ATI Med Surg Proctored Exam Practice
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questions with verified answers
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A |nurse |is |caring |for |a |client |who |experienced |a |traumatic |head |injury |and |has |an |
intraventricular |catheter |(Ventriculostomy) |for |ICP |monitoring. |The |nurse |should |monitor |the |
client |for |which |of |the |following |complications |related |to |the |ventriculostomy?:
a. |Headache
b. |Infection
c. |Aphasia
d. |Hypertension |- | |correct |answers |b. |Infection
Monitor |for |infection |and |use |strict |asepsis |to |avoid |life-threatening |meningitis.
A |nurse |is |providing |education |to |a |client |who |is |to |undergo |an |EEG |the |next |day. |Which |of |
the |following |info |should |the |nurse |include |in |the |teaching?
a. |"Do |not |wash |your |hair |the |morning |of |the |procedure."
b. |"Try |and |stay |awake |most |of |the |night |prior |to |the |procedure."
c. |"The |procedure |will |take |approximately |15 |mins."
d. |"You |will |need |to |lie |flat |for |4 |hours |after |the |procedure." |- | |correct |answers |b. |"Try |and |
stay |awake |most |of |the |night |prior |to |the |procedure."
Tell |the |client |to |remain |awake |to |provide |cranial |stress |and |increase |the |possibility |of |
abnormal |electrical |activity
,A |nurse |is |caring |for |a |client |who |is |postprocedural |following |a |lumbar |puncture |and |reports |a
|throbbing |headache |when |sitting |upright. |Which |of |the |following |actions |should |the |nurse |
take? |SATA.
a. |Use |the |GCS |scale |to |assess |the |client
b. |Assist |the |client |into |a |supine |position
c. |Administer |an |opioid |analgesic
d. |Encourage |the |client |to |increase |PO |fluid |intake
e. |Instruct |the |client |to |perform |coughing |and |deep |breathing |- | |correct |answers |B, |D
A |nurse |is |caring |for |a |client |who |has |continuous |bladder |irrigation |following |a |transurethral |
resection |of |the |prostate |(TURP). |Which |of |the |following |findings |should |the |nurse |report |to |
the |provider?
a |Output |equal |to |the |instilled |irrigate
b. |Client |reports |bladder |spasms
c. |Viscous |urinary |output |with |clots
d. |Reports |of |strong |urge |to |urinate |- | |correct |answers |c. |Viscous |urinary |output |with |clots
Urine |that |is |bright |red |with |clots |is |an |indication |of |arterial |bleeding.
A |nurse |is |monitoring |the |ECG |of |a |client |who |has |hypocalcemia. |Which |of |the |following |
findings |should |the |nurse |expect?
a. |Flattened |T |waves
b. |Prolonged |QT |intervals
c. |Shortened |QT |intervals
d |Widened |QRS |complexes |- | |correct |answers |b. |Prolonged |QT |intervals
, Manifestations |of |hypocalcemia |include |tingling, |numbness, |tetany, |seizures, |prolonged |QT |
intervals, |and |laryngospasm.
A |nurse |is |preparing |a |client |who |has |a |brain |tumor |for |a |CT |scan. |Which |of |the |following |
factors |affects |the |manner |in |which |the |nurse |will |prepare |the |client |for |the |scan?
a. |No |food |or |fluids |consumed |for |4 |hours
b. |Difficulty |recalling |recent |events
c. |Development |of |hives |while |eating |shrimp
d. |Paresthesia |in |both |hands |- | |correct |answers |c. |Development |of |hives |while |eating |shrimp
Shellfish |allergy |is |contraindication |of |use |of |contrast |media |during |a |CT |scan.
A |nurse |is |preparing |an |in-service |program |about |the |stages |of |acute |kidney |injury. |Which |of |
the |following |pieces |of |info |should |the |nurse |include |about |prerenal |azotemia?
a. |Prerenal |azotemia |begins |prior |to |the |onset |of |symptoms
b. |Interference |with |renal |perfusion |causes |renal |azotemia
c. |Prerenal |azotemia |is |irreversible, |even |in |early |stages
d. |Infections |and |tumors |cause |prerenal |azotemia |- | |correct |answers |b. |Interference |with |renal
|perfusion |causes |prerenal |azotemia.
Prerenal |= |interference |with |renal |perfusion, |such |as |from |heart |failure |or |hypovolemic |shock.
