ATI MEDICAL SURGICAL PROCTORED
a a a
NGN EXAM 3 2024 a a a a a
a
1. aA anurse ain aa aburn atreatment acenter ais acaring afor aa aclient awho ais aadmitted
awith asevere aburns ato aboth alower a extremities aand ais apending aan aescharotomy.
aThe aclient's aspouse aasks athe anurse awhat athe aprocedure aentails. a Which aof athe
afollowing anursing astatements ais aappropriate? a
a."large aincisions awill abe amade ain athe aeschar ato aimprove acirculation" a
b. " aI acan acall athe adoctor aback ahere aif ayou awant ame ato" a
c. "a apiece aof askin awill abe aremoved aand agrafted aover athe aburned aarea" a
d. "dead atissue awill abe asurgically aremoved" a- aa."large aincisions awill abe amade
ain athe aeschar ato aimprove acirculation" a
a
A anurse ais amonitoring athe afluid areplacement aof aa aclient awho ahas asustained aburns.
aWhich aof athe afollowing afluids ais aused ain athe afirst a24 ahours afollowing aa aburn
ainjury? aa. a5% adextrose ain awater a
b. 5% adextrose ain anormal asaline a
c. normal asaline a
d. lactated aringers a- ad. alactated aringers a
a
A anurse ais acaring afor aa aclient awho ahas afull-thickness aburns aall aover a75% aof
ahis abody. aWhich aof athe afollowing amethods ais aappropriate ato aaccurately
amonitor athe acardiovascular a system? a
a. auscultate acuff ablood apressure a
b. palpate apulse apressure a
c. obtain aa acentral avenous apressure a
d. monitor athe apulmonary aartery apressure a- ac. aobtain aa acentral avenous
apressure a
a
4. aA anurse ais aassessing athe adepth aand aextent aof aa aclient awho ahas asevere aburns
ato athe aface, aneck, a and aupper aextremities. aWhich a of athe afollowing afactors ais athe
afirst apriority awhen aassessing athe a severity aof athe a burn? aa. aAge aof athe aclient a
b. Associated amedical ahistory a
c. Location aof athe aburn a
d. Cause aof athe aburn a- ad. aCause aof athe aburn a
a
A aclient aarrives aat athe aemergency adept afollowing aan aexplosion aat athe
achemical aplant. a He ahas adeep apartial aand afull-thickness achemical aburns aover
amore athan a25 a% aof ahis abody a surface aarea. aWhat ais athe anurse's apriority
aintervention? aa. aInitiate afluid aresuscitation a
b. Medication afor apain a
c. Administer aantibiotics a
d. Maintain aa apatent aairway a- ad. aMaintain aa apatent aairway a
a
,A anurse ais acaring afor aa aclient awho acame athe aemergency adept areporting achest
apain. aThe aprovider asuspects aa amyocardial ainfarction. aWhile awaiting afor athe
alaboratory ato areport athe aclient's atroponin alevels, a the aclient a asks awhat athis ablood
atest awill ashow. a
The anurse ashould aexplain athat atroponin ais a
a. An aenzyme athat aindicates adamage ato abrain, aheart, aand askeletal amuscle
atissues a
b. A aprotein awhose alevels areflect athe arisk afor acoronary aartery adisease a
c. A aheart amuscle aprotein athat aappears ain athe abloodstream awhen athere ais
adamage ato athe aheart a
d. A aprotein athat ahelps atransport aoxygen athroughout athe abody a- ac. aA aheart
amuscle aprotein athat a appears ain athe abloodstream a when athere ais adamage ato
athe aheart a
a
A anurse ais aassessing aa aclient awho ahas adisseminated aintravascular
acoagulation
a
(DIC). aWhich aof athe afollowing ashould athe anurse aexpect ain athe
afindings?
