NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
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LATEST UPDATE 2021/2023 RATED A+
Med Surg 2021/2022
A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings
should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse
plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and to stop
patient on urinating.
A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which of the
following labs should the nurse expect during the first 24 hours
A. Decreased BUN (elevated due to fluid loss)
B. Hypoglycemia (High due to stress)
C. Hypoalbuminemia (Low due to fluid loss)
D. Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation
phase) Rationale: Pg. 481 ATI. Total protein and albumin- low due to fluid loss.
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
,NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the following actions
should the nurse takes?
a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to moderate
carbs page 317, chapter 49 Peptic ulcer disease med surg ATI PDF 10.0)
b. Provide the client with four full meals a day (Small frequent meals)
c. Encourage the client to drink at least 360 ml of fluids with meals (Eliminate liquids with meals for 1
hr. prior and following a meal)
d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the movement
of food within the intestines)
Rationale: ATI pg. 318 Dumping syndromes is a term that refers to a constellation of vasomotor symptoms that occurs after
eating, especially following a Billroth II procedure. Early manifestations usually occur within 30 minutes of eating and include
vertigo, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should instruct the client to
decrease the
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
,NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
amount of fluid taken at meals and to avoid high-carbohydrate foods, including fluids such as fruit nectars; to assume a low-
Fowler's position during meals; to lie down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics as
prescribed.
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors
should the nurse include in the teaching?
a. Born with a high weight
b. Chronic infections of the middle ear
c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and gentamicin leads to ototoxic
medication
d. Perforation of the eardrum
e. Frequent exposure to low volume noise
Rationale: Peds ATI pg. 77
Exposure to loud environmental sounds. Hearing defects can be caused by a variety of conditions, including anatomic
malformation, maternal ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal infection, chronic ear
infection, and ototoxic medications.
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse
take?
a. Administer the plasma immediately after thawing
b. Transfuse the plasma over 4 hours (Can be in 2 to 4 hours)
c. Hold the transfusion if the client is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole point! The
patient is losing blood so you have to replace it. We give fresh frozen plasma because he or she may have clotting
deficiencies)
d. Administer the transfusion through a 24-gauge saline lock (Has to be an 18 or 20
gauge) Rationale: Saunders pg. 164
Fresh-frozen plasma
1. Fresh-frozen plasma may be used to provide clotting factors or volume expansion; it contains no platelets.
2. Fresh-frozen plasma is infused within 2 hours of thawing, while clotting factors are still viable, and is infused over a
period of 15 to 30 minutes.
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
, NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
3. Rh compatibility and ABO compatibility are required for the transfusion of plasma products.
4. Evaluation of an effective response is assessed by monitoring coagulation studies, particularly the prothrombin
time and the partial thromboplastin time, and resolution of hypovolemia.
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse
suspect?
a. Hyponatremia
b. Hyperchloremia
c. Hypermagnesemia
d. Hypocalcemia
Rationale: (Ch. 44 page 277 MS ATI PDF 10.0)Positive s/s of Chvostek’s or Trousseau sign indicates
HYPOCALCEMIA.
A home health nurse is teaching a client how to care for a peripherally central catheter in his right arm.
Which of the following statements should the nurse include in the teaching?
a. Change the transparent dressing over the insertion site every 48 hours - transparent dressing can be up to 7 days
b. Clean the insertion site with mild soap and water - when showering, must insertion site must be covered!!!!! No
water can be in it.
c. Measure your right arm circumference once weekly- does not say in the chapter
d. Use a 10-milliliter syringe when flushing the catheter
Rationale: (Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 166 MS ATI PDF
10.0)Usetransparent dressing to allow for visualization. Follow facility protocol for dressing changes, usually every 7 days and
when indicated (wet, loose, soiled).Shower, cover dressing site to avoid water exposure. Follow the Infusion Nurses Society
(INS) practicerecommendations for flushing.
Use a 10-mL syringe for flushing the PICC line. Do not apply force if resistance is met.
A nurse is caring for a client who has a central venous access device. Which of the following assessment findings
should the nurse report to the provider?
