ATI MED-SURG PROCTORED EXAM 100% NEW REVISED UPDATE

ATI MED-SURG PROCTORED EXAM 100% NEW REVISED UPDATE A nurse is caring for client who has Cushing's disease. Which of the following actions should the nurse take first? (Click on the Exhibit button below for additional information about the client. There are three tabs that contain separate categories of data.) 1.Auscultate the client's lung sounds 2.Check the client's medication administration record for antihypertensive medications 3.Determine the need for further glucose monitoring 4.Verify the client's understanding of sodium restriction - ANSWERS-3.Determine the need for further glucose monitoring A nurse is caring for four clients. Which of the following clients is at risk for developing metabolic alkalosis? a. A client who is receiving continuous gastric suctioning b. A client who has aspiration pneumonia c. A client who is experiencing an opioid overdose- respiratory acidosis. d. A client who has uncontrolled diabetes mellitus - ANSWERS-a. A client who is receiving continuous gastric suctioning A nurse is caring who is experiencing a hypertensive crisis. Which of the following actions should the nurse take? a) Initiate IV dopamine infusion b) Perform neurological assessments c) Place the client supine d) Begin an IV bolus of lacted ringer's - ANSWERS-b) Perform neurological assessments A nurse is collecting a medical history from an older adult client who has hypertension and new prescription of nadolol. Which of the following findings should the nurse report to the provider? a. cataracts b. GERD c. Asthma d. Hypothyroidism - ANSWERS-c. Asthma A nurse is completing an admission assessment for a client. The nurse should expect the provider to prescribe which of the following medications for the client? EXHIBIT VITAL SIGNS: Temperature (98.3 F), HR (100/min), RR (20/min), BP (152/94mmHg) a. Atorvastatin b. Allopurinol c. Metoprolol d. levothyroxine - ANSWERS-c. Metoprolol A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? 1.Massage the reddened areas three times daily 2.Turn and reposition the client every 4 hr. 3.Support bony prominences with pillows 4.Apply an occlusive dressing - ANSWERS-3.Support bony prominences with pillows A Nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? a) Apply an occlusive dressing b) turn and reposition the client every 4 hours c) support bony prominences with pillows d) massage Tourette in areas three times daily - ANSWERS-c) support bony prominences with pillows A nurse is completing discharge teaching who has a peripherally inserted central catheter ( PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching? a) Do not elevate the arm above the level of the heart b) Change the catheter dressing daily c) Use 10- mL syringe to flush line d) Clean the insertion site using 20- mL of hydrogen peroxide - ANSWERS-a) Do not elevate the arm above the level of the heart A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching? a) I will need to take my clothes to the dry cleaners to sterilize them b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed of the trash (should be cleaned with bleach not alcohol) c) I will be sure to wear gloves and wash my hands when I change my cat's litter box d) I will increase the amount of fresh fruits and vegetables I consume - ANSWERS-c) I will be sure to wear gloves and wash my hands when I change my cat's litter box A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of the following statements should the nurse take? a) Plan to include high protein foods in each of your meals b) increase your intake of vegetables such as broccoli and brussel sprouts c) drink a glass of milk with each meal d) consume three large meals throughout the day - ANSWERS-a) Plan to include high protein foods in each of your meals A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reaction? a) back pain b) Hypertension c) Chills d) bradycardia - ANSWERS-a) back pain