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ATI PN ADULT MEDICAL SURGICAL / PN ADULT MEDICAL SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND CORRECT DETAILED ANSWERS

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ATI PN ADULT MEDICAL SURGICAL / PN ADULT MEDICAL SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND CORRECT DETAILED ANSWERS

Institution
Medical Surgical Nursing
Course
Medical surgical nursing











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Institution
Medical surgical nursing
Course
Medical surgical nursing

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Uploaded on
January 23, 2025
Number of pages
229
Written in
2024/2025
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ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND
CORRECT DETAILED ANSWERS

1. TEST
A nurse is caring for a 3.
client who is taking lithi-
um and reports
persistent nausea and
vomiting for 2 days.
Which of the fol- lowing
laboratory values
should the nurse report
to the provider?

a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L

2. A nurse is caring for
a client who has cancer
and has a WBC count of
4,000/mm3. Which of
the following
actions should the
nurse take?

a) Cleanse the client's
toothbrush with
hydrogen peroxide.
b) Instruct the client to
use a disposable razor
to shave.
c) Decrease the
client's protein intake.
d) Encourage the client
to eat unpasteurized dairy
products.


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, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND
CORRECT DETAILED ANSWERS
D. Sodium Peo- ple with leukemia or leukopenia
should avoid using disposable razors,
132 mEq/L which can cause cuts and bleeding that
can lead to infections. In- stead, they
Rationale: recommend using an electric razor to
reduce the risk of injury. Encouraging
The nurse should identify the client to eat unpasteurized dairy
that a sodium level of 132 products is not recommended as they
mEq/L is not within the can contain harmful bacteria that can
expected reference range of cause infections. Decreasing the client's
136 to 145 mEq/L. This protein intake is not recommended as
finding indi- cates protein is important for wound healing
hyponatremia, which can and immune function
lead to lithium accumulation
and places the client at risk
for lithium toxicity. The
nurse should report this
finding to the provider.




A. Cleanse the client's
toothbrush with hydro- gen
peroxide.

Rationale:

A WBC count of 4,000/mm3
is considered low and is
known as leukopenia. A low
WBC count can be caused
by cancer or cancer
treatment. The nurse
should instruct the client to
cleanse their toothbrush
with hydrogen peroxide.
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, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND
CORRECT DETAILED ANSWERS

TEST d) Ask the provider for a
A nurse enters a client's prescription for a pureed diet.
room and sees smoke
com- ing from the
bathroom.
Which of the following ac-
tions should the nurse
take first?

a) Activate the fire
alarm system.
b) Use a fire extinguisher
at the source of the
smoke.
c) Assist the client to
a nearby common
area.
d) Close the doors to
the room and to the
bathroom.

4. TEST
A nurse is contributing to
the plan of care for a client
who reports difficulty eat-
ing due to chronic arthri-
tis. Which of the following
interventions should the
nurse include in the plan?

a) Apply foam handles to
the client's eating
utensils.
b) Obtain a referral
for physical therapy.
c) Have an assistive
per- sonnel feed the
client.
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, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 230 QUESTIONS AND
CORRECT DETAILED ANSWERS
C. Assist the client to a ish
nearby common area.

Rationale:

u
s
e

R
e
s A. Apply foam handles to the client's
c eating utensils.
u
e Rationale:

A To help a client with chronic arthritis who
l expe- riences difficulty eating, applying
a foam handles to the eating utensils can
r provide a larger, more comfortable grip
m and reduce strain on the joints. Asking
for a puree diet may not be nec- essary
C unless swallowing difficulties are pre-
o sent. Having an assistive personnel feed
n the client may not promote
t independence. While obtaining a referral
a for physical therapy may be beneficial
i for overall mobility, it does not direct- ly
n address the client's difficulty with
eating.
E
x
t
i
n
g
u
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