ATI RN ADULT MEDICAL-SURGICAL NURSING RN ADULT MEDICAL SURGICAL NURSING ACTUAL EXAM TEST BANK

ATI RN ADULT MEDICAL-SURGICAL NURSING 2023-
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2024 /RN ADULT MEDICAL SURGICAL NURSING ACT
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UAL EXAM TEST BANK 250 QUESTIONS AND
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CORRECT DETAILED ANSWERS WITH RATIONALES(
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VERIFIED ANSWERS) |ALREADY GRADED A+
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Avnursevinvavhealthvcarevclinicvisvevaluatingvthevlevelvofvwellnessvforvclientsvusingvthevillness-
wellnessvcontinuumvtool.vThevnursevshouldvidentifyvwhichvofvthevfollowingvclientsvasvbeingvatvthevcent
ervofvthevcontinuum?

A. Avcollegevstudentvwhovhasvinfluenza

B. Anvoldervadultvwhovhasvavnewvdiagnosisvofvtypev2vdiabetesvmellitus

C. Avnewvmothervwhovhasvavurinaryvinfection

D. Avyoungvmalevwhovhasvavlongvhistoryvofvwell-controlledvrheumatoidvarthritisv-vANSWER-
D.vAvyoungvmalevwhovhasvavlongvhistoryvofvwell-controlledvrheumatoidvarthritis



Avnursevisvevaluatingvclientsvatvavhealthvfairvforvmodifiablevvariablesvaffectingvhealthvandvwellness.vThev
nursevshouldvidentifyvwhichvofvthevfollowingvvariablesvasvmodifiable?v(SATA)

A. Smokingvonvsocialvoccasions

B. BMIvofv28

C. Alopecia

D. Trisomyv21

E. Historyvofvrefluxv-vANSWER-A.vSmokingvonvsocialvoccasions

B.vBMIvofv28

E.vHistoryvofvreflux



Avnursevisvcaringvforvavclientvwhovwasvjustvinformedvofvavnewvdiagnosisvofvbreastvcancer.vThevnursev
evaluatesvthevclient'svresponse.vWhichvofvthevfollowingvstatementsvbyvthevclientvreflectsvavlackvofvu
nderstandingvofvanvillnessvperspective?

A. "Ivhavevnovfamilyvhistoryvofvbreastvcancer."

B. "Ivneedvavsecondvopinion.vTherevisvnovlump."

C. "Ivamvgladvwevlivevinvthevcityvnearvseveralvlargevhospitals."

,D. "Ivwillvschedulevsurgeryvnextvweek,vovervthevholidays."v-vANSWER-
B.v"Ivneedvavsecondvopinion.vTherevisvnovlump."



Avnursevonvavmedical-
surgicalvunitvisvcaringvforvavgroupvofvclients.vThevnursevshouldvnotifyvthevrapidvresponsevteamvforvwhi
chvofvthevfollowingvclients?

A. Clientvwhovhasvavpressurevinjuryvofvthevrightvheelvwhosevbloodvglucosevisv300vmg/dL

B. Clientvwhovreportsvrightvcalfvpainvandvshortnessvofvbreath

C. Clientvwhovhasvbloodvonvavpressurevdressingvinvthevfemoralvareavfollowingvavcardiacvcatheterization

D. Clientvwhovhasvdarkvredvcolorationvofvleftvtoesvandvabsentvpedalvpulsev-vANSWER-
B.vClientvwhovreportsvrightvcalfvpainvandvshortnessvofvbreath



Avnursevisvcaringvforvavclientvwhovhasvingestedvavtoxicvagent.vWhichvofvthevfollowingvactionsvshouldvthev
nursevplanvtovtake?v(SATA)

A. Inducevvomiting

B. Instillvactivatedvcharcoal

C. Performvavgastricvlavagevwithvaspiration

D. Administervsyrupvofvipecac

E. InfusevIVvfluidsv-vANSWER-B.vInstillvactivatedvcharcoal

C.vPerformvavgastricvlavagevwithvaspiration

E.vInfusevIVvfluids



Avnursevinvthevemergencyvdepartmentvisvcaringvforvavclientvwhovfellvthroughvthevicevonvavpondvandvisv
unresponsivevandvbreathingvslowly.vWhichvofvthevfollowingvactionsvshouldvthevnursevtake?v(SATA)

A. Removevwetvclothing

B. Maintainvnormalvroomvtemperature

C. Applyvwarmvblankets

D. Usevavrapidvrewarmingvwatervofv40ºvCv(104ºvtov108ºvF)

E. InfusevwarmedvIVvfluidsv-vANSWER-A.vRemovevwetvclothing

C. Applyvwarmvblankets

D. Usevavrapidvrewarmingvwatervofv40ºvCv(104ºvtov108ºvF)

,E. InfusevwarmedvIVvfluids



Avnursevinvthevemergencyvdepartmentvisvassessingvavclientvwhovisvunresponsive.vThevclient'svpartnervs
tates,v"Hevwasvpullingvweedsvinvthevyardvandvslumpedvtovthevground."vWhichvofvthevfollowingvtechni
quesvshouldvthevnursevusevtovopenvthevclient'svairway?