a
a. aExcessive athrombosis aand
ableeding
a
b. aProgressive aincrease ain aplatelet
aproduction
a
c. aImmediate asodium aand afluid
aretention
a
d. aIncreased aclotting afactors a- ad. aIncreased aclotting
afactors
a
A anurse ais aabout ato aadminister awarfarin a(Coumadin) ato aa aclient awho ahas
aatrial afibrillation. aWhen athe a client aasks awhat ahis amedication awill ado, awhich
aof athe afollowing ais a an aappropriate anursing aresponse? a
a. It ahelps aconvert aatrial afibrillation ato asinus arhythm a
b. Is adissolves aclots ain athe abloodstream a
c. It aslows athe aresponse aof athe aventricles ato athe afast aatrial aimpulses a
d. It aprevents astrokes ain aclients awho ahave aatrial afibrillation a- ad. aIt aprevents
astrokes ain aclients awho ahave aatrial afibrillation a
a
A anurse ain aa acardiac acare aunit ais acaring afor aa aclient awith aacute aheart afailure.
aWhich
a
of athe afollowing afindings ashould athe anurse
aexpect?
a
a. aDecreased abrain anatriuretic apeptide
a(BNP)
a
b. aElevated acentral avenous apressure
a(CVP)
, a
c. aDecreased apulmonary
apressure
a
d. aIncreases aurinary aoutpu a- ab. aElevated acentral avenous apressure
a(CVP)
a
A aclient acomes ainto athe aED areporting anausea aand avomiting athat aworsens awhen
alying adown a and awithout arelief afrom aantacids. aThe aprovider asuspects aacute
apancreatitis. aWhich aof athe afollowing alab atest aresults ashould athe anurse aexpect ato
asee aif athe aclient ahas aacute apancreatitis? aa. aDecreased a WBC a
b. Increased aserum aamylase a
c. Decreased aserum alipase a
d. Increased aserum acalcium a- ab. aIncreased aserum aamylase a
a
A anurse ain athe aICU ais acaring afor aa aclient awho ahas aacute arespiratory adistress
asyndrome a(ARDS) a and ais areceiving amechanical a via aan aendotracheal atube.
aThe aprovider aplans ato a extubate aher awithin athe anext a24 ahour. a Which aof athe
afollowing ais a an aimportant acriterion afor aextubating athe a client? a
a. Ability ato acough aeffectively a
b. Adequate atidal avolume awithout amanually aassisted abreaths a
c. No aindication aof ainfection a
d. No aneed afor asupplemental aoxygen a- ab. aAdequate atidal avolume awithout
amanually aassisted abreaths a
a
12. aA anurse ais acaring afor aa aclient afollowing aa aCT ascan awith adye awho asuffered afrom aan
aanaphylactic areaction. aWhich aof athe afollowing aconditions arequires a a apriority anursing
aresponse? a
a. urticaria a
b. stridor a
c. tachypnea a
d. angioedema a- ab. astridor a
a
A anurse ais acaring afor aa afemale aclient awho acame ain ato athe aED areporting aSOB aand
apain ain athe alung aarea. aHer aheart arate ais a110/min, aresp. arate a40/min, aand ablood
apressure a140/80 am8juiimHg. aHer aarterial ablood a gases aare: apH a7.5, aPaCO2 a29
ammHg, aPaO2 a60 amm aHg, aHCO3 a20 amEq/L, aand aSaO2 a86%. aWhich aof athe
afollowing ais athe apriority aintervention? a
a. Prepare afor amechanical aventilation a
b. Administer aoxygen avia aface amask a
c. Prepare ato aadminister aa asedative a
d. Monitor afor apulmonary aembolism a- ab. aAdminister aoxygen avia aface amask a
a
A anurse ais amonitoring aa aclient awho ahas ajust ahad aa athoracentesis ato aremove
apleural afluid. aWhich aof athe afollowing aclinical amanifestations aindicate aa
acomplication athat arequires anotifying athe aprovider aimmediately? a
a. Serosanguineous adrainage afrom athe apuncture asite a
b. Discomfort aat athe apuncture asite a
a a a
NGN EXAM 3 2024 a a a a a
a
1. aA anurse ain aa aburn atreatment acenter ais acaring afor aa aclient awho ais aadmitted
awith asevere aburns ato aboth alower a extremities aand ais apending aan aescharotomy.
