ATI RN ADULT MEDSURG PROCTORED EXAM 2020 VERSION WITH VERIFIED SOLUTIONS/A+ GRADE

ATI RN ADULT MEDSURG PROCTORED EXAM 2020 VERSION WITH VERIFIED SOLUTIONS/A+ GRADE A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? left groin A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas ABG values include: pH 7.22 PaCO2 68 mm Hg base excess -2 respiratory acidosis PaO2 78 mm Hg oxygen saturation 80% Bicarbonate 28 mEq/L. A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? I will abstain from sexual intercourse A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance which of the following actions should the nurse take first? cover the clients wound with a moist sterile dressing Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause? Do you sleep well at night A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at Mcburneys point? Mcburneys point is found between the naval and the anterior iliac crest (left lower) A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? I should avoid injecting insulin into my thigh if I am going to go running A nurse is caring for a client who is postoperative following a tracheostomy and has copies and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions? provide humidified oxygen A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant. Which of the following lab findings should the nurse identify as the most important to report to the provider? increase in serum creatinine lOMoAR cPSD|6527756 A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? breath in through nose and out through pursed lips A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long-term goals is appropriate with regard to the clients mobility? propel a wheelchair equipped with knobs on the wheels A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching? you will remain NPO for 8 hours before the procedure A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect? drop is systolic BP more than 10 mm Hg on inspiration A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to section. Which of the following is the priority finding the nurse should report to the provider? abdomen is distended A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching? avoid medications in a capsule or enteric form A nurse is caring for a client after a radical dissection. To which of the following should the nurse give priority in the immediate postoperative period? ineffective airway clearance related to thick copious secretions A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make? Bypass surgery must be very frightening for you A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations? hypotension A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? dyspnea, barrel chest, clubbing of the fingers, shallow respirations A nurse is assisting with the care of a client who is postoperative and has a closed wound drainage system in place. Which of the following actions should the nurse take? lOMoAR cPSD|6527756 fully re-collapse the reservoir after emptying it A nurse is caring for a client who has Alzheimer’s disease. The nurse discovers the client entering the room of another client who comes upset and frightened. Which of the following actions should the nurse take? attempt to determine what the client was looking for A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching? this test will measure the intraocular pressure of the eye A nurse is collecting data from a client who has open angle glaucoma. Which of the following findings should the nurse expect? loss of peripheral vision A nurse in a provider’s office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? take this medication between meals A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect? hardened skin A nurse is checking the suction control chamber of a clients chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take? verify that the suction regulator is on A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make? the biopsy can be uncomfortable, but we will try to keep you as comfortable as possible A nurse is assisting in the plan of care for a client who had removal if the pituitary gland. Which of the following actions should the nurse include in the plan? change the nasal drip pad as needed A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make? large incisions will be made in the burned tissue to improve circulation A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following interventions should the nurse recommend? wash daily with an antibacterial soap lOMoAR cPSD|6527756 A nurse is caring for a client who has a temp of 103.5 and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? shivering A nurse is reinforcing preop teaching for a client who is scheduled for surgery and is to take hydroxyzine preop. Which of the following effects of the medication should the nurse include in the teaching? (SATA) decreasing anxiety, controlling emesis, reducing the amount of narcotics needs for pain relief A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? potassium of 2.5 mEq/L A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report? abnormal vaginal bleeding A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication? iron A nurse is caring for an older adult client who has dysphasia and left sided weakness following a stroke. Which of the following actions should the nurse take? add thickener to fluids A nurse is caring or a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? check the clients’ vital signs A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a MI. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects? to prevent blood clotting A nurse is caring for a client who has a spinal cord injury at T4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia? prevent bladder distention A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate TURP and has a 3-way urinary Catheter with a continuous irrigation. The nurse lOMoAR cPSD|6527756 notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first? determine the latency of the tubing A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a general tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record? postictal phase A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? ensure the clients weights are hanging freely from the bed A nurse is collecting data on a clients wound. The nurse observes that the wound surface is covered with soft red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following? granulation tissue A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer? sun exposure A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take? monitor the intake and output hourly A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching? empty the ostomy pouch when it is 2/3 full A nurse is preparing to provide morning hygiene care for a client who has Alzheimer’s disease. The client becomes agitated and combative when the nurse approaches him. Which of the following actions should the nurse plan to take? calmly ask the client if he would like to listen to some music A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan? maintain abduction of the right hip A nurse is caring for a client who is postoperative and has a history of Addison’s disease. For which of the following manifestations should the nurse monitor? hypotension lOMoAR cPSD|6527756