ATI EN ADULT MEDICAL SURGICAL
ONLINE PRACTICE 2023B-100 WITH
QUESTIONS AND 100% VERFIED
ANSWERS
A nurse is caring for a client in the ED.
Exhibit 1, 2, 3...
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - correct answer.💖💖💖💖✔<<<<<actions to
take:
1. Administer morphine IV
2. Ensure the client is NPO
potential condition:
Cholecystitis
Parameters to monitor:
1. Monitor the client for dark urine
2. Monitor the color or the client's stools.
The nurse should plan to administer an opioid analgesic, such as morphine, for acute pain. Since the
client is experiencing nausea and vomiting, the nurse should also ensure they are NPO. The client is
likely experiencing cholecystitis, which typically presents with nausea, vomiting, upper abdominal pain
that radiates to the right shoulder, fever, and dyspepsia. The client also has elevated liver enzymes and a
WBC count, which is consistent with cholecystitis. Surgical management for cholecystitis might be
indicated. The nurse should monitor the client's stool and urine color because a biliary obstruction from
gallstones may cause clay-colored stools and dark urine.
,A nurse is caring for a client who was just admitted from the ED. Exhibit 1, 2...
Drag words from the choices below to fill in each blank in the following sentence.
The client is most likely experiencing target 1 and target 2.
Word Choices
a. acute chest syndrome
b. right-sided heart failure
c. fluid volume overload
d. pneumonia
e. pneumorhorax - correct answer.💖💖💖💖✔<<<<<The client is most likely experiencing a. ACUTE
CHEST SYNDROME and d. PNEUMONIA.
Acute chest syndrome is correct. The client is most likely experiencing acute chest syndrome, which can
be caused by respiratory infections and debris from sickled cells. The client is displaying manifestations
of acute chest syndrome, which include cough, shortness of breath, wheezing, tachypnea, fever, and
chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia as evidenced by the
manifestations of cough, shortness of breath, fever, tachypnea, blood-tinged sputum, and chest pain.
Part 1 - A nurse is caring for a client. Exhibit 1, 2, 3, 4...
For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or
pneumonia. Each finding may support more than 1 disease process. - correct
answer.💖💖💖💖✔<<<<<Temperature is consistent with pneumonia. Fever is a manifestation of
pneumonia and is related to inflammation or infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia. The client's wheezing is a
manifestation of emphysema, asthma, and pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's ABG results indicate
respiratory acidosis, which is a manifestation of emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia. The client's respiratory rate is
a manifestation of emphysema, asthma, and pneumonia.
,Heart rate is consistent with emphysema and pneumonia. The client is experiencing tachycardia, which
is a manifestation of emphysema and pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The client's cough is a manifestation of
emphysema, asthma, and pneumonia.
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
Exhibit 1: Nurse's Notes...
The nurse provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching? SATA - correct answer.💖💖💖💖✔<<<<<"I will need to
do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the
following statements made by the client reflects an understanding of the teaching?
a. "I will need to take antibiotics for 1 year."
b. "My partner will need to take an antiviral medication."
c. "My joints ache because I have Lyme disease."
d. "I bruise easily because I have Lyme disease." - correct answer.💖💖💖💖✔<<<<<c. "My joints
ache because I have Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three
stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms continue
throughout stage II and, by stage III, become chronic. Other chronic complications include memory
problems and fatigue.
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous.
Which of the following actions should the nurse take?
a. Monitor the client's INR daily.
b. Expel air bubbles when using a prefilled syringe.
, c. Inject the medication into the anterolateral abdominal wall.
d. Massage the injection site after administration. - correct answer.💖💖💖💖✔<<<<<c. Inject the
medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse
should recognize that which of the following complications is associated with long-term mechanical
ventilation?
a. Elevated blood pressure
b. Dehydration
c. Stress ulcers
d. Hypernatremia - correct answer.💖💖💖💖✔<<<<<c. Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels
of hydrochloric acid in the stomach. Stress ulcers increase the risk for systemic infection and require
pharmacological treatment.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following
findings should the nurse identify as the priority?
a. Report of sore throat
b. Report of memory loss
c. Alopecia
d. Mucositis - correct answer.💖💖💖💖✔<<<<<a. Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a report of a sore throat, which could be a manifestation of an infection. The client is
at risk for neutropenia due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the
nurse plan to administer?
