RN ATI Medical Surgical 2016 Combination - $18.49   Add to cart

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RN ATI Medical Surgical 2016 Combination

RN ATI Medical Surgical 2016 Combination Medical Surgical 3 Combination (All 3 forms New Questions by ATI) 1. 2. 3. 4. A nurse is preparing to administer a unit of packed RBCs (Unable to read) A. Obtain the client’s first set of vital signs 1 hr. after B. Initiate venous access with a 21-gauge needle C. Administer the unit of packed RBCs over 1 hr. D. Use Y tubing with 0.9% sodium chloride when administering the 5. A nurse is planning care for a client who has upper gastrointestinal bleeding during (Unable to read) nurse plan to take? A. Insert large bore NG tube B. Ensure that the client has 22-gauge IV line in place C. Provide ketorolac for abdominal pain D. Administer nitroprusside IV based on client’s weight 6. A nurse is caring for a client who has intractable vomiting. The client’s ABG findings are Ph 7.8 HCO3 35 mEq Pao2 90mm Hg. The nurse should identify these findings as indicating which of the following acid base imbalances? A. Respiratory alkalosis B. Metabolic acidosis C. Respiratory acidosis D. Metabolic alkalosis 7. The nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make? A. “Your breathing pattern causes this” B. “Suction pressure that is too high causes this” C. “This means your lung is fully expanded” D. “This indicates a possible leak” 8. A. B. C. D. 9. A nurse is reviewing the laboratory result report (Unable to read) A. Decreased serum amylase B. Elevated serum calcium C. Decreased erythrocyte sedimentation rate D. Elevated blood glucose level 10. A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following should the nurse do first? A. Flush IV catheter B. Reposition Client’s left arm C. Ensure the tubing connection is secure D. Check the IV site for redness 11. A. B. C. D. 12. A nurse is providing teaching to a client who has left sided heart failure. Which of the following (Unable to read) teaching? A. Neck distention B. Anorexia C. Ankle edema D. Hacking cough 13. A. B. C. D. 14. A nurse is administering packed RBC’s to a client. The nurse (Unable to read) the following actions should the nurse take first? (Patient was having a reaction) A. Stop the infusion B. Collect a urine sample C. Administer oxygen to the client D. Check the client’s vital signs 15. A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the following should the nurse include? A. Limit visitation time for the client’s children to 40 minutes a day B. Provide a diet of fresh fruits and vegetables for the client C. Apply new gloves when alternating between wound care sites D. Clean the equipment in the client’s room once per week 16. 17. A nurse is teaching a adult who is immunocompromised (Unable to read) Patient has HIV which to give? (I think) A. Varicella B. Herpes zoster C. Pneumococcal D. Measles, mumps rubella 18. A nurse is assessing a client who is taking digoxin. Which of the following findings should the nurse the nurse looks for? A. Potassium level of 4.3 mEq/L B. Elevated heart rate C. Digoxin level 0.8 ng/mL D. Appearance of halos around (unable to read) 19. 20. A nurse is assessing a client who is taking (Unable to read) A. Frequent nonproductive cough B. Frequent painless urination C. Potassium 3.5 mEq/L D. Blood pressure 108/62 mm Hg 21. A. B. C. D. 22. A. B. C. D. 23. A. B. C. D. 24. A. B. C. D. 25. A. B. C. D. 26. 27. A. B. C. D. 28. A nurse is monitoring a client’s heart rhythm following an insertion of a pacemaker. Which of the following should the nurse inspect? (I think it’s A) 29. A. B. C. D. 30. A nurse is teaching a client who has heart failure. Which of the following responses should the client understand the teaching? A. “I should take ibuprofen for a headache” B. “I can have a total of 4 grams of sodium each day” C. “I will weigh myself at different times of the day to monitor fluid retention” D. “I should be able to have a conversation while exercising” 31. 32. A nurse is providing teaching to a client and his partner about performing peripheral dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication? A. Cloudy effluent B. Generalized abdominal pain C. Increased heart rate D. Fever 33. A. B. C. D. 34. A nurse is implementing care for a client who is in 8 hr. post-operative following (unable to read) should the nurse plan to perform first? (Catherization?) A. Measure the client’s core temperature B. Examine surgical incision for drainage C. Palpate pulses distal to the graft donor site D. Auscultate breath sounds 35. A nurse is calculating fluid input for a client who is receiving a continuous IV infusion of 0.9% sodium chloride (unable to read) bolus every 4 hours. How many mL did the client receive per IV infusions over the past 24 hours? 3300 mL 36. A nurse is planning care for a client who has a seizure disorder. (Unable to read) A. Wrist restraints B. Oral airway C. Tongue blade D. NG tube 37. A nurse is caring for a client who is taking propranolol migraines. Which of the following A. Fatigue B. Tachycardia C. Dizziness D. Hypertension E. Shortness of breath 38. A nurse is reviewing the laboratory values of a client. Which of the following values (Unable to read) (TO report?) A. BUN 80 B. Potassium 4.0 C. Serum creatine 0.8 D. Arterial blood pH 7.45 39. A nurse in a provider’s office is caring for a client with (Unable to read) (Client was blind) (Answer might be B or D) A. Command the dog to sit while talking to the client B. Consult the client before approaching the dog C. Offer the dog a bowl of water to demonstrate caring D. Pet the dog to demonstrate acceptance 40. 