ATI MED SURG PROCTORED FINAL EXAM 2019 TEST
BANK QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
UPDATED 2024-2025
A nurse is assessing a client who has advanced lung cancer and is
receiving
palliative care. the client has just undergone thoracentesis. The nurse
should expect
a reduction in which of the following common manifestations of
advanced cancer?
- ANSWER- Dyspnea
Thoracentesis, the removal of pleural fluid, can temporarily relieve
hypoxia and
thus ease the clients breathing and improve comfort.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse
identify as the
priority? - ANSWER- Place a tracheostomy tray at bedside
The priority action the nurse should take when using the airway,
breathing,
circulation approach to client care is to place a tracheostomy tray at the
client's
bedside in case of airway obstruction.
,A nurse is planning care for an older adult client who has dementia.
Which of the
following interventions should the nurse include in the plan of care? -
ANSWERPlace personal items, such as pictures, at the client's bedside
The nurse should plan to have the family bring personal items such as
pictures to
place at the client's bedside for cognitive support
A nurse is providing teaching to a client who takes ginkgo biloba as an
herbal
supplement. Which of the following statement should the nurse make?
-
ANSWER- "Ginkgo biloba can cause increased risk for bleeding."
Ginkgo biloba increases blood flow and is effective in decreasing the
pain
associated with peripheral artery disease.
A nurse is updating the plan of care for a client who is receiving
chemotherapy.
Which of the following should the nurse identify as the priority? –
ANSWERReport of sore throat
Sore throat, which could be a manifestation of an infection.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of
the following clients? - ANSWER- A client who is postoperative following
,abdominal surgery and reports feeling that something "popped" when
they coughed
The nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago.
The nurse should recognize that an UNEXPECTED finding for
which of the following LABORATORY VALUES is a manifestation of
OSTEOMYELITIS and should be reported to the provider?
ANSWER- An increased sedimentation rate occurs when a client has any
type of inflammatory process, such as osteomyelitis
A nurse is reviewing the medical records of a client who is taking
WARFARIN for
chronic arterial fibrillation. Which of the following values should the
nurse identify as a desired outcome for this therapy?
ANSWER- INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke,
myocardial infarction (MI), or pulmonary emboli (PE) from blood clots.
Since warfarin is an anticoagulant, the medication must be monitored
to ensure the anticoagulation is within the therapeutic range and
prevent hemorrhage (levels of anticoagulation) or stroke, MI, and PE
, (low levels of anticoagulation). An INR 2.5 is within the targeted
therapeutic range of 2 to 3 for a client who has atrial fibrillation.
A nurse is planning a health promotional presentation for a group of
African
American clients at a community center. Which of the following
disorders presents
the greatest risk to this group of clients?
ANSWER- Hypertension
When using the safety/risk reduction approach to client care, the nurse
should
determine that the disorder with the greatest risk for this group of
clients is
hypertension. The prevalence of hypertension is highest among African
American
clients, followed by Caucasian clients, and then Hispanic clients.
A nurse is reviewing the laboratory results of a client who has aplastic
anemia.
Which of the following findings indicates a potential complication? –
ANSWER- WBC count 2,000/mm3
A WBC count of 2,000/mm3 is below the expected reference range and
indicates a
risk for severe immunosuppression
BANK QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
UPDATED 2024-2025
A nurse is assessing a client who has advanced lung cancer and is
receiving
palliative care. the client has just undergone thoracentesis. The nurse
should expect
a reduction in which of the following common manifestations of
advanced cancer?
- ANSWER- Dyspnea
Thoracentesis, the removal of pleural fluid, can temporarily relieve
hypoxia and
thus ease the clients breathing and improve comfort.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse
identify as the
priority? - ANSWER- Place a tracheostomy tray at bedside
The priority action the nurse should take when using the airway,
breathing,
circulation approach to client care is to place a tracheostomy tray at the
client's
bedside in case of airway obstruction.
,A nurse is planning care for an older adult client who has dementia.
Which of the
following interventions should the nurse include in the plan of care? -
ANSWERPlace personal items, such as pictures, at the client's bedside
The nurse should plan to have the family bring personal items such as
pictures to
place at the client's bedside for cognitive support
A nurse is providing teaching to a client who takes ginkgo biloba as an
herbal
supplement. Which of the following statement should the nurse make?
-
ANSWER- "Ginkgo biloba can cause increased risk for bleeding."
Ginkgo biloba increases blood flow and is effective in decreasing the
pain
associated with peripheral artery disease.
A nurse is updating the plan of care for a client who is receiving
chemotherapy.
Which of the following should the nurse identify as the priority? –
ANSWERReport of sore throat
Sore throat, which could be a manifestation of an infection.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of
the following clients? - ANSWER- A client who is postoperative following
,abdominal surgery and reports feeling that something "popped" when
they coughed
The nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago.
The nurse should recognize that an UNEXPECTED finding for
which of the following LABORATORY VALUES is a manifestation of
OSTEOMYELITIS and should be reported to the provider?
ANSWER- An increased sedimentation rate occurs when a client has any
type of inflammatory process, such as osteomyelitis
A nurse is reviewing the medical records of a client who is taking
WARFARIN for
chronic arterial fibrillation. Which of the following values should the
nurse identify as a desired outcome for this therapy?
ANSWER- INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke,
myocardial infarction (MI), or pulmonary emboli (PE) from blood clots.
Since warfarin is an anticoagulant, the medication must be monitored
to ensure the anticoagulation is within the therapeutic range and
prevent hemorrhage (levels of anticoagulation) or stroke, MI, and PE
, (low levels of anticoagulation). An INR 2.5 is within the targeted
therapeutic range of 2 to 3 for a client who has atrial fibrillation.
A nurse is planning a health promotional presentation for a group of
African
American clients at a community center. Which of the following
disorders presents
the greatest risk to this group of clients?
ANSWER- Hypertension
When using the safety/risk reduction approach to client care, the nurse
should
determine that the disorder with the greatest risk for this group of
clients is
hypertension. The prevalence of hypertension is highest among African
American
clients, followed by Caucasian clients, and then Hispanic clients.
A nurse is reviewing the laboratory results of a client who has aplastic
anemia.
Which of the following findings indicates a potential complication? –
ANSWER- WBC count 2,000/mm3
A WBC count of 2,000/mm3 is below the expected reference range and
indicates a
risk for severe immunosuppression
