ne
sh
ne
la
ATI MED SURG MIDTERM EXAM COMPLETE SOLUTION
tz
sh
Sp
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+ ne
la
sh
Sp
ne
la
A 45-year-old man with diabetic nephropathy has end-stage
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sh
Sp
renal disease and is starting dialysis. What should the nurse
ne
teach the patient about hemodialysis? - CORRECT ANSWER-a.
la
"Hemodialysis is a treatment option that is usually required
sh
Sp
three times a week."
ne
la
tz
sh
Sp
Mr. John Oliver, with a history of HTM an DM presents with
ne
"crushing" substernal chest pain, diaphoresis, hypotension,
la
sh
tachycardia, and cool, clammy extremities. What type of shock
Sp
ne
do you suspect? - CORRECT ANSWER-Cardiogenic
la
tz
sh
Sp
ne
A client in the ICU has had an endotracheal tube in place for
la
3 weeks. The health care provider has ordered a tracheostomy
sh
tube be placed. The client's family wants to know why the
Sp
ne
endotracheal tube cannot be left in place. What would be the
a
nurse's best response? - CORRECT ANSWER-a. "When an
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l
sh
Sp
endotracheal tube is left in too long it can damage the lining of
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the windpipe."
la
sh
Sp
la
Sp
, ne
sh
ne
la
The nurse is caring for a client in the ICU admitted with ARDS
tz
sh
Sp
after exposure to toxic fumes from a hazardous spill at work.
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The client has become hypotensive. What is the cause of this
la
complication to the ARDS treatment? - CORRECT ANSWER-a.
sh
Sp
Hypovolemia secondary to leakage of fluid into the interstitial
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spaces.
la
tz
sh
Sp
ne
A nurse educator is reviewing the indications for chest
la
drainage systems with a group of medical nurses. What
sh
Sp
ne
indications should the nurse identify? Select all the apply. -
la
CORRECT ANSWER-a. Spontaneous pneumothorax b. Chest
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sh
trauma resulting is pneumothorax
Sp
ne
c. Post thoracotomy
la
sh
Sp
ne
A team of nurses are reviewing the similarities and
la
tz
differences between the different classifications of shock.
sh
Sp
Which sub-classifications of distributive shock should nurses
ne
la
identify? - CORRECT ANSWER-a. Neurogenic b. Anaphylactic
sh
Sp
c. Septic
ne
a
tz
l
sh
The nurse is caring for a patient admitted with cardiogenic
Sp
ne
shock. The patient is experiencing chest pain and there is an
la
sh
Sp
la
Sp
, ne
sh
order for the administration of morphine. IN addition to pain
ne
la
control, what is the main rationale for administering morphine
tz
sh
to this patient? - CORRECT ANSWER-It dilates blood vessels
Sp
ne
la
A client is responding poorly to interventions aimed at treating
sh
Sp
shock and appears to be transitioning to the irreversible stage
ne
of shock. What action should the intensive
la
tz
care nurse include during this phase of the client's care? -
sh
Sp
ne
CORRECT ANSWER-Communicate clearly and frequently with
la
the client's family
sh
Sp
ne
la
The acute care nurse is providing care for an adult patient who
tz
sh
is in hypovolemic shock. The nurse recognizes that antidiuretic
Sp
ne
hormone plays a significant role in this health problem. What
la
assessment finding will the nurse most likely observe related to
sh
Sp
the role of AD during hypovolemic shock? - CORRECT ANSWER-
ne
Decreased Urinary Output
la
tz
sh
Sp
ne
The nurse in the ICU is admitting a 57-year old man with a
la
diagnosis of possible septic shock. The nurse's assessment
sh
Sp
reveals that the client has a normal blood pressure, increased
ne
a
heart rate, decreased bowel sounds, and cold, clammy skin. The
tz
l
sh
nurse's analysis of these data should lead to what preliminary
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
conclusion? - CORRECT ANSWER-The client is in the
ne
la
compensatory stage of shock
tz
sh
Sp
ne
Which safety measures would me most important to implement
la
when caring for a client who is receiving 2 units of packed red
sh
Sp
ne
bloods cells (PRBCs)? Select ALL that apply - CORRECT ANSWER-
la
a. Stop the transfusion if a reaction occurs
tz
sh
Sp
b. Inspect the blood bag for leaks, abnormal color, and clots
ne
la
c. Infuse a unit of PRBCs in < 4 hours
sh
Sp
ne
la
D.H. is diagnosed with hypomagnesemia, which nursing
tz
sh
intervention would be appropriate? - CORRECT ANSWER-a.
