ATI PN MED SURG 2 PROCTORED EXAM
2024 WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
A nurse is caring for a client who has a prescription for digoxin
0.25 mg PO daily. While taking the client's apical pulse, the nurse
notes a rate of 58/min. Which of the following actions should the
nurse take? - ANSWER-Withhold the dose.
A nurse is reinforcing teaching with a client who has asthma and a
new prescription for a corticosteroid. Which of the following
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findings should the nurse include as an adverse effect of the
medication? - ANSWER-Frequent colds
A nurse is contributing to the plan of care for a client who has a
head injury and is at risk for increased intracranial pressure (ICP).
Which of the following actions should the nurse include in the plan?
- ANSWER-Use a turn sheet to reposition the client.
Expected changed with aging as it relates to food: - ANSWER-
food taste bland even after seasoning it.
A client who has leukemia and is receiving therapy should place
their toothbrush in - ANSWER-hydrogen peroxide
A nurse is reinforcing teaching with a client prior to the removal of a
leg cast. Which of the following statements should indicate to the
nurse that the client understands the teaching? - ANSWER-"I will
feel vibrations on my leg from the cast cutter."
For each finding, click to specify if the finding is consistent with
emphysema, asthma, or pneumonia. Each finding may support
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more than 1 disease process. - ANSWER-Temperature -
pneumonia
Breath sounds - emphysema, asthma, & pneumonia Respiratory
rate - emphysema, asthma, & pneumonia Cough - emphysema,
asthma, & pneumonia
With skeletal traction, allow - ANSWER-the weights to hang
freely.
Limit intake to prevent osteoporosis - ANSWER-coffee
A nurse is reviewing the laboratory reports of a client who reports
chest pain. Which of the following laboratory results indicates the
client is experiencing a myocardial infarction? - ANSWER-
Elevated troponin
In preparing a client for cardiac catheterization, the nurse must first
verify that the client has given - ANSWER-informed consent.
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated. - ANSWER-Request a
chest x-ray - not indicated
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Place the client in reverse Trendelenburg position - indicated Assist
with administering a 0.9% sodium chloride 200 mL IV bolus
- indicated
Apply oxygen at 2 L/min via nasal cannula - indicated Notify the
charge nurse immediately - indicated Obtain the client's blood
glucose level - not indicated
When instructing a client who has the new hearing aid, the nurse
should instruct to adjust the volume where you can hear others
speak at a distance of - ANSWER-3 feet
A nurse is monitoring a client who has a cast and reports intense
itching underneath the cast. Which of the following actions should
the nurse take? - ANSWER-Blow cool air into the cast using a blow
dryer on a cool setting.
A nurse is reinforcing teaching with a client about testicular self-
examination. Which of the following instructions should the nurse
include in the teaching? - ANSWER-"Perform testicular self-
examination after taking a warm shower."