ATI - ADULT MEDICAL SURGICAL NGN B QUESTIONS AND CORRECT ANSWERS

ATI - ADULT MEDICAL SURGICAL NGN
B QUESTIONS AND CORRECT
ANSWERS
AA2nurseA2isA2providingA2teachingA2toA2aA2clientA2whoA2isA2perimenopausalA2andA2hasA2aA2
prescriptionA2forA2hormoneA2replacementA2therapy.A2ForA2whichA2ofA2theA2followingA2adve
rseA2effectsA2shouldA2theA2nurseA2instructA2theA2clientA2toA2notifyA2theA2provider?A2-A2Ans--
CalfA2pain
NumbnessA2inA2theA2arms
IntenseA2headache

AA2nurseA2isA2planningA2careA2forA2aA2clientA2whoA2isA2postoperativeA2followingA2aA2laparo
tomyA2andA2hasA2aA2closed-
suctionA2drain.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2takeA2toA2manag
eA2theA2drain?A2-A2Ans--CompressA2theA2drainA2reservoirA2afterA2emptying.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2hasA2DKA.A2WhichA2ofA2theA2followingA2findings
A2shouldA2indicateA2toA2theA2nurseA2thatA2theA2client'sA2conditionA2isA2improving?A2-A2Ans--
GlucoseA2272A2mg/dL

AA2nurseA2isA2reviewingA2theA2laboratoryA2findingsA2ofA2aA2clientA2whoA2developedA2chestA
2painA26A2hrA2ago.A2TheA2nurseA2shouldA2identifyA2whichA2ofA2theA2followingA2findingsA2asA
2anA2indicationA2ofA2aA2myocardialA2infarctionA2(MI)?A2-A2Ans--TroponinA2IA28A2ng/mL


AA2nurseA2isA2planningA2aA2healthA2promotionalA2presentationA2forA2aA2groupA2ofA2AfricanA
2AmericanA2clientsA2atA2aA2communityA2center.A2WhichA2ofA2theA2followingA2disordersA2pre
sentsA2theA2greatestA2riskA2toA2thisA2groupA2ofA2clients?A2-A2Ans--hypertension

AA2nurseA2isA2providingA2educationA2toA2aA2clientA2whoA2isA2atA2riskA2forA2osteoporosis.A2W
hichA2ofA2theA2followingA2instructionsA2shouldA2theA2nurseA2include?A2-A2Ans--
WalkA2forA230A2minA2fourA2timesA2perA2week.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2hasA2anA2arterialA2line.A2WhichA2ofA2theA2followi
ngA2actionsA2shouldA2theA2nurseA2take?A2-A2Ans--
PlaceA2aA2pressureA2bagA2aroundA2theA2flushA2solution.

AA2nurseA2isA2reviewingA2theA2ABGA2resultsA2ofA2aA2clientA2whoA2hasA2advancedA2COPD.A
2WhichA2ofA2theA2followingA2resultsA2shouldA2theA2nurseA2expect?A2-A2Ans--PaCO2A256


AA2nurseA2isA2providingA2postoperativeA2teachingA2forA2aA2clientA2whoA2hadA2aA2totalA2kne
eA2arthroplasty.A2WhichA2ofA2theA2followingA2instructionsA2shouldA2theA2nurseA2include?A2-
A2Ans--FlexA2theA2footA2everyA2hourA2whenA2awake.

,AA2nurseA2isA2planningA2careA2forA2aA2clientA2whoA2isA2postoperativeA2followingA2aA2parath
yroidectomy.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2identifyA2asA2theA2
priority?A2-A2Ans--PlaceA2aA2tracheostomyA2trayA2atA2theA2bedside.

AA2nurseA2isA2evaluatingA2theA2planA2ofA2careA2forA2fourA2clientsA2afterA22A2daysA2ofA2hospi
talization.A2TheA2nurseA2shouldA2identifyA2theA2needA2toA2reviseA2theA2planA2forA2whichA2of
A2theA2followingA2clients?A2-A2Ans--
AA2clientA2whoA2isA2postoperativeA2followingA2abdominalA2surgeryA2andA2reportsA2feelingA2
thatA2somethingA2"popped"A2whenA2theyA2coughed

AA2nurseA2isA2checkingA2theA2ECGA2rhythmA2stripA2forA2aA2clientA2whoA2hasA2aA2temporary
A2pacemaker.A2TheA2nurseA2notesA2aA2pacemakerA2artifactA2followedA2byA2aA2QRSA2comp
lex.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2take?A2-A2Ans--
DocumentA2thatA2depolarizationA2hasA2occurred.