Sp
ne
Instituting seizure reaction to prevent patient injury
la
sh
Sp
ne
A nurse in the ICU is planning the care of a client who is being
la
treated for shock. What statement best describes the
tz
sh
Sp
pathophysiology of this client's health problem? - CORRECT
ne
ANSWER-a. Cells lack an adequate blood supply and are
la
deprived of oxygen and nutrient
sh
Sp
ne
a
tz
The critical care nurse is preparing to initiate an infusion of a
l
sh
Sp
vasoactive medication to a patient in shock. The nurse knows
ne
that vasoactive medications are given in all forms of shock.
la
sh
Sp
la
Sp
sh
ne
la
ATI MED SURG MIDTERM EXAM COMPLETE SOLUTION
tz
sh
Sp
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+ ne
la
sh
Sp
ne
la
A 45-year-old man with diabetic nephropathy has end-stage
tz
sh
Sp
renal disease and is starting dialysis. What should the nurse
ne
teach the patient about hemodialysis? - CORRECT ANSWER-a.
la
"Hemodialysis is a treatment option that is usually required
sh
Sp
three times a week."
ne
la
tz
sh
Sp
Mr. John Oliver, with a history of HTM an DM presents with
ne
"crushing" substernal chest pain, diaphoresis, hypotension,
la
sh
tachycardia, and cool, clammy extremities. What type of shock
Sp
ne
do you suspect? - CORRECT ANSWER-Cardiogenic
la
tz
sh
Sp
ne
A client in the ICU has had an endotracheal tube in place for
la
3 weeks. The health care provider has ordered a tracheostomy
sh
tube be placed. The client's family wants to know why the
Sp
ne
endotracheal tube cannot be left in place. What would be the
a
nurse's best response? - CORRECT ANSWER-a. "When an
tz
l
sh
Sp
endotracheal tube is left in too long it can damage the lining of
ne
the windpipe."
la
sh
Sp
la
Sp
, ne
sh
ne
la
The nurse is caring for a client in the ICU admitted with ARDS
tz
sh
Sp
after exposure to toxic fumes from a hazardous spill at work.
ne
The client has become hypotensive. What is the cause of this
la
complication to the ARDS treatment? - CORRECT ANSWER-a.
sh
Sp
Hypovolemia secondary to leakage of fluid into the interstitial
ne
spaces.
la
tz
sh
Sp
ne
A nurse educator is reviewing the indications for chest
la
drainage systems with a group of medical nurses. What
sh
Sp
ne
indications should the nurse identify? Select all the apply. -
la
CORRECT ANSWER-a. Spontaneous pneumothorax b. Chest
tz
sh
trauma resulting is pneumothorax
Sp
ne
c. Post thoracotomy
la
sh
Sp
ne
A team of nurses are reviewing the similarities and
la
tz
differences between the different classifications of shock.
sh
Sp
Which sub-classifications of distributive shock should nurses
ne
la
identify? - CORRECT ANSWER-a. Neurogenic b. Anaphylactic
sh
Sp
c. Septic
ne
a
tz
l
sh
The nurse is caring for a patient admitted with cardiogenic
Sp
ne
shock. The patient is experiencing chest pain and there is an
la
sh
Sp
la
Sp
, ne
sh
order for the administration of morphine. IN addition to pain
ne
la
control, what is the main rationale for administering morphine
tz
sh
to this patient? - CORRECT ANSWER-It dilates blood vessels
Sp
ne
la
A client is responding poorly to interventions aimed at treating
sh
Sp
shock and appears to be transitioning to the irreversible stage
ne
of shock. What action should the intensive
la
tz
care nurse include during this phase of the client's care? -
sh
Sp
ne
CORRECT ANSWER-Communicate clearly and frequently with
la
the client's family
sh
Sp
ne
la
The acute care nurse is providing care for an adult patient who
tz
sh
is in hypovolemic shock. The nurse recognizes that antidiuretic
Sp
ne
hormone plays a significant role in this health problem. What
la
assessment finding will the nurse most likely observe related to
sh
Sp
the role of AD during hypovolemic shock? - CORRECT ANSWER-
ne
Decreased Urinary Output
la
tz
sh
Sp
ne
The nurse in the ICU is admitting a 57-year old man with a
la
diagnosis of possible septic shock. The nurse's assessment
sh
Sp
reveals that the client has a normal blood pressure, increased
ne
a
heart rate, decreased bowel sounds, and cold, clammy skin. The
tz
l
sh
nurse's analysis of these data should lead to what preliminary
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
conclusion? - CORRECT ANSWER-The client is in the
ne
la
compensatory stage of shock
tz
sh
Sp
ne
Which safety measures would me most important to implement
la
when caring for a client who is receiving 2 units of packed red
sh
Sp
ne
bloods cells (PRBCs)? Select ALL that apply - CORRECT ANSWER-
la
a. Stop the transfusion if a reaction occurs
tz
sh
Sp
b. Inspect the blood bag for leaks, abnormal color, and clots
ne
la
c. Infuse a unit of PRBCs in < 4 hours
sh
Sp
ne
la
D.H. is diagnosed with hypomagnesemia, which nursing
tz
sh
intervention would be appropriate? - CORRECT ANSWER-a.
Sp
ne
Instituting seizure reaction to prevent patient injury
la
sh
Sp
ne
A nurse in the ICU is planning the care of a client who is being
la
treated for shock. What statement best describes the
tz
sh
Sp
pathophysiology of this client's health problem? - CORRECT
ne
ANSWER-a. Cells lack an adequate blood supply and are
la
deprived of oxygen and nutrient
sh
Sp
ne
a
tz
The critical care nurse is preparing to initiate an infusion of a
l
sh
Sp
vasoactive medication to a patient in shock. The nurse knows
ne
that vasoactive medications are given in all forms of shock.
la
sh
Sp
la
Sp