aThe aclient's aspouse aasks athe anurse awhat athe aprocedure aentails. a Which aof athe
afollowing anursing astatements ais aappropriate? a
a."large aincisions awill abe amade ain athe aeschar ato aimprove acirculation" a
b. " aI acan acall athe adoctor aback ahere aif ayou awant ame ato" a
c. "a apiece aof askin awill abe aremoved aand agrafted aover athe aburned aarea" a
d. "dead atissue awill abe asurgically aremoved" a- aa."large aincisions awill abe amade
ain athe aeschar ato aimprove acirculation" a
a
A anurse ais amonitoring athe afluid areplacement aof aa aclient awho ahas asustained aburns.
aWhich aof athe afollowing afluids ais aused ain athe afirst a24 ahours afollowing aa aburn
ainjury? aa. a5% adextrose ain awater a
b. 5% adextrose ain anormal asaline a
c. normal asaline a
d. lactated aringers a- ad. alactated aringers a
a
A anurse ais acaring afor aa aclient awho ahas afull-thickness aburns aall aover a75% aof
ahis abody. aWhich aof athe afollowing amethods ais aappropriate ato aaccurately
amonitor athe acardiovascular a system? a
a. auscultate acuff ablood apressure a
b. palpate apulse apressure a
c. obtain aa acentral avenous apressure a
d. monitor athe apulmonary aartery apressure a- ac. aobtain aa acentral avenous
apressure a
a
4. aA anurse ais aassessing athe adepth aand aextent aof aa aclient awho ahas asevere aburns
ato athe aface, aneck, a and aupper aextremities. aWhich a of athe afollowing afactors ais athe
afirst apriority awhen aassessing athe a severity aof athe a burn? aa. aAge aof athe aclient a
b. Associated amedical ahistory a
c. Location aof athe aburn a
d. Cause aof athe aburn a- ad. aCause aof athe aburn a
a
A aclient aarrives aat athe aemergency adept afollowing aan aexplosion aat athe
achemical aplant. a He ahas adeep apartial aand afull-thickness achemical aburns aover
amore athan a25 a% aof ahis abody a surface aarea. aWhat ais athe anurse's apriority
aintervention? aa. aInitiate afluid aresuscitation a
b. Medication afor apain a
c. Administer aantibiotics a
d. Maintain aa apatent aairway a- ad. aMaintain aa apatent aairway a
a
,A anurse ais acaring afor aa aclient awho acame athe aemergency adept areporting achest
apain. aThe aprovider asuspects aa amyocardial ainfarction. aWhile awaiting afor athe
alaboratory ato areport athe aclient's atroponin alevels, a the aclient a asks awhat athis ablood
atest awill ashow. a
The anurse ashould aexplain athat atroponin ais a
a. An aenzyme athat aindicates adamage ato abrain, aheart, aand askeletal amuscle
atissues a
b. A aprotein awhose alevels areflect athe arisk afor acoronary aartery adisease a
c. A aheart amuscle aprotein athat aappears ain athe abloodstream awhen athere ais
adamage ato athe aheart a
d. A aprotein athat ahelps atransport aoxygen athroughout athe abody a- ac. aA aheart
amuscle aprotein athat a appears ain athe abloodstream a when athere ais adamage ato
athe aheart a
a
A anurse ais aassessing aa aclient awho ahas adisseminated aintravascular
acoagulation
a
(DIC). aWhich aof athe afollowing ashould athe anurse aexpect ain athe
afindings?
