ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 NEWEST!!
ACTUAL COMPLETE 180 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+.
A nurse is planning care for a client who is undergoing
brachytherapy via a sealed vaginal implant to treat endometrial
cancer. Which of the following actions should the nurse include in
the client's plan of care?
- Collect and place the client's urine or feces in a biohazard bag
- Limit the client's ambulation to their own room
- Wear a lead apron while providing care to the client
- Limit each visit to 1 hr per day - ANSWER -- Wear a lead apron while
providing care to the client
RATIONALE: The nurse should wear a lead apron when providing
direct care to provide protection from the radiation source and not
turn their back toward the client, because the apron only shields the
front of the body. The nurse should also wear a dosimeter film badge
to measure radiation exposure.
A nurse is teaching a class about client rights. Which of the
following instructions should the nurse include?
-A client should sign an informed consent before receiving a placebo
during a research trial.
-A client cannot refuse to sign a consent form for a life-saving
treatment.
-
-
,-A client who has a mental illness is unable to give informed
consent.
- An unemancipated minor needs guardian consent for substance
use disorder treatment. - ANSWER -- A client should sign an
informed consent before receiving a placebo during a research trial.
RATIONALE: A nurse should ensure a client has provided informed
consent before administering a placebo.
Placebos should not be used outside of approved clinical research in
which the client has consented to participate.
A nurse is caring for a client who is brought to the emergency
department following an oil fire.
Drag words from the choices below to fill in each blank in the
following sentence.
1) During the emergent phase of burn care, the client is
at risk for developing ____________ - Hypovolemia
- Respiratory failure
- Hyperthermia
- Hypokalemia
- Curling's ulcer
2) and __________________
- Hypovolemia
-
-
,- Respiratory failure
- Hyperthermia
- Hypokalemia
- Curling's ulcer - ANSWER -- Respiratory failure
- Hypovolemia
RATIONALE: Plasma volume is lost immediately during a burn injury,
which can lead to a lack of perfusion to all body organs.
Hypovolemia is indicated by the client's blood pressure declining
and heart rate increasing. If fluid resuscitation is not initiated
successfully, hypovolemic shock can occur. The initial priority
following a burn injury is to assess and protect the airway. The client
has burns to the face and chest, which will compromise respiratory
function, placing them at risk for respiratory failure. The client's
respiratory function is decompensating as edema to the airway
increases. Continued decompression might indicate the need for the
client to be intubated.
A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated.
- Notify the provider immediately
- Place the client in Trendelenburg position.
- Perform a 12-lead ECG.
-
-
, - Obtain the client's blood glucose level
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula. - ANSWER -Indicated: -
Place the client in Trendelenburg position.
RATIONALE: The client should be placed in the Trendelenburg
position to increase blood flow to the heart, improving cardiac
output and organ perfusion.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
RATIONALE: The nurse should administer 200 mL of 0.9% sodium
chloride IV bolus to increase fluid volume and the client's blood
pressure.
- Apply oxygen at 2 L/min via nasal cannula.
RATIONALE: The nurse should administer oxygen at 2 L/min via
nasal cannula to increase the amount of oxygen carried in the blood.
- Notify the provider immediately
RATIONALE: The nurse should notify the provider immediately as
part of the nurse's role to provide an update on the client's condition.
Not Indicated:
-
-
ACTUAL COMPLETE 180 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+.
A nurse is planning care for a client who is undergoing
brachytherapy via a sealed vaginal implant to treat endometrial
cancer. Which of the following actions should the nurse include in
the client's plan of care?
- Collect and place the client's urine or feces in a biohazard bag
- Limit the client's ambulation to their own room
- Wear a lead apron while providing care to the client
- Limit each visit to 1 hr per day - ANSWER -- Wear a lead apron while
providing care to the client
RATIONALE: The nurse should wear a lead apron when providing
direct care to provide protection from the radiation source and not
turn their back toward the client, because the apron only shields the
front of the body. The nurse should also wear a dosimeter film badge
to measure radiation exposure.
A nurse is teaching a class about client rights. Which of the
following instructions should the nurse include?
-A client should sign an informed consent before receiving a placebo
during a research trial.
-A client cannot refuse to sign a consent form for a life-saving
treatment.
-
-
,-A client who has a mental illness is unable to give informed
consent.
- An unemancipated minor needs guardian consent for substance
use disorder treatment. - ANSWER -- A client should sign an
informed consent before receiving a placebo during a research trial.
RATIONALE: A nurse should ensure a client has provided informed
consent before administering a placebo.
Placebos should not be used outside of approved clinical research in
which the client has consented to participate.
A nurse is caring for a client who is brought to the emergency
department following an oil fire.
Drag words from the choices below to fill in each blank in the
following sentence.
1) During the emergent phase of burn care, the client is
at risk for developing ____________ - Hypovolemia
- Respiratory failure
- Hyperthermia
- Hypokalemia
- Curling's ulcer
2) and __________________
- Hypovolemia
-
-
,- Respiratory failure
- Hyperthermia
- Hypokalemia
- Curling's ulcer - ANSWER -- Respiratory failure
- Hypovolemia
RATIONALE: Plasma volume is lost immediately during a burn injury,
which can lead to a lack of perfusion to all body organs.
Hypovolemia is indicated by the client's blood pressure declining
and heart rate increasing. If fluid resuscitation is not initiated
successfully, hypovolemic shock can occur. The initial priority
following a burn injury is to assess and protect the airway. The client
has burns to the face and chest, which will compromise respiratory
function, placing them at risk for respiratory failure. The client's
respiratory function is decompensating as edema to the airway
increases. Continued decompression might indicate the need for the
client to be intubated.
A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated.
- Notify the provider immediately
- Place the client in Trendelenburg position.
- Perform a 12-lead ECG.
-
-
, - Obtain the client's blood glucose level
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula. - ANSWER -Indicated: -
Place the client in Trendelenburg position.
RATIONALE: The client should be placed in the Trendelenburg
position to increase blood flow to the heart, improving cardiac
output and organ perfusion.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
RATIONALE: The nurse should administer 200 mL of 0.9% sodium
chloride IV bolus to increase fluid volume and the client's blood
pressure.
- Apply oxygen at 2 L/min via nasal cannula.
RATIONALE: The nurse should administer oxygen at 2 L/min via
nasal cannula to increase the amount of oxygen carried in the blood.
- Notify the provider immediately
RATIONALE: The nurse should notify the provider immediately as
part of the nurse's role to provide an update on the client's condition.
Not Indicated:
-
-
