MED SURG ATI PROCTORED EXAM||
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A nurse is preparing a client for a lumbar puncture. Which of the following images
indicates the position the nurse should assist the client into for this procedure? -
ANSWER> "Cannonball position on the side" (picture #4)
A nurse is reviewing a clients ABG results: pH 7.42, PaCO2 30 mm Hg, and
HCO3 -21 mEq/L. The nurse should recognize these findings as an indication of
which of the following conditions?
1.Compensated respiratory alkalosis
2.Uncompensated respiratory acidosis
3.Metabolic acidosis
4.Metabolic alkalosis - ANSWER> Compensated respiratory alkalosis
A nurse is preparing to administer daily medications to a client who is undergoing
a procedure at 1000 that requires IV contrast dye. Which of the following routine
medications to give at 0800 should the nurse withhold?
1.Metoprolol
2.Metformin
3.Fluticasone
4.Valproic Acid - ANSWER> 2.Metformin
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A nurse is caring for a client who has a pressure ulcer with necrotic tissue and
requires wet to damp dressing changes daily. Which of the following types of
debridement should the nurse include in the plan of care?
1.Enzymatic
2.Surgical
3.Autolytic
4.Mechanical - ANSWER> 4.Mechanical
A nurse is caring for a female who has toxic shock syndrome. Which of the
following findings should the nurse expect?
1.Elevated platelet count
2.Decreased total bilirubin
3.Generalized rash
4.Hypertension - ANSWER> 3.Generalized rash
A nurse is preparing to administer a medication for a client though a nontunneled
percutaneous central catheter. Which of the following actions should the nurse
take?
1.Close the inline clamp
2.Apply a local anesthetic to the skin
3.Don sterile gloves
4.Flush the catheter with 10 mL of 0.9% sodium chloride. - ANSWER> 4.Flush
the catheter with 10 mL of 0.9% sodium chloride.
A nurse is caring for a client who was admitted with nausea, vomiting, and a
possible bowel obstruction. An NG tube is placed and set to a low intermittent
suction. Which of the following findings should the nurse report to the provider?
1.The client reports being extremely thirst with a sore throat
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2.The drainage is bright green in color with brown fecal material
3.The amount of drainage is gradually decreasing
4.The client's abdomen becomes distended and firm - ANSWER> 4.The client's
abdomen becomes distended and firm
A nurse is reviewing the medical record of a client who has diabetes insipidus.
Which of the following findings should the nurse expect?
1.Elevated blood pressure
2.Hypothermia
3.Urine specific gravity 1.001
4.Bun 15 mg/d - ANSWER> 3.Urine specific gravity 1.001
The nurse is caring for a client who has hyperthyroidism and develops thyroid
storm. Which of the following instructions should the nurse give to the client
regarding management of thyroid storm?
1.You will need to begin taking an ACE inhibition medication
2.You will need a pacemaker to increase your heart rate
3.You will need a cooling blanket to lower your body temperature
4.You will need additional thyroid supplementation - ANSWER> 3.You will need
a cooling blanket to lower your body temperature
The nurse is reviewing the medical record of a client who has acute gout. The
nurse should expect an increase in which of the following laboratory results?
1.Uric acid
2.Intrinsic factor
3.Creatinine kinase
4.Chloride level - ANSWER> 1.Uric acid
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A nurse is preparing to administer peritoneal dialysis to a client. Which of the
following actions should the nurse take?
1.Use clean technique to access the catheter
2.Chill the dialysate before administration
3.Hang the drainage bag below the client's abdomen
4.Place the client in high-Fowler's position. - ANSWER> 3.Hang the drainage bag
below the client's abdomen
A nurse in the emergency department is caring for a client who has deep partial
thickness burns over 30% of his body, including his upper chest and abdomen.
Which of the following actions is the nurse priority?
1.Insert an 18-gauge IV catheter
2.Administer tetanus toxoid
3.Check the clients mouth for black particles
4.Remove the clients burned clothing. - ANSWER> 3.Check the clients mouth for
black particles
A nurse is presenting an in-service program about Parkinson's disease (PD). Which
of the following statements should the nurse include in teaching?
1.PD results form a decreased amount of dopamine in the client's brain
2.PD causes clients to have an increased sympathetic nervous system response
3.PD results in the development of neurofibrillary tangles within the client's brain
4.PD manifestations worsen due to the clients decreased production of
acetylcholine - ANSWER> 1.PD results form a decreased amount of dopamine in
the client's brain
A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which
of the following actions should the nurse take?