41. The nurse is providing preoperative teaching for a client who is having left sided cardiac catherization. Which of the following should the nurse include in the teaching? A. “You should expect a warm sensation after the injection of contrast dye during the procedure” B. “You should plan to remain in bed for 18 hours after the procedure” C. “You will have blood pressure measurements every 5 minutes for the first 2 hours after the procedure” D. “You will receive general anesthesia during the procedure” 42. A. Hypoactive bowel sounds B. Loose tracheal secretions C. High pitched sound on inspiration D. Client reports of pain in the incision site 43. A nurse is caring for a client who is using a ventilator. The client has several family members present (Unable to read) exhibiting agitation. Which of the following actions should the nurse take? (Client was making gestures) A. Apply bilateral wrist restraints B. Begin weaning the client of the ventilator C. Offer the client a pen and paper D. Ask the client’s family to leave the room 44. A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include? A. “Wear cotton rather than nylon socks” B. “Wear loose-fitting slippers around the house” C. “Use a heating pad to keep your feet warm at night” D. “Wash your feet twice per day with antibacterial soap and hot water” 45. 46. A triage nurse is assessing an older adult client who has a history of hypertension. Which of the following is an indication that the client is having a transient ischemic attack? A. Hearing loss B. Dry mouth C. Vertigo D. Aphasia E. Diplopia 47. A nurse is reviewing a client’s ECG rhythm strip. Which of the following components should the nurse use to measure impulsive sinus node through atrioventricular node? A. PP interval B. PR interval C. QRS Complex D. ST segment 48. A nurse is caring for a client who sustained a 30% body surface area burn 24 hr. ago. Which of the following (unable to read) the client’s response to fluid retention? A. Check the client’s hematocrit every 4hr B. Obtain the client’s weight every 4 hr. C. Record the client’s urinary output every hour D. Listen to the client’s lung sounds every hour 49. A. B. C. D. 50. 51. A. B. C. D. 52. A nurse is teaching a newly licensed nurse about administering total parenteral nutrition (TPN) Which statement by the newly licensed nurse indicated an understanding of the teaching? A. “I will check the client’s blood glucose level every 48 hours” B. “I will hang a new bag of TPN solution every 36 hours” C. “I will weigh the client once a week” D. “I will change the TPN every 24 hours” 53. A nurse is assessing a client who has sepsis. Which of the following (Unable to read) inflammatory response? A. Hypotension B. WBC count 6,000/mm3 C. Polyuria D. Blood glucose 48 mg/dl 54. 55. A nurse is caring for a client who is receiving desmopressin for diabetes insipidus. Which of the following should the nurse assess for? A. Assess the client for tinnitus B. Encourage the client to drink fluid in an amount equal to her urine output C. Monitor the client’s urine ketones D. Weight the client twice per week 56. 57. A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following should the nurse include in the teaching? A. “Your provider will discontinue your medications after 3 months of therapy” B. “You will need to return in 2 weeks to provide a sputum specimen” C. “You should wear an N95 respirator mask when you are at home” D. “You can drink alcohol after the first 6 weeks of treatment” 58. 59. A nurse is in the emergency room department and is reviewing the medical record of a female client. Which of the following actions should the nurse take? Exhibit 1 O2 Saturation 895 on room air Pain of 3 on a scale from 0 to 10 Respiratory rate 30/min Temperature 38.3 °C (100.9 °F) BP 96/64 mm Hg Heart rate 98/min Exhibit 2 Reports fatigue, night sweats for 3 weeks, unplanned weight loss 3.6 kg (8 lb.) in past month Short of breath with minimal exertion Cough productive with blood-streaked sputum Heart rate regular Exhibit 3 Chest x-ray; lesions in bilateral upper lung fields WBC count 1,000/mm3 Hemoglobin 12.5 g/dL Hematocrit 38% A. Assign client to a negative-pressure room B. Prepare the client for cardioversion C. Place the client in Trendelenburg D. Obtain consent for a transfusion for Packed RBCs 60. 61. A nurse is teaching a client who has methicillin-resistant Staphylococcus aureus infection of an open wound. Which of the following should the nurse identify as an indication that the client understands the teaching? A. “I will leave my wound open to air at night” B. “I will take a tub bath daily, so I can soak the wound” C. “I can continue to wrestle competitively if I cove the wound” D. “I will seal old dressings in a plastic bag before throwing them away” 62. A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment? A. Run a tongue blade on the outside of the client’s sole and note any flaring of the toes B. Gently elevate the client’s head and not any nuchal rigidity C. Tap the client’s facial nerve and note any facial twitching D. Strike the client’s patellar tendon with a percussion hammer and not any increase in response? 