Exam (elaborations) RN ATI Medical Surgical 2016 Combination A B C New

Exam (elaborations) RN ATI Medical Surgical 2016 Combination A B C New A nurse is preparing to administer a unit of packed RBCs (Unable to read) A. Obtain the client’s first set of vital signs 1 hr. after B. Initiate venous access with a 21-gauge needle C. Administer the unit of packed RBCs over 1 hr. D. Use Y tubing with 0.9% sodium chloride when administering the 5. A nurse is planning care for a client who has upper gastrointestinal bleeding during (Unable to read) nurse plan to take? A. Insert large bore NG tube B. Ensure that the client has 22-gauge IV line in place C. Provide ketorolac for abdominal pain D. Administer nitroprusside IV based on client’s weight 6. A nurse is caring for a client who has intractable vomiting. The client’s ABG findings are Ph 7.8 HCO3 35 mEq Pao2 90mm Hg. The nurse should identify these findings as indicating which of the following acid base imbalances? A. Respiratory alkalosis B. Metabolic acidosis C. Respiratory acidosis D. Metabolic alkalosis RN ATI Medical Surgical 3 2016 Combination A B C all 3 forms New Questions 7. The nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make? A. “Your breathing pattern causes this” B. “Suction pressure that is too high causes this” C. “This means your lung is fully expanded” D. “This indicates a possible leak” 8. A. B. C. D. 9. A nurse is reviewing the laboratory result report (Unable to read) A. Decreased serum amylase B. Elevated serum calcium C. Decreased erythrocyte sedimentation rate D. Elevated blood glucose level 10. A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following should the nurse do first? A. Flush IV catheter B. Reposition Client’s left arm C. Ensure the tubing connection is secure D. Check the IV site for redness 11. A. B. C. D. 12. A nurse is providing teaching to a client who has left sided heart failure. Which of the following (Unable to read) teaching? A. Neck distention B. Anorexia C. Ankle edema D. Hacking cough 13. A. B. C. D. 14. A nurse is administering packed RBC’s to a client. The nurse (Unable to read) the following actions should the nurse take first? (Patient was having a reaction) A. Stop the infusion B. Collect a urine sample C. Administer oxygen to the client D. Check the client’s vital signs 15. A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the following should the nurse include? A. Limit visitation time for the client’s children to 40 minutes a day B. Provide a diet of fresh fruits and vegetables for the client C. Apply new gloves when alternating between wound care sites D. Clean the equipment in the client’s room once per week 16. 17. A nurse is teaching a adult who is immunocompromised (Unable to read) Patient has HIV which to give? (I think) A. Varicella B. Herpes zoster C. Pneumococcal D. Measles, mumps rubella 18. A nurse is assessing a client who is taking digoxin. Which of the following findings should the nurse the nurse looks for? A. Potassium level of 4.3 mEq/L B. Elevated heart rate C. Digoxin level 0.8 ng/mL D. Appearance of halos around (unable to read) 19. 20. A nurse is assessing a client who is taking (Unable to read) A. Frequent nonproductive cough B. Frequent painless urination C. Potassium 3.5 mEq/L D. Blood pressure 108/62 mm Hg 21. A. B. C. D. 22. A. B. C. D. 23. A. B. C. D. 24. A. B. C. D. 25. A. B. C. D. 26. 27. A. B. C. D. 28. A nurse is monitoring a client’s heart rhythm following an insertion of a pacemaker. Which of the following should the nurse inspect? (I think it’s A) 29. A. B. C. D. 30. A nurse is teaching a client who has heart failure. Which of the following responses should the client understand the teaching? A. “I should take ibuprofen for a headache” B. “I can have a total of 4 grams of sodium each day” C. “I will weigh myself at different times of the day to monitor fluid retention” D. “I should be able to have a conversation while exercising” 31. 32. A nurse is providing teaching to a client and his partner about performing peripheral dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication? A. Cloudy effluent B. Generalized abdominal pain C. Increased heart rate D. Fever 33. A. B. C. D. 34. A nurse is implementing care for a client who is in 8 hr. post-operative following (unable to read) should the nurse plan to perform first? (Catherization?) A. Measure the client’s core temperature B. Examine surgical incision for drainage C. Palpate pulses distal to the graft donor site