2024 ATI RN MED SURG PROCTORED EXAM 2023 -
2024 ATI RN MED SURG PROCTORED EXAM 2022 /2023 .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? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb 8.2 g/dl 4. 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 pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take? a.Strip or clear t he chest tube every 8 hours b. Refill the water chamber if the fluid is low c. Empty the system at least every 8 hr d.Change the chest to site dressing every 24 hour • A nurse is in an emergency department is reviewing a client's ECG reading. which of the following findings should the nurse identify as an indication that the client has first degree heart block? Prolonged PR intervals (Per Tiamson) More p waves than QRS complexes Non discernible p waves No correlation between p and QRS waves • A nurse is preparing to administer a unit of packed rbc's to a client who is anemic. Identify the sequence of steps the nurse should follow. 1. Obtain venous access using a 19 gauge needle 2. Obtain the unit of packed rbc's from Blood Bank align 3. verify blood compatibility with another nurse 4. Initiate transfusion of the unit of packed rbc's 5. Remain with the client for the first 15 to 30 minutes of the infusion Rationale: see ATI Med -Surg p. 249 nursing actions BCADE • A nurse is teaching A client who is to begin chemotherapy about peripherally inserted Central catheter. which of the following statements should the nurse include in the teaching? We will replace the PICC every month We can draw blood samples from the PICC for diagnostic test We will change the dressing daily We can measure your blood pressure in either arm Rationale: ATI Med -Surg p. 166 PICC lines can be used up t change gauze dressings every 48 hours and transparent dressings 3 to 7 days or whenever they are no longer intact. Measure BP in opposite arm • A nurse is assessing a client who has Pyelonephritis and reports flank pain. which of the following actions should the nurse take? Assist the client to a sitting position Percuss the side of tenderness first Auscultate for a bruit over the coastal vertebral area Thump the area of tenderness directly with a closed fist
2024 ATI RN MED SURG PROCTORED EXAM 2022 /2023 .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? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb 8.2 g/dl 4. 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 pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take? a.Strip or clear t he chest tube every 8 hours b. Refill the water chamber if the fluid is low c. Empty the system at least every 8 hr d.Change the chest to site dressing every 24 hour • A nurse is in an emergency department is reviewing a client's ECG reading. which of the following findings should the nurse identify as an indication that the client has first degree heart block? Prolonged PR intervals (Per Tiamson) More p waves than QRS complexes Non discernible p waves No correlation between p and QRS waves • A nurse is preparing to administer a unit of packed rbc's to a client who is anemic. Identify the sequence of steps the nurse should follow. 1. Obtain venous access using a 19 gauge needle 2. Obtain the unit of packed rbc's from Blood Bank align 3. verify blood compatibility with another nurse 4. Initiate transfusion of the unit of packed rbc's 5. Remain with the client for the first 15 to 30 minutes of the infusion Rationale: see ATI Med -Surg p. 249 nursing actions BCADE • A nurse is teaching A client who is to begin chemotherapy about peripherally inserted Central catheter. which of the following statements should the nurse include in the teaching? We will replace the PICC every month We can draw blood samples from the PICC for diagnostic test We will change the dressing daily We can measure your blood pressure in either arm Rationale: ATI Med -Surg p. 166 PICC lines can be used up t change gauze dressings every 48 hours and transparent dressings 3 to 7 days or whenever they are no longer intact. Measure BP in opposite arm • A nurse is assessing a client who has Pyelonephritis and reports flank pain. which of the following actions should the nurse take? Assist the client to a sitting position Percuss the side of tenderness first Auscultate for a bruit over the coastal vertebral area Thump the area of tenderness directly with a closed fist
