ATI Med Surg Exam 1 Practice
Questions
A nurse is making plans care for a consumer who is having a percutaneous transluminal
coronary angioplasty (PTCA) with stent placement. Which of the subsequent actions need to
the nurse assume in the put up-process plan of care?
A. Instruct the consumer approximately a protracted-term cardiac conditioning software
B. Administer scheduled doses of acetaminophen
C. Check for top laboratory markers of myocardial harm
D. Monitor for bleeding
D. Monitor for bleeding
Correct Answer: D.
Monitor for bleeding
Bleeding is a put up-process problem of PTCA because of the administration of heparin
during the system and the removal of the femoral (or brachial) sheath. Manual stress or a
closure tool is used to acquire hemostasis to the site. The purchaser ought to continue to be
on bed relaxation till hemostasis is assured.
Incorrect Answers:A. The nurse need to provide teaching approximately cardiac
rehabilitation previous to the customer's discharge from the medical institution.
B. The nurse should plan to administer scheduled doses of aspirin publish-technique. This
maintains the patency of the customer’s coronary arteries following the PTCA by preventing
platelet aggregation and thrombus formation around the newly positioned stent.
C. The nurse must display for top laboratory markers of myocardial damage following a
myocardial infarction and reperfusion with thrombolytic remedy.
A nurse in a company's workplace is reviewing the medical statistics of a collection of
customers. Which of the following clients is at hazard for iron deficiency? (Select all that
practice.)
A. A purchaser who's postmenopausal
B. A purchaser who's a vegetarian
C. A center grownup male consumer
D. A customer who's pregnant
,E. A toddler who's obese
B. A purchaser who is a vegetarian
D. A consumer who's pregnant
E. A toddler who's overweight
A consumer who is a vegetarian may require additional iron due to the fact the availability of
iron in vegetable food assets is restrained. During being pregnant, maternal blood volume
will increase, and the fetus requires additional iron. Therefore, the RDA of iron for customers
who're pregnant is multiplied to 27 mg in keeping with day. Toddlers who're obese may also
get maximum of their calories from milk and foods that are not taken into consideration
wholesome, which will increase their danger for iron-deficiency anemia.
A nurse is reviewing the laboratory findings of a consumer who has protein-calorie
malnutrition. Which of the subsequent findings have to the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
C. Elevated lymphocytes
D. Decreased cortisol
A. Decreased albumin
Correct Answer: A.
Decreased albumin
A lower inside the albumin level can be a demonstration of lengthy-time period protein
depletion. Other capability conditions that result in decreased albumin stages consist of
burns, wound drainage, and impaired hepatic characteristic.
A nurse is assessing a customer who has accelerated intracranial strain and has received
intravenous mannitol. Which of the following findings shows a healing impact of this remedy?
A. Decreased blood glucose
B. Decreased bronchospasms
C. Increased urine output
D. Increased temperature
C. Increased urine output
Mannitol is an osmotic diuretic used to lessen intracranial strain by using mobilizing
intracranial fluid and inhibiting the reabsorption of water and electrolytes within the kidneys.
Increased urine output and decreased intracranial pressure are therapeutic outcomes of this
remedy.
, A nurse is making ready an in-carrier presentation about assessing clients who're having an
acute myocardial infarction (MI). What is the maximum not unusual evaluation locating with
acute MI?
A. Dyspnea
B. Pain in the shoulder and left arm
C. Substernal chest ache
D. Palpitations
C. Substernal chest ache
Evidence-based totally exercise indicates that the most common manifestation of acute MI is
substernal chest pain that does not subside with rest or nitroglycerin. Therefore, nurses have
to make ache control with morphine a concern to lessen myocardial oxygen demand and
increase oxygenation.
A nurse is imparting discharge teaching for a customer who had a bone marrow transplant
and has thrombocytopenia. Which of the subsequent statements shows that the client
understands the precautions he need to take at domestic?
A. "I'll stick with smooth meals for now."
B. "My own family might be bringing me clean plants today."
C. "I'll use a new disposable razor every day."
D. "I'll blow my nose greater regularly to avoid nosebleeds."
A. "I’ll stay with tender foods for now."
Thrombocytopenia (a low platelet depend) is common after a bone marrow transplant. To
prevent bleeding till the consumer’s platelet count number improves, the patron should avoid
difficult meals that would cause mouth trauma.
Incorrect Answers:
C. To lessen the hazard of damage and bleeding, the customer have to use an electric
shaver in preference to a razor.
A nurse is caring for a purchaser who has a tracheostomy with an inflated cuff in region.
Which of the following findings indicates that the nurse should suction the customer's airway
secretions?
A. The patron is not able to speak.
B. The customer's airway secretions have been remaining suctioned 2 hr ago.
C. The client coughs and expectorates a large mucous plug.
D. The nurse auscultates coarse crackles inside the lung fields.
D. The nurse auscultates coarse crackles inside the lung fields.
Questions
A nurse is making plans care for a consumer who is having a percutaneous transluminal
coronary angioplasty (PTCA) with stent placement. Which of the subsequent actions need to
the nurse assume in the put up-process plan of care?
