Ati Rn Adult Medical Surgical Proctored Exam 2023/2024 Version (Ngn) With 100% Correct Answer

ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2023/2024 VERSION (NGN) WITH 100% CORRECT ANSWERS 1. A nurse is caring for a client who is in the first stage of labor. The nurse observes that umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first? - Insert a gloved hand into the vagina to relieve pressure on the cord 2. A coworker puts an arm around a nurse and says, “I bet you are a great lover.” Which of the following is an appropriate response by the nurse? - “Speaking to me like that makes me uncomfortable.” 3. A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? - Decrease the infusion rate 4. A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? - Dysphagia 5. A nurse in a long -term care unit is creating a plan of care for a client who has Alzhheimer’s disease. Which of the following interventions should the nurse include in the plan? - Talk the client through tasks one step at a time. 6. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy -induced nausea. For which of the following adverse effects should the nurse monitor? - Headache 7. A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole? - Metallic taste 8. A nurse on a medical -surgical unit is providing care for a gorup of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)? - Random stool specimen 9. A client becomes very dejected and states, “No one really cares what happens to me. Life isn’t worth living anymore.” Which of the following responses should the nurse make? - “I care about you and I am concerned that you feel so sad.” 10. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication? - The hematocrit (Hct) 11. A nurse is caring for a client who has fun gal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? - BUN 55 mg/dL 12. A nurse is planning care for a female client who has T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client’s plan of care? - Encourage fluid intake at and between meals 13. The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse id entify as a likely explanation for the client’s behavior? - Confusion 14. A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? - “The area surrounding the insertion site feels warm to the touch.” 15. A nurse is caring for a client who has chemotherapy -induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? - Tingling feelings in the extremities 16. A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescription? - Grapefruit juice 17. A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. Which of the following findings support the diagnosis? - Painless red vaginal bleeding 18. A nurse at a prenatal clinic is caring for aClient who is in her first trimester of pregnancy. The client tells the nurse that she is upset because although she and her husband planned this pregnancy she has been having many doubts and sec ond thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse? - “Ambivalent feelings are quite common for women early in pregnancy.” 19. A charge nurse has access to the facility’s electronic clients records. Is it appropriate for the charge nurse to share her personal password with him? - No one 20. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket which begins to smolder. Which of the following actions is the nurse's priority? - Move any clients in the immediate vicinity. 21. A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect? - pH 7.25, HCO3 - 19mEq/L, PaCO2 30 mmHg 22. A child is admitted with a suspected diagnosis of Wilms tumor. The nurse should place a sign with which of the following warnings over the child's bed? Do not palpate abdomen 23. A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema the client states that he is having abdominal cramps. Which of the following actions should the nurse take to relieve the clients discomfort? - Lower the height of the solution container. 24. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermediate IV bolus. 10 minutes into the infusion of the third dose the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? - Stop the infusion 25. A nurse is teaching about risk factors of developing a stroke with a group of older clients. Which of the following non -modifiable risk factors should the nurse include in the teaching? - Race 26. A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron -deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make? - “ Taking the medication between meals will help you absorb the medication more efficiently.” 27. A nurse is reviewing the CBC findings for a female client who is receiving a combination of chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider? - WBC 2300/mm3 28. A nurse is preparing to administer amoxicillin 30mg/kg/day divided equally every 12 hr to a toddler who weighs 32 lbs (14.5kg). Available is amoxicillin 200mg/5mL suspension. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - 5.5 mL 29. A nurse is caring for a client who experienced a lacerated spleen and has been on bed rest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the