63. A nurse is planning to teach a client whose provider has prescribed a low-purine diet (Unable to read) include which of the following foods in the diet? (Select all that apply) A. Liver B. Sardines C. Scallops D. Apricots E. Nuts 64. A nurse is planning care for a client who has a pulmonary embolism A. Initiate a continuous IV heparin infusion B. Instruct the client to massage the lower extremities C. Position the client on the left side D. Measure vital signs every 4 hr. 65. A nurse is caring for an adult client who (Unable to read) (declining hearing) A. Ask the client if there is a family history of perichondritis B. Instruct the client to remove ear wax from the ear with cotton tipped swabs C. Recommend the client schedule a fitting for a hearing aid D. Encourage the client to make an appointment to have an audiometric exam 66. 67. 68. A nurse is assessing a client following extubating from a ventilator. For which of the following findings (Unable to read) A. Sore throat B. SaO2 92% C. Stridor D. Rhonchi 69. A nurse is caring for a client who is stable with ventricular tachycardia at a rate of 168/min. Before applying defibrillator (unable to read) Which of the following actions should the nurse take? A. Confirm the rhythm with a 12-lead ECG B. Set the monitor at 360 joules C. Administer potassium chloride 10 mEq IV Bolus D. Set the monitor on “defibrillation” mode 70. A nurse is assessing a client who is near the end of life care following a head injury. The client has alternating periods of rapid breathing and apnea. The nurse should document this finding as which of the following respiratory patters? A. Cheyne Stokes respirations B. Kussmaul respirations C. Biot’s respirations D. Hypoventillatory respirations 71. A nurse is planning care for a client who has diabetic ketoacidosis. Which of the following interventions should the nurse implement? A. Restrict the client’s fluid intake to 1500mL/day B. Check the clients blood glucose levels before meal and at bed time C. Administer continuous IV infusion of regular insulin D. Withhold medications containing potassium chloride 72. A nurse is assessing a client who is receiving radiation therapy to the head and neck. Which of the following findings should the nurse expect? A. Epistaxis B. Tinnitus C. Diplopia D. Xerostomia Unable to get more, the following are ones I remember seeing A nurse is providing discharge teaching to an older adult client who had an exacerbation of COPD. (Unable to read) metered dose inhaler. Which of the following instructions should the nurse include? A. Obtain a yearly influenza immunization B. Avoid pursed-lip breathing C. Limit fluid intake to 1 L per day. D. Use fluticasone as needed for shortness of breath A nurse is caring for a client receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when planning the patient’s meals? A. Offer hot beverages with meals B. Offer frequent high-carbohydrate meals C. Offer a snack prior to radiation therapy D. Offer highly seasoned food A nurse is teaching a client who has hypertension and has a new prescription for lisinopril. For which of the medications should nurse alert, which of the following medications in the client’s medication administration record? A. Levothyroxine B. Potassium chloride C. Metformin D. Acetaminophen A nurse is caring for a client who has had a subtotal thyroidectomy. Which of the following (Unable to read) (Nurse should be on the lookout for?) A. Hypocalcemia B. Hemorrhage C. Stridor D. Decreased urine output A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include? A. “Wear cotton rather than nylon socks” B. “Wear loose-fitting slippers around the house” C. “Use a heating pad to keep your feet warm at night” D. “Wash your feet twice per day with antibacterial soap and hot water” A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing? A. Dry brown eschar B. Dark red granulation tissue C. Wound tissue firm to palpitation D. Light yellow exudate A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. “I soak my feet in hot water before trimming my toenails” B. “I rest in my recliner with my feet elevated for about an hour every afternoon” C. “I use my heating pad on low setting to keep my feet warm” D. “I apply a lubricating lotion to the cracked areas on the soles of my feet every morning” A nurse is caring for a client who has diabetes insipidus and has had a urinary output of 3,000 mL in the past 12 hr. Which medications should the nurse expect to administer to the client? A. Dopamine B. Furosemide C. Desmopressin acetate D. Spironolactone A nurse is assessing a client who is receiving valsartan to treat heart failure. Which (Unable to read) indication that the medication is effective? A. Increased heart rate B. Decreased urinary output C. Increased potassium level D. Decreased blood pressure

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