AA2nurseA2isA2providingA2dischargeA2instructionsA2toA2aA2clientA2whoA2hasA2activeA2tuberc
ulosisA2(TB).A2WhichA2ofA2theA2followingA2informationA2shouldA2theA2nurseA2includeA2inA2th
eA2instructions?A2-A2Ans--
SputumA2specimensA2areA2necessaryA2everyA22A2toA24A2weeksA2untilA2thereA2areA2threeA2
negativeA2cultures.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2receivingA2aA2bloodA2transfusion.A2TheA2clie
ntA2becomesA2restless,A2dyspneic,A2andA2hasA2cracklesA2notedA2toA2theA2lungA2bases.A2W
hichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2anticipateA2taking?A2-A2Ans--
SlowA2theA2infusionA2rate

AA2nurseA2isA2assessingA2aA2clientA2whoA2isA2postoperativeA2followingA2aA2thyroidectomy.A
2WhichA2ofA2theA2followingA2findingsA2isA2theA2nurse'sA2priority?A2-A2Ans--
TemperatureA238.9°A2CA2(102°A2F)

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2hasA2homonymousA2hemianopsiaA2asA2aA2resul
tA2ofA2aA2stroke.A2ToA2reduceA2theA2riskA2ofA2fallsA2whenA2ambulating,A2theA2nurseA2should
A2provideA2whichA2ofA2theA2followingA2instructionsA2toA2theA2client?A2-A2Ans--
ScanA2theA2environmentA2byA2turningA2yourA2headA2fromA2sideA2toA2side.

AA2PACUA2nurseA2isA2assessingA2aA2clientA2whoA2isA2postoperativeA2followingA2aA2rightA2n
ephrectomy.A2TheA2client'sA2initialA2vitalA2signsA2wereA2heartA2rateA280/
min,A2bloodA2pressureA2130/70A2mmA2Hg,A2respiratoryA2rateA216/
min,A2andA2temperatureA236°A2CA2(96.80A2F).A2WhichA2ofA2theA2followingA2vitalA2signA2cha
ngesA2shouldA2alertA2theA2nurseA2thatA2theA2clientA2mightA2beA2hemorrhaging?A2-A2Ans--
HeartA2rateA2110/min

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA28A2hrA2postoperativeA2followingA2aA2totalA2hi
pA2arthroplasty.A2TheA2clientA2isA2unableA2toA2voidA2onA2theA2bedpan.A2WhichA2ofA2theA2foll

, owingA2actionsA2shouldA2theA2nurseA2takeA2first?A2-A2Ans--
ScanA2theA2bladderA2withA2aA2portableA2ultrasound.

AA2nurseA2isA2assessingA2aA2clientA2whoA2hasA2advancedA2lungA2cancerA2andA2isA2receivi
ngA2palliativeA2care.A2TheA2clientA2hasA2justA2undergoneA2thoracentesis.A2TheA2nurseA2sh
ouldA2expectA2aA2reductionA2inA2whichA2ofA2theA2followingA2commonA2manifestationsA2ofA2
advancedA2cancer?A2-A2Ans--Dyspnea

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2postoperative.A2-A2Ans--Nurses'A2Notes
ClientA2admittedA2toA2medical-
surgicalA2unitA2fromA2PACU.A2ClientA2reportsA2incisionalA2painA2asA22A2onA2aA2scaleA2ofA20
A2toA210.A2ClientA2appearsA2restlessA2andA2frequentlyA2asksA2forA2water.A2BilateralA2lowerA
2extremitiesA2coolA2withA2+1A2pedalA2pulses.A2UrineA2outputA2isA240A2mLA2forA2theA2pastA22
A2hr.A2ModerateA2amountA2ofA2brightA2redA2drainageA2notedA2onA2surgicalA2incisionA2dress
ing.A2

VitalA2Signs
TemperatureA237.6°A2CA2(99.7°A2F)
HeartA2rateA2114/min
RespiratoryA2rateA222/min
BloodA2pressureA288/54A2mmA2Hg
OxygenA2saturationA293%A2onA2roomA2air

DiagnosticA2Results
HgbA218A2g/dLA2(12A2toA216A2g/dL)
HctA254%A2(37%A2toA247A2%)
TotalA2WBCA2countA211,000/mm3A2(5,000A2toA210,000/mm3)
TroponinA2TA20.04A2ng/mLA2(lessA2thanA20.1A2ng/mL)

MedicalA2History.
HistoryA2ofA2hypertension.A2AcuteA2myocardialA2infarctionA21A2yearA2ago.

CompleteA2theA2diagramA2byA2draggingA2fromA2theA2choicesA2belowA2toA2specifyA2whatA2c
onditionA2theA2clientA2isA2mostA2likelyA2experiencing,A2twoA2actionsA2theA2nurseA2shouldA2t
akeA2toA2addressA2thatA2condition,A2andA2twoA2parametersA2theA2nurseA2shouldA2monitorA2
toA2assessA2theA2client'sA2progress.A2-A2Ans--TheA2nurseA2shouldA2insertA2aA2large-
gaugeA2IVA2andA2initiateA2aA2fluidA2challengeA2becauseA2theA2clientA2isA2mostA2likelyA2exp
eriencingA2hypovolemiaA2asA2evidencedA2byA2theA2client'sA2restlessness,A2tachycardia,A2h
ypotension,A2decreasedA2pulses,A2coolA2extremities,A2andA2decreasedA2urineA2output.A2T
heA2nurseA2shouldA2monitorA2theA2client'sA2urineA2outputA2andA2bloodA2pressureA2toA2eval
uateA2theA2effectivenessA2ofA2treatment.

AA2homeA2healthA2nurseA2isA2providingA2teachingA2toA2aA2clientA2whoA2hasA2aA2stageA21A2p
ressureA2injuryA2onA2theA2greaterA2trochanterA2ofA2hisA2leftA2hip.A2WhichA2ofA2theA2followin
gA2instructionsA2shouldA2theA2nurseA2includeA2inA2theA2teaching?A2-A2Ans--
ChangeA2positionA2everyA2hour