k k k
serum amylase
k k
,A Caregiver in the ICU is caring for a Patient who has acuterespiratory
k k k k k k k k k k k k k
distress
k
syndrome (ARDS) and is receiving mechanical via anendotracheal
k k k k k k k k
k tube. The k
provider plans to extubate her within the next 24 hour.Which of the
k k k k k k k k k k k k
k following is k
an important criterion for extubating the Patient?a. Ability to
k k k k k k k k k
cough effectively
k k
b. Adequate tidal volume without manually assisted breathsc. No indication of
k k k k k k k k k k k
infection
k
d. No need for supplemental oxygen - ...RIGHT SOLUTION:>>>...b.
k k k k k k k k
k Adequate tidal volume without manually assisted breaths
k k k k k k
A patient with massive trauma and possible spinal cordinjury is admitted
k k k k k k k k k k k
k to the
k
emergency department (ED). Which finding by the Caregiverwill help
k k k k k k k k k
k confirm a diagnosis k k
of neurogenic shock? a. cool
k k k k
k clammy skin b. inspiratory
k k k
crackles
k
c. apical heart rate of 48 beats/min
k k k k k k
d. temperature 101.2* F - ...RIGHT SOLUTION:>>>...c. apical heart rateof
k k k k k k k k k k
48 beats/min
k k
, A patient with septic shock has a urine output of 20 mL/hrfor the past 3 hours.
k k k k k k k k k k k k k k k k
The pulse rate is 120 and the central venous and pulmonaryartery wedge
k k k k k k k k k k k k
pressure
k
are 4. Which of these orders by the health care provider willthe Caregiver
k k k k k k k k k k k k k
k question?
a. Give furosemide (Lasix) 40 mg IV
k k k k k
b. increase normal saline infusion to 150 mL/hr k k k k k k
c. Administer hydrocortisone (SoluCortef) 100 mg IV k k k k k
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
k k k k k k k k
...RIGHT SOLUTION:>>>...a.Give furosemide (Lasix) 40 mg IV
k k k k k k
After receiving 1000 mL of normal saline, the centralvenous pressure
k k k k k k k k k k
k for ak
patient who has septic shock is 10 mm Hg, but the bloodpressure is still
k k k k k k k k k k k k k k
k 82/40 mm k
Hg. The Caregiver will anticipate the administration of which ofthe following?
k k k k k k k k k k k
a. Nitroglycerin (Tridil) k
b. Sodium nitroprusside (Nipride)c. k k k
k Drotrecogin alpha (Xigris) k k
d. Norepinephrine (Levophed) - ...RIGHT SOLUTION:>>>...d.
k k k k k
Norepinephrine (Levophed)
k k
Which of these findings is the best indicators that the fluidresuscitation for a
k k k k k k k k k k k k k
k k k k k k k
FORM A &B /COMPLETE 200 QUESTIONS AND
k k k k k k k
CORRECT DETAILEDSOLUTIONS BRAND NEW!
k k k k
(VERIFIED RIGHT |ALREADY GRADED A+
k k k k k
FORM A k
While talking with a Patient with a diagnosis of end stageliver disease. The
k k k k k k k k k k k k k
k Caregiver notices the Patient is unable to stay awake and seems to fall
k k k k k k k k k k k k
asleep in the middle of a sentence. The Caregiver recognizes these
k k k k k k k k k k k
k symptoms to beindicative of what condition? k k k k k k
A. Hyperglycemia
B. Increased Bile production k k
C. Increased blood ammonia levels k k k
D. Hypocalcaemia - ...RIGHT SOLUTION:>>>...C. Increased blood k k k k k
ammonia levels
k k
A Caregiver is about to administer warfarin (Coumadin) to aPatient who
k k k k k k k k k k k
k has atrial
k
fibrillation. When the Patient asks what his medication willdo, which of the
k k k k k k k k k k k k
following is an appropriate nursing response?