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
Med Surg 2021/2022
A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings
should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse
plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and to stop
patient on urinating.
A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which of the
following labs should the nurse expect during the first 24 hours
A. Decreased BUN (elevated due to fluid loss)
B. Hypoglycemia (High due to stress)
C. Hypoalbuminemia (Low due to fluid loss)
D. Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation
phase) Rationale: Pg. 481 ATI. Total protein and albumin- low due to fluid loss.
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
,NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the following actions
should the nurse takes?
a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to moderate
carbs page 317, chapter 49 Peptic ulcer disease med surg ATI PDF 10.0)
b. Provide the client with four full meals a day (Small frequent meals)
c. Encourage the client to drink at least 360 ml of fluids with meals (Eliminate liquids with meals for 1
hr. prior and following a meal)
d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the movement
of food within the intestines)
Rationale: ATI pg. 318 Dumping syndromes is a term that refers to a constellation of vasomotor symptoms that occurs after
eating, especially following a Billroth II procedure. Early manifestations usually occur within 30 minutes of eating and include
vertigo, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should instruct the client to
decrease the
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
,NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
amount of fluid taken at meals and to avoid high-carbohydrate foods, including fluids such as fruit nectars; to assume a low-
Fowler's position during meals; to lie down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics as
prescribed.
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors
should the nurse include in the teaching?
a. Born with a high weight
b. Chronic infections of the middle ear
c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and gentamicin leads to ototoxic
medication
d. Perforation of the eardrum
e. Frequent exposure to low volume noise
Rationale: Peds ATI pg. 77
Exposure to loud environmental sounds. Hearing defects can be caused by a variety of conditions, including anatomic
malformation, maternal ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal infection, chronic ear
infection, and ototoxic medications.
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse
take?
a. Administer the plasma immediately after thawing
b. Transfuse the plasma over 4 hours (Can be in 2 to 4 hours)
c. Hold the transfusion if the client is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole point! The
patient is losing blood so you have to replace it. We give fresh frozen plasma because he or she may have clotting
deficiencies)
d. Administer the transfusion through a 24-gauge saline lock (Has to be an 18 or 20
gauge) Rationale: Saunders pg. 164
Fresh-frozen plasma
1. Fresh-frozen plasma may be used to provide clotting factors or volume expansion; it contains no platelets.
2. Fresh-frozen plasma is infused within 2 hours of thawing, while clotting factors are still viable, and is infused over a
period of 15 to 30 minutes.
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
, NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
3. Rh compatibility and ABO compatibility are required for the transfusion of plasma products.
4. Evaluation of an effective response is assessed by monitoring coagulation studies, particularly the prothrombin
time and the partial thromboplastin time, and resolution of hypovolemia.
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse
suspect?
a. Hyponatremia
b. Hyperchloremia
c. Hypermagnesemia
d. Hypocalcemia
Rationale: (Ch. 44 page 277 MS ATI PDF 10.0)Positive s/s of Chvostek’s or Trousseau sign indicates
HYPOCALCEMIA.
A home health nurse is teaching a client how to care for a peripherally central catheter in his right arm.
Which of the following statements should the nurse include in the teaching?
a. Change the transparent dressing over the insertion site every 48 hours - transparent dressing can be up to 7 days
b. Clean the insertion site with mild soap and water - when showering, must insertion site must be covered!!!!! No
water can be in it.
c. Measure your right arm circumference once weekly- does not say in the chapter
d. Use a 10-milliliter syringe when flushing the catheter
Rationale: (Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 166 MS ATI PDF
10.0)Usetransparent dressing to allow for visualization. Follow facility protocol for dressing changes, usually every 7 days and
when indicated (wet, loose, soiled).Shower, cover dressing site to avoid water exposure. Follow the Infusion Nurses Society
(INS) practicerecommendations for flushing.
Use a 10-mL syringe for flushing the PICC line. Do not apply force if resistance is met.
A nurse is caring for a client who has a central venous access device. Which of the following assessment findings
should the nurse report to the provider?
NSG 320 MedSurg2 Q & As ALL ANSWERS 100%
CORRECT SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2021/2023 RATED A+
