ATI MEDICAL SURGICAL PROCTORED NGN EXAM 7 2024

ATI MEDICAL SURGICAL PROCTORED
x x x




NGN EXAM 7 2024 x x x x x

x

A xnurse xis xassisting xwith xthe xcare xof xfour xclients. xWhich xof xthe xfollowing xclients xis xthe
xpriority xfor
x
the xnurse xto
xsee
x

-A xclient xwho xhas xchest xtubes xand xan xoxygen xSat xof x90% x
- aclient xwho xhas xperipheral xedema xand xurinary xoutput xof x130 xover x4hrs x
- A xclient xwho xhas xa xpermanent xpacemaker xwith xheart xrate xof x76/min x
-a xclient xwho xhas xpericarditis xand xtemp. x38 xc x100.4 x- x- xA xclient xwho xhas xchest xtubes xand
xan xoxygen xSat xof x90% x
x

Using xthe xairway, xbreathing, xand xcirculation xapproach xto xclient xcare, xthe xnurse xshould
xdetermine x
x
that xthe xpriority xfinding xis xthe xclient's xoxygen xsaturation xlevel, xwhich xis xbelow xthe
xexpected
x
reference xrange xof x95% xto x100%. xTherefore, xthe xnurse xshould xattend xto xthis xclient
xfirst.
x

A xnurse xis xcollecting xdata xfrom xa xclient xwho xwas xadmitted xwith xa xGlasgow xComa xScale
xof x3. x
x
Which
x
of xthe xfollowing xfindings xshould xthe xnurse
xexpect?
x
- xVacalizes

xsound
x
-Blinks xeyes xwhen
xasked
x
-Follows xmotor

xcommands
x
-Nonresponsive xCommands x- xNonresponsive

xCommands
x

A xclient xwho xhas xa xGCS xof xless xthan x8 xhas xevidence xof xsevere xhead xinjury xand xis xin xa
xcomatose xstate. xThe xGCS xis xa xstandardized xtool xthat xallows xfor xthe xevaluation xof xa xclient's

xlevel xof xconsciousness. xThe xtest xis xdivided xinto xthree xsections xthat xevaluate xeye xopening,

xmotor xresponse, xand xverbal xresponse. xThe xGCS xranges xfrom xa xhigh xscore xof x15 x(fully xalert)

xto xa xlow xscore xof x3 x(fully xcomatose). x
x

A xnurse xis xmonitoring xa xclient xwho xhas xa xpneumothorax xand xa xchest xtube xin xplace xwith xa
xclosed xchest xdrainage xsystem xconnected xto xlow xsuction. xFor xwhich xof xthe xfollowing xfindings

xshould xthe xnurse xnotify xthe xcharge xnurse x
x

, x
- xFluctation xof xthe xwater xlevel xin xthe xwater xseal
xchamber
x
-constant xbubling xin xthe xsuction xcontrol
xchamber
x
- xperiodic xbubbling xin xthe xwater xseal
xchamber


- xPersistent xbubbling xin xthe xwater xseal xchamber x- x- xPersistent xbubbling xin xthe xwater xseal
xchamber
x

Excessive xand xpersistent xbubbling xin xthe xwater-seal xchamber xindicates xan xair xleak xin xthe
xdrainage x
x
system. xThe xnurse xshould xnotify xthe xcharge x nurse xof xthis
xfinding.
x

A xnurse xis xreinforcing xteaching xwith xa xmale xclient xwho xhas xright xsided xhemiparesis xabout
xpreforming xADL's. xWhich xof xthe xfollowing xinstructions xshould xthe xnurse xinclude xin xthe

xteaching x

-Comb xyour xhair xwith xthe xunaffected
xarm x-Dress xyour xunaffected xside xfirst

xchoose xclothing xwith xbuttons x

-shave xwith xyour xaffected xside x- xComb xyour xhair xwith xthe xunaffected xarm x
x