ONLINE PRACTICE 2023B-100 WITH
QUESTIONS AND 100% VERFIED
ANSWERS
A nurse is caring for a client in the ED.
Exhibit 1, 2, 3...
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - correct answer.💖💖💖💖✔<<<<<actions to
take:
1. Administer morphine IV
2. Ensure the client is NPO
potential condition:
Cholecystitis
Parameters to monitor:
1. Monitor the client for dark urine
2. Monitor the color or the client's stools.
The nurse should plan to administer an opioid analgesic, such as morphine, for acute pain. Since the
client is experiencing nausea and vomiting, the nurse should also ensure they are NPO. The client is
likely experiencing cholecystitis, which typically presents with nausea, vomiting, upper abdominal pain
that radiates to the right shoulder, fever, and dyspepsia. The client also has elevated liver enzymes and a
WBC count, which is consistent with cholecystitis. Surgical management for cholecystitis might be
indicated. The nurse should monitor the client's stool and urine color because a biliary obstruction from
gallstones may cause clay-colored stools and dark urine.
,A nurse is caring for a client who was just admitted from the ED. Exhibit 1, 2...
Drag words from the choices below to fill in each blank in the following sentence.
The client is most likely experiencing target 1 and target 2.
Word Choices
a. acute chest syndrome
b. right-sided heart failure
c. fluid volume overload
d. pneumonia
e. pneumorhorax - correct answer.💖💖💖💖✔<<<<<The client is most likely experiencing a. ACUTE
CHEST SYNDROME and d. PNEUMONIA.
Acute chest syndrome is correct. The client is most likely experiencing acute chest syndrome, which can
be caused by respiratory infections and debris from sickled cells. The client is displaying manifestations
of acute chest syndrome, which include cough, shortness of breath, wheezing, tachypnea, fever, and
chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia as evidenced by the
manifestations of cough, shortness of breath, fever, tachypnea, blood-tinged sputum, and chest pain.
Part 1 - A nurse is caring for a client. Exhibit 1, 2, 3, 4...
For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or
pneumonia. Each finding may support more than 1 disease process. - correct
answer.💖💖💖💖✔<<<<<Temperature is consistent with pneumonia. Fever is a manifestation of
pneumonia and is related to inflammation or infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia. The client's wheezing is a
manifestation of emphysema, asthma, and pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's ABG results indicate
respiratory acidosis, which is a manifestation of emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia. The client's respiratory rate is
a manifestation of emphysema, asthma, and pneumonia.
,Heart rate is consistent with emphysema and pneumonia. The client is experiencing tachycardia, which
is a manifestation of emphysema and pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The client's cough is a manifestation of
emphysema, asthma, and pneumonia.
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
Exhibit 1: Nurse's Notes...
The nurse provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching? SATA - correct answer.💖💖💖💖✔<<<<<"I will need to
do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the
following statements made by the client reflects an understanding of the teaching?
a. "I will need to take antibiotics for 1 year."
b. "My partner will need to take an antiviral medication."
c. "My joints ache because I have Lyme disease."
d. "I bruise easily because I have Lyme disease." - correct answer.💖💖💖💖✔<<<<<c. "My joints
ache because I have Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three
stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms continue
throughout stage II and, by stage III, become chronic. Other chronic complications include memory
problems and fatigue.
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous.
Which of the following actions should the nurse take?
a. Monitor the client's INR daily.
b. Expel air bubbles when using a prefilled syringe.
, c. Inject the medication into the anterolateral abdominal wall.
d. Massage the injection site after administration. - correct answer.💖💖💖💖✔<<<<<c. Inject the
medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse
should recognize that which of the following complications is associated with long-term mechanical
ventilation?
a. Elevated blood pressure
b. Dehydration
c. Stress ulcers
d. Hypernatremia - correct answer.💖💖💖💖✔<<<<<c. Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels
of hydrochloric acid in the stomach. Stress ulcers increase the risk for systemic infection and require
pharmacological treatment.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following
findings should the nurse identify as the priority?
a. Report of sore throat
b. Report of memory loss
c. Alopecia
d. Mucositis - correct answer.💖💖💖💖✔<<<<<a. Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a report of a sore throat, which could be a manifestation of an infection. The client is
at risk for neutropenia due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the
nurse plan to administer?
