ATI RN MED SURG PROCTORED
NEWEST 2024 TEST BANK
EXAM ACTUAL EXAM ALL 200
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
,An older adult is brought to an emergency department by a family
member. Which of the following assessment findings should cause
the nurse to suspect that the client has hypertonic dehydration? -
CORRECT ANSWER-Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates
a decrease in urine volume and an increase in
osmolarity, which is a manifestation of hypertonic
dehydration.
A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the
risk for migraine headaches, which of the following foods should the
nurse recommend the client avoid? - CORRECT ANSWER-Aged
cheese
Foods that contain tyramine, such as aged cheese
and sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and
is to undergo a cutaneous diversion procedure to establish a
ureterostomy. Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWER-"You should cut the
opening of the skin barrier one-eight inch wider than the stoma."
,The client should cut the opening of the skin barrier
0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and
is receiving levothyroxine. The nurse should instruct the client that
which of the following supplements can interfere with the
effectiveness of the medication? - CORRECT ANSWER-Calcium
Calcium limits the development of osteoporosis in
clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the
metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to
avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should
identify that which of the following findings requires further
assessment? - CORRECT ANSWER-History of asthma
A client who has a history of asthma has a greater
risk of reacting to the contrast dye used during the
procedure. Other conditions that can result in a
, reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain
injury. Which of the following findings should the nurse identify as a
component of Cushing's triad? - CORRECT ANSWER-Bradycardia
A client who has increased intracranial pressure
from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are
severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound
for a client who has a pressure injury. Which of the following actions
should the nurse take? - CORRECT ANSWER-Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with
an 18- or 19- gauge catheter to deliver the ideal
pressure of 8 pounds per square inch (psi) when
irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at
between 4 and 15 psi.
NEWEST 2024 TEST BANK
EXAM ACTUAL EXAM ALL 200
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
,An older adult is brought to an emergency department by a family
member. Which of the following assessment findings should cause
the nurse to suspect that the client has hypertonic dehydration? -
CORRECT ANSWER-Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates
a decrease in urine volume and an increase in
osmolarity, which is a manifestation of hypertonic
dehydration.
A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the
risk for migraine headaches, which of the following foods should the
nurse recommend the client avoid? - CORRECT ANSWER-Aged
cheese
Foods that contain tyramine, such as aged cheese
and sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and
is to undergo a cutaneous diversion procedure to establish a
ureterostomy. Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWER-"You should cut the
opening of the skin barrier one-eight inch wider than the stoma."
,The client should cut the opening of the skin barrier
0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and
is receiving levothyroxine. The nurse should instruct the client that
which of the following supplements can interfere with the
effectiveness of the medication? - CORRECT ANSWER-Calcium
Calcium limits the development of osteoporosis in
clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the
metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to
avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should
identify that which of the following findings requires further
assessment? - CORRECT ANSWER-History of asthma
A client who has a history of asthma has a greater
risk of reacting to the contrast dye used during the
procedure. Other conditions that can result in a
, reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain
injury. Which of the following findings should the nurse identify as a
component of Cushing's triad? - CORRECT ANSWER-Bradycardia
A client who has increased intracranial pressure
from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are
severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound
for a client who has a pressure injury. Which of the following actions
should the nurse take? - CORRECT ANSWER-Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with
an 18- or 19- gauge catheter to deliver the ideal
pressure of 8 pounds per square inch (psi) when
irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at
between 4 and 15 psi.