a
a. aExcessive athrombosis aand
ableeding
a
b. aProgressive aincrease ain aplatelet
aproduction
a
c. aImmediate asodium aand afluid
aretention
a
d. aIncreased aclotting afactors a- ad. aIncreased aclotting
afactors
a
A anurse ais aabout ato aadminister awarfarin a(Coumadin) ato aa aclient awho ahas
aatrial afibrillation. aWhen athe a client aasks awhat ahis amedication awill ado, awhich
aof athe afollowing ais a an aappropriate anursing aresponse? a
a. It ahelps aconvert aatrial afibrillation ato asinus arhythm a
b. Is adissolves aclots ain athe abloodstream a
c. It aslows athe aresponse aof athe aventricles ato athe afast aatrial aimpulses a
d. It aprevents astrokes ain aclients awho ahave aatrial afibrillation a- ad. aIt aprevents
astrokes ain aclients awho ahave aatrial afibrillation a
a
A anurse ain aa acardiac acare aunit ais acaring afor aa aclient awith aacute aheart afailure.
aWhich
a
of athe afollowing afindings ashould athe anurse
aexpect?
a
a. aDecreased abrain anatriuretic apeptide
a(BNP)
a
b. aElevated acentral avenous apressure
a(CVP)
, a
c. aDecreased apulmonary
apressure
a
d. aIncreases aurinary aoutpu a- ab. aElevated acentral avenous apressure
a(CVP)
a
A aclient acomes ainto athe aED areporting anausea aand avomiting athat aworsens awhen
alying adown a and awithout arelief afrom aantacids. aThe aprovider asuspects aacute
apancreatitis. aWhich aof athe afollowing alab atest aresults ashould athe anurse aexpect ato
asee aif athe aclient ahas aacute apancreatitis? aa. aDecreased a WBC a
b. Increased aserum aamylase a
c. Decreased aserum alipase a
d. Increased aserum acalcium a- ab. aIncreased aserum aamylase a
a
A anurse ain athe aICU ais acaring afor aa aclient awho ahas aacute arespiratory adistress
asyndrome a(ARDS) a and ais areceiving amechanical a via aan aendotracheal atube.
aThe aprovider aplans ato a extubate aher awithin athe anext a24 ahour. a Which aof athe
afollowing ais a an aimportant acriterion afor aextubating athe a client? a
a. Ability ato acough aeffectively a
b. Adequate atidal avolume awithout amanually aassisted abreaths a
c. No aindication aof ainfection a
d. No aneed afor asupplemental aoxygen a- ab. aAdequate atidal avolume awithout
amanually aassisted abreaths a
a
12. aA anurse ais acaring afor aa aclient afollowing aa aCT ascan awith adye awho asuffered afrom aan
aanaphylactic areaction. aWhich aof athe afollowing aconditions arequires a a apriority anursing
aresponse? a
a. urticaria a
b. stridor a
c. tachypnea a
d. angioedema a- ab. astridor a
a
A anurse ais acaring afor aa afemale aclient awho acame ain ato athe aED areporting aSOB aand
apain ain athe alung aarea. aHer aheart arate ais a110/min, aresp. arate a40/min, aand ablood
apressure a140/80 am8juiimHg. aHer aarterial ablood a gases aare: apH a7.5, aPaCO2 a29
ammHg, aPaO2 a60 amm aHg, aHCO3 a20 amEq/L, aand aSaO2 a86%. aWhich aof athe
afollowing ais athe apriority aintervention? a
a. Prepare afor amechanical aventilation a
b. Administer aoxygen avia aface amask a
c. Prepare ato aadminister aa asedative a
d. Monitor afor apulmonary aembolism a- ab. aAdminister aoxygen avia aface amask a
a
A anurse ais amonitoring aa aclient awho ahas ajust ahad aa athoracentesis ato aremove
apleural afluid. aWhich aof athe afollowing aclinical amanifestations aindicate aa
acomplication athat arequires anotifying athe aprovider aimmediately? a
a. Serosanguineous adrainage afrom athe apuncture asite a
b. Discomfort aat athe apuncture asite a