A |nurse |is |teaching |a |client |who |has |CAD |about |the |difference |between |angina |pectoris |and |
MI. |Which |of |the |following |should |the |nurse |identify |as |indications |of |MI? |SATA.
a. |N/V
b. |Diaphoresis |and |dizziness
c. |Chest |and |left |arm |pain |that |subsides |with |rest
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questions with verified answers
| | |
A |nurse |is |caring |for |a |client |who |experienced |a |traumatic |head |injury |and |has |an |
intraventricular |catheter |(Ventriculostomy) |for |ICP |monitoring. |The |nurse |should |monitor |the |
client |for |which |of |the |following |complications |related |to |the |ventriculostomy?:
a. |Headache
b. |Infection
c. |Aphasia
d. |Hypertension |- | |correct |answers |b. |Infection
Monitor |for |infection |and |use |strict |asepsis |to |avoid |life-threatening |meningitis.
A |nurse |is |providing |education |to |a |client |who |is |to |undergo |an |EEG |the |next |day. |Which |of |
the |following |info |should |the |nurse |include |in |the |teaching?
a. |"Do |not |wash |your |hair |the |morning |of |the |procedure."
b. |"Try |and |stay |awake |most |of |the |night |prior |to |the |procedure."
c. |"The |procedure |will |take |approximately |15 |mins."
d. |"You |will |need |to |lie |flat |for |4 |hours |after |the |procedure." |- | |correct |answers |b. |"Try |and |
stay |awake |most |of |the |night |prior |to |the |procedure."
Tell |the |client |to |remain |awake |to |provide |cranial |stress |and |increase |the |possibility |of |
abnormal |electrical |activity
,A |nurse |is |caring |for |a |client |who |is |postprocedural |following |a |lumbar |puncture |and |reports |a
|throbbing |headache |when |sitting |upright. |Which |of |the |following |actions |should |the |nurse |
take? |SATA.
a. |Use |the |GCS |scale |to |assess |the |client
b. |Assist |the |client |into |a |supine |position
c. |Administer |an |opioid |analgesic
d. |Encourage |the |client |to |increase |PO |fluid |intake
e. |Instruct |the |client |to |perform |coughing |and |deep |breathing |- | |correct |answers |B, |D
A |nurse |is |caring |for |a |client |who |has |continuous |bladder |irrigation |following |a |transurethral |
resection |of |the |prostate |(TURP). |Which |of |the |following |findings |should |the |nurse |report |to |
the |provider?
a |Output |equal |to |the |instilled |irrigate
b. |Client |reports |bladder |spasms
c. |Viscous |urinary |output |with |clots
d. |Reports |of |strong |urge |to |urinate |- | |correct |answers |c. |Viscous |urinary |output |with |clots
Urine |that |is |bright |red |with |clots |is |an |indication |of |arterial |bleeding.
A |nurse |is |monitoring |the |ECG |of |a |client |who |has |hypocalcemia. |Which |of |the |following |
findings |should |the |nurse |expect?
a. |Flattened |T |waves
b. |Prolonged |QT |intervals
c. |Shortened |QT |intervals
d |Widened |QRS |complexes |- | |correct |answers |b. |Prolonged |QT |intervals
, Manifestations |of |hypocalcemia |include |tingling, |numbness, |tetany, |seizures, |prolonged |QT |
intervals, |and |laryngospasm.
A |nurse |is |preparing |a |client |who |has |a |brain |tumor |for |a |CT |scan. |Which |of |the |following |
factors |affects |the |manner |in |which |the |nurse |will |prepare |the |client |for |the |scan?
a. |No |food |or |fluids |consumed |for |4 |hours
b. |Difficulty |recalling |recent |events
c. |Development |of |hives |while |eating |shrimp
d. |Paresthesia |in |both |hands |- | |correct |answers |c. |Development |of |hives |while |eating |shrimp
Shellfish |allergy |is |contraindication |of |use |of |contrast |media |during |a |CT |scan.
A |nurse |is |preparing |an |in-service |program |about |the |stages |of |acute |kidney |injury. |Which |of |
the |following |pieces |of |info |should |the |nurse |include |about |prerenal |azotemia?
a. |Prerenal |azotemia |begins |prior |to |the |onset |of |symptoms
b. |Interference |with |renal |perfusion |causes |renal |azotemia
c. |Prerenal |azotemia |is |irreversible, |even |in |early |stages
d. |Infections |and |tumors |cause |prerenal |azotemia |- | |correct |answers |b. |Interference |with |renal
|perfusion |causes |prerenal |azotemia.
Prerenal |= |interference |with |renal |perfusion, |such |as |from |heart |failure |or |hypovolemic |shock.
A |nurse |is |teaching |a |client |who |has |CAD |about |the |difference |between |angina |pectoris |and |
MI. |Which |of |the |following |should |the |nurse |identify |as |indications |of |MI? |SATA.
a. |N/V
b. |Diaphoresis |and |dizziness
c. |Chest |and |left |arm |pain |that |subsides |with |rest