The xnurse xshould xinstruct xthe xclient xto xbrush xtheir xhair xwith xthe xunaffected xarm xto
xreduce x
x
frustration xand xincrease xindependence xand xself-
esteem.
A xnurse xis xcollecting xdata xfrom xa xclient xand xauscultates xintermittent xhigh-pitched xsounds
xdurin


inspiration xover xthe xlower xbase xof xthe xlungs. xThe xnurse xshould xidentify xthis xfinding xas
xwhich xof
x
the xfollowing xlungs

xsounds
x

gx
x


x

- xFine xcrackles x
-stridor x
-rhonchi x
-friction x- x- xFine xcrackles x
x

Fine xcrackles xare xauscultated xin xthe xbase xof xthe xlungs xas xair xmoves xthrough xairway
xsecretions. x
x
Fine xcrackles xare xintermittent, xhigh-pitched xsounds xheard xmore xoften xduring
xinspiration.
x

, A xnurse xis xcollecting xdata xfrom xa xclient xwho xhas xcoronary xartery xdisease. xWhich xof xthe
xfollowing xmanifestations xshould xthe xnurse xidentify xas xan xindication xthat xthe xclient xhas

xangina x( xSatA) x

- Chest xDiscomfort xRadiated x
- Pain xlasting xless xthat x15mins x
- Pain xthat xis xrelieved xwith xrest x- x- xChest xDiscomfort xRadiated x
- Pain xlasting xless xthat x15mins x
- Pain xthat xis xrelieved xwith xres x
x

A xnurse xis xreceiving xchange-of-shift xreport xfor xa xgroup xof xclients. xWhich xof xthe xfollowing
xclients xshould xthe xnurse xplan xto xsee xfirst? x

- xA xclient xwho xhas xdiabetes xmellitus xwith xdiaphoretic x- xA xclient xwho xhas xdiabetes xmellitus
xwith xdiaphoretic x
x

When xusing xthe xurgent xvs. xnonurgent xapproach xto xclient xcare, xthe xnurse xshould xdetermine
xthat xthe xpriority xaction xis xto xattend xto xa xclient xwho xhas xdiabetes xmellitus xand xis xdiaphoretic.

xDiaphoresis xis xa xmanifestation xof xhypoglycemia xand xcan xlead xto xdecreased xcerebral

xfunction. xThe xnurse xshould xcheck xthe xclient's xblood xglucose xand xadminister xa xfast-acting

xglucose xas xprescribed. x
x

A xnurse xis xcollecting xdata xfrom xa xclient xwho xhas xtuberculosis xand xstarted xcombination
xtherapy x2months xago. xWhich xof xthe xfollowing xdiagnostic xresults xindicates xthat xthe xclient xis

xadhering xto xthe xmedication xregimen. x- xA xnegative xchest xX-ray x

- xA xnegative xsputum xculture x
-A xnegative xtuberculin xskin xtest x
-A xnegative xtiter xfor xcytomegalovirus x- xA xnegative xsputum xculture x
x
x
Tuberculosis xis xan xinfectious xdisease xspread xthrough xairborne xdroplets. xSputum xcultures
xare


obtained xto xboth xdiagnose xtuberculosis xand xto xdetermine xwhether xthe xmedication xtreatment
xhas x


been xeffective. xAfter xthe xclient xbegins xantibiotic xtreatment xfor xtuberculosis, xa xsputum
xculture xis x


obtained xmonthly. xA xnegative xculture xis xan xindication xthat xthe xclient xis xno xlonger
xinfectious xand x
x
the xmedication xtherapy xhas xbeen
xeffective.
x

A xnurse xis xcollecting xdata xfrom xa xclient xwho xhas xbacterial xmeningitis. xWhich xof xthe
xfollowing
x
findings xshould xthe xnurse
xexpect?
x
- xSevere xHeadache x- x- xSevere
xHeadache
x

The xnurse xshould xexpect xa xclient xwho xhas xmeningitis xto xhave xsevere xand xpersistent xheadaches
xthat x