k k k k k
a. It helps convert atrial fibrillation to sinus rhythmb. Is dissolves
k k k k k k k k k k k
k clots in the bloodstream
k k k
c. It slows the response of the ventricles to the fast atrialimpulses
k k k k k k k k k k k k
d. It prevents strokes in Patients who have atrial fibrillation -
k k k k k k k k k k
,...RIGHT SOLUTION:>>>...d. It prevents strokes in Patients who have atrial
k k k k k k k k k
fibrillation
k
A Caregiver in a cardiac care unit is caring for a Patient with acuteheart failure.
k k k k k k k k k k k k k k k
k Which
of the following findings should the Caregiver expect?a. Decreased
k k k k k k k k k
k brain natriuretic peptide (BNP)
k k k
b. Elevated central venous pressure (CVP)c. Decreased
k k k k k k k
k pulmonary pressure k
d. Increases urinary outpu - ...RIGHT SOLUTION:>>>...b. Elevated
k k k k k k k
central venous pressure (CVP)
k k k k
A Patient comes into the ED reporting nausea and vomitingthat worsens when
k k k k k k k k k k k k
lying down and without relief from antacids. The providersuspects acute
k k k k k k k k k k
pancreatitis. Which of the following lab test results shouldthe Caregiver
k k k k k k k k k k
k expect to see if k k k
the Patient has acute pancreatitis?a.
k k k k k
k Decreased WBC k
b. Increased serum amylasec.
k k k k
k Decreased serum lipase k k
d. Increased serum calcium - ...RIGHT SOLUTION:>>>...b. Increased
k k k k k k k
serum amylase
k k
,A Caregiver in the ICU is caring for a Patient who has acuterespiratory
k k k k k k k k k k k k k
distress
k
syndrome (ARDS) and is receiving mechanical via anendotracheal
k k k k k k k k
k tube. The k
provider plans to extubate her within the next 24 hour.Which of the
k k k k k k k k k k k k
k following is k
an important criterion for extubating the Patient?a. Ability to
k k k k k k k k k
cough effectively
k k
b. Adequate tidal volume without manually assisted breathsc. No indication of
k k k k k k k k k k k
infection
k
d. No need for supplemental oxygen - ...RIGHT SOLUTION:>>>...b.
k k k k k k k k
k Adequate tidal volume without manually assisted breaths
k k k k k k
A patient with massive trauma and possible spinal cordinjury is admitted
k k k k k k k k k k k
k to the
k
emergency department (ED). Which finding by the Caregiverwill help
k k k k k k k k k
k confirm a diagnosis k k
of neurogenic shock? a. cool
k k k k
k clammy skin b. inspiratory
k k k
crackles
k
c. apical heart rate of 48 beats/min
k k k k k k
d. temperature 101.2* F - ...RIGHT SOLUTION:>>>...c. apical heart rateof
k k k k k k k k k k
48 beats/min
k k
, A patient with septic shock has a urine output of 20 mL/hrfor the past 3 hours.
k k k k k k k k k k k k k k k k
The pulse rate is 120 and the central venous and pulmonaryartery wedge
k k k k k k k k k k k k
pressure
k
are 4. Which of these orders by the health care provider willthe Caregiver
k k k k k k k k k k k k k
k question?
a. Give furosemide (Lasix) 40 mg IV
k k k k k
b. increase normal saline infusion to 150 mL/hr k k k k k k
c. Administer hydrocortisone (SoluCortef) 100 mg IV k k k k k
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
k k k k k k k k
...RIGHT SOLUTION:>>>...a.Give furosemide (Lasix) 40 mg IV
k k k k k k
After receiving 1000 mL of normal saline, the centralvenous pressure
k k k k k k k k k k
k for ak
patient who has septic shock is 10 mm Hg, but the bloodpressure is still
k k k k k k k k k k k k k k
k 82/40 mm k
Hg. The Caregiver will anticipate the administration of which ofthe following?
k k k k k k k k k k k
a. Nitroglycerin (Tridil) k
b. Sodium nitroprusside (Nipride)c. k k k
k Drotrecogin alpha (Xigris) k k
d. Norepinephrine (Levophed) - ...RIGHT SOLUTION:>>>...d.
k k k k k
Norepinephrine (Levophed)
k k
Which of these findings is the best indicators that the fluidresuscitation for a
k k k k k k k k k k k k k