A. Instruct the consumer approximately a protracted-term cardiac conditioning software
B. Administer scheduled doses of acetaminophen
C. Check for top laboratory markers of myocardial harm
D. Monitor for bleeding
D. Monitor for bleeding
Correct Answer: D.
Monitor for bleeding
Bleeding is a put up-process problem of PTCA because of the administration of heparin
during the system and the removal of the femoral (or brachial) sheath. Manual stress or a
closure tool is used to acquire hemostasis to the site. The purchaser ought to continue to be
on bed relaxation till hemostasis is assured.
Incorrect Answers:A. The nurse need to provide teaching approximately cardiac
rehabilitation previous to the customer's discharge from the medical institution.
B. The nurse should plan to administer scheduled doses of aspirin publish-technique. This
maintains the patency of the customer’s coronary arteries following the PTCA by preventing
platelet aggregation and thrombus formation around the newly positioned stent.
C. The nurse must display for top laboratory markers of myocardial damage following a
myocardial infarction and reperfusion with thrombolytic remedy.
A nurse in a company's workplace is reviewing the medical statistics of a collection of
customers. Which of the following clients is at hazard for iron deficiency? (Select all that
practice.)
A. A purchaser who's postmenopausal
B. A purchaser who's a vegetarian
C. A center grownup male consumer
D. A customer who's pregnant
,E. A toddler who's obese
B. A purchaser who is a vegetarian
D. A consumer who's pregnant
E. A toddler who's overweight
A consumer who is a vegetarian may require additional iron due to the fact the availability of
iron in vegetable food assets is restrained. During being pregnant, maternal blood volume
will increase, and the fetus requires additional iron. Therefore, the RDA of iron for customers
who're pregnant is multiplied to 27 mg in keeping with day. Toddlers who're obese may also
get maximum of their calories from milk and foods that are not taken into consideration
wholesome, which will increase their danger for iron-deficiency anemia.
A nurse is reviewing the laboratory findings of a consumer who has protein-calorie
malnutrition. Which of the subsequent findings have to the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
C. Elevated lymphocytes
D. Decreased cortisol
A. Decreased albumin
Correct Answer: A.
Decreased albumin
A lower inside the albumin level can be a demonstration of lengthy-time period protein
depletion. Other capability conditions that result in decreased albumin stages consist of
burns, wound drainage, and impaired hepatic characteristic.
A nurse is assessing a customer who has accelerated intracranial strain and has received
intravenous mannitol. Which of the following findings shows a healing impact of this remedy?
A. Decreased blood glucose
B. Decreased bronchospasms
C. Increased urine output
D. Increased temperature
C. Increased urine output
Mannitol is an osmotic diuretic used to lessen intracranial strain by using mobilizing
intracranial fluid and inhibiting the reabsorption of water and electrolytes within the kidneys.
Increased urine output and decreased intracranial pressure are therapeutic outcomes of this
remedy.
, A nurse is making ready an in-carrier presentation about assessing clients who're having an
acute myocardial infarction (MI). What is the maximum not unusual evaluation locating with
acute MI?
A. Dyspnea
B. Pain in the shoulder and left arm
C. Substernal chest ache
D. Palpitations
C. Substernal chest ache
Evidence-based totally exercise indicates that the most common manifestation of acute MI is
substernal chest pain that does not subside with rest or nitroglycerin. Therefore, nurses have
to make ache control with morphine a concern to lessen myocardial oxygen demand and
increase oxygenation.
A nurse is imparting discharge teaching for a customer who had a bone marrow transplant
and has thrombocytopenia. Which of the subsequent statements shows that the client
understands the precautions he need to take at domestic?
A. "I'll stick with smooth meals for now."
B. "My own family might be bringing me clean plants today."
C. "I'll use a new disposable razor every day."
D. "I'll blow my nose greater regularly to avoid nosebleeds."
A. "I’ll stay with tender foods for now."
Thrombocytopenia (a low platelet depend) is common after a bone marrow transplant. To
prevent bleeding till the consumer’s platelet count number improves, the patron should avoid
difficult meals that would cause mouth trauma.
Incorrect Answers:
C. To lessen the hazard of damage and bleeding, the customer have to use an electric
shaver in preference to a razor.
A nurse is caring for a purchaser who has a tracheostomy with an inflated cuff in region.
Which of the following findings indicates that the nurse should suction the customer's airway
secretions?
A. The patron is not able to speak.
B. The customer's airway secretions have been remaining suctioned 2 hr ago.
C. The client coughs and expectorates a large mucous plug.
D. The nurse auscultates coarse crackles inside the lung fields.
D. The nurse auscultates coarse crackles inside the lung fields.