A. Head-tilt,vchin-lift

B. Modifiedvjawvthrust

C. Hyperextensionvofvthevhead

D. Flexionvofvthevheadv-vANSWER-A.vHead-tilt,vchin-lift



Avnursevisvreviewingvthevcommonvemergencyvmanagementvprotocolvforvclientsvwhovhavevasystole.v
Whichvofvthevfollowingvactionsvshouldvthevnursevplanvtovtakevduringvthisvcardiacvemergency?

A. Performvdefibrillation

B. Preparevforvtranscutaneousvpacing

C. AdministervIVvepinephrine

D. Elevatevthevclient'svlowervextremitiesv-vANSWER-C.vAdministervIVvepinephrine



Avnursevisvcaringvforvavclientvwhovisvpostprocedurevfollowingvlumbarvpuncturevandvreportsvavthrobbingv
headachevwhenvsittingvupright.vWhichvofvthevfollowingvactionsvshouldvthevnursevtake?v(SATA)

A. UsevthevGlasgowvComavScalevwhenvassessingvthevclient

B. Assistvthevclientvtovavsupinevposition

C. Administervanvopioidvmedication

D. Encouragevthevclientvtovincreasevfluidvintake

E. Instructvthevclientvtovperformvdeepvbreathingvandvcoughingvexercisesv-vANSWER-
B.vAssistvthevclientvtovavsupinevposition

C.vAdministervanvopioidvmedication

D.vEncouragevthevclientvtovincreasevfluidvintake



Avnursevisvcaringvforvavclientvwhovexperiencedvavtraumaticvheadvinjuryvandvhasvanvintraventricularvca
theterv(ventriculostomy)vforvICPvmonitoring.vThevnursevshouldvmonitorvthevclientvforvwhichvofvthevfol
lowingvcomplicationsvrelatedvtovthevventriculostomy?

, A. Headache

B. Infection

C. Aphasia

D. Hypertensionv-vANSWER-B.vInfection



AvnursevisvassessingvavclientvforvchangesvinvthevlevelvofvconsciousnessvusingvthevGlasgowvComavScalev(GC
S).vThevclientvopensvhisveyesvwhenvspokenvto,vspeaksvincoherently,vandvmovesvhisvextremitiesvwhenvpain
visvapplied.vWhichvofvthevfollowingvGCSvscoresvshouldvthevnursevdocument?



A.vE2v+vV3v+vM5v=v10

B.vE3v+.vV4v+vM4v=v11

C.vE4v+vV5v+vM6v=v15

D.vE2v+vV2+vM4v=v8v-vANSWER-B.vE3v+vV4v+vM4v=v11



Avnursevisvdevelopingvavplanvofvcarevforvavclientvwhovisvscheduledvforvcerebralvangiographyvwithvcontrastv
media.vWhichvofvthevfollowingvstatementsvbyvthevclientvshouldvthevnursevreportvtovthevprovider?v(SATA)

A. "IvthinkvIvmightvbevpregnant."

B. "Ivtakevwarfarin."

C. "Ivtakevantihypertensivevmedication."

D. "Ivamvallergicvtovshrimp."

E. "Ivatevavlightvbreakfastvthisvmorning."v-vANSWER-A.v"IvthinkvIvmightvbevpregnant."

B.v"Ivtakevwarfarin."

D.v"Ivamvallergicvtovshrimp."

E.v"Ivatevavlightvbreakfastvthisvmorning."



Avnursevisvprovidingveducationvtovavclientvwhovisvtovundergovanvelectroencephalogramv(EEG)vthevnextv
day.vWhichvofvthevfollowingvinformationvshouldvthevnursevincludevinvthevteaching?

A. "Dovnotvwashvyourvhairvthevmorningvofvthevprocedure."

B. "Tryvtovstayvawakevmostvofvthevnightvpriorvtovthevprocedure."

C. "Thevprocedurevwillvtakevapproximatelyv15vminutes."