ATI Med Surg Proctored Exam 1 2024
verified with 100 % correct questions and
answers.
Ajnursejisjcaringjforjajclientjwhojexperiencedjajtraumaticjheadjinjuryjandjhasjanjintraventricularjcat
heterj(Ventriculostomy)jforjICPjmonitoring.jThejnursejshouldjmonitorjthejclientjforjwhichjofjthejfol
lowingjcomplicationsjrelatedjtojthejventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertensionj-jb.jInfection
Monitorjforjinfectionjandjusejstrictjasepsisjtojavoidjlife-threateningjmeningitis.
AjnursejisjprovidingjeducationjtojajclientjwhojisjtojundergojanjEEGjthejnextjday.jWhichjofjthejfollo
wingjinfojshouldjthejnursejincludejinjthejteaching?
a. "Dojnotjwashjyourjhairjthejmorningjofjthejprocedure."
b. "Tryjandjstayjawakejmostjofjthejnightjpriorjtojthejprocedure."
c. "Thejprocedurejwilljtakejapproximatelyj15jmins."
d. "Youjwilljneedjtojliejflatjforj4jhoursjafterjthejprocedure."j-
jb.j"Tryjandjstayjawakejmostjofjthejnightjpriorjtojthejprocedure."
Telljthejclientjtojremainjawakejtojprovidejcranialjstressjandjincreasejthejpossibilityjofjabnormaljele
ctricaljactivity
Ajnursejisjcaringjforjajclientjwhojisjpostproceduraljfollowingjajlumbarjpuncturejandjreportsjajthrob
bingjheadachejwhenjsittingjupright.jWhichjofjthejfollowingjactionsjshouldjthejnursejtake?jSATA.
a. UsejthejGCSjscalejtojassessjthejclient
b. Assistjthejclientjintojajsupinejposition
c. Administerjanjopioidjanalgesic
d. EncouragejthejclientjtojincreasejPOjfluidjintake
e. Instructjthejclientjtojperformjcoughingjandjdeepjbreathingj-jB,jD
Ajnursejisjcaringjforjajclientjwhojhasjcontinuousjbladderjirrigationjfollowingjajtransurethraljrese
ctionjofjthejprostatej(TURP).jWhichjofjthejfollowingjfindingsjshouldjthejnursejreportjtojthejprovi
der?
ajOutputjequaljtojthejinstilledjirrigate
b. Clientjreportsjbladderjspasms
c. Viscousjurinaryjoutputjwithjclots
d. Reportsjofjstrongjurgejtojurinatej-jc.jViscousjurinaryjoutputjwithjclots
Urinejthatjisjbrightjredjwithjclotsjisjanjindicationjofjarterialjbleeding.
AjnursejisjmonitoringjthejECGjofjajclientjwhojhasjhypocalcemia.jWhichjofjthejfollowingjfindingsjsh
ouldjthejnursejexpect?
,a. FlattenedjTjwaves
, b. ProlongedjQTjintervals
c. ShortenedjQTjintervals
djWidenedjQRSjcomplexesj-jb.jProlongedjQTjintervals
Manifestationsjofjhypocalcemiajincludejtingling,jnumbness,jtetany,jseizures,jprolongedjQTjinter
vals,jandjlaryngospasm.
AjnursejisjpreparingjajclientjwhojhasjajbrainjtumorjforjajCTjscan.jWhichjofjthejfollowingjfactorsjaffe
ctsjthejmannerjinjwhichjthejnursejwilljpreparejthejclientjforjthejscan?
a. Nojfoodjorjfluidsjconsumedjforj4jhours
b. Difficultyjrecallingjrecentjevents
c. Developmentjofjhivesjwhilejeatingjshrimp
d. Paresthesiajinjbothjhandsj-
jc.jDevelopmentjofjhivesjwhilejeatingjshrimpjShellfishjallergyjisjcontraindicationj
ofjusejofjcontrastjmediajduringjajCTjscan.
Ajnursejisjpreparingjanjin-
servicejprogramjaboutjthejstagesjofjacutejkidneyjinjury.jWhichjofjthejfollowingjpiecesjofjinfojshou
ldjthejnursejincludejaboutjprerenaljazotemia?
a. Prerenaljazotemiajbeginsjpriorjtojthejonsetjofjsymptoms
b. Interferencejwithjrenaljperfusionjcausesjrenaljazotemia
c. Prerenaljazotemiajisjirreversible,jevenjinjearlyjstages
d. Infectionsjandjtumorsjcausejprerenaljazotemiaj-
jb.jInterferencejwithjrenal jperfusion jcausesjprerenaljazotemia.
Prerenalj=jinterferencejwithjrenaljperfusion,jsuchjasjfromjheartjfailurejorjhypovolemicjshock.
AjnursejisjteachingjajclientjwhojhasjCADjaboutjthejdifferencejbetweenjanginajpectorisjandjMI.jWh
ichjofjthejfollowingjshouldjthejnursejidentifyjasjindicationsjofjMI?jSATA.
a. N/V
b. Diaphoresisjandjdizziness
c. Chestjandjleftjarmjpainjthatjsubsidesjwithjrest
d. Anxietyjandjfeelingsjofjdoom
e. Boundingjpulsejandjbradypneaj-jA,jB,jD
Ajnursejisjreviewingjthejlabjresultsjofjajlumbarjpuncturejforjajclientjwhojhasjmanifestationsjofjbact
erialjmeningitis.jWhichjofjthejfollowingjfindingsjshouldjthejnursejexpect?
a. Elevatedjglucose
b. Elevatedjprotein
c. PresencejofjRBCs
d. PresencejofjD-dimerj-jb.jElevatedjprotein
ManifestationsjofjbacterialjmeningitisjincludejincreasejproteinjinjthejCSF,jdecreasedjglucose.jRBC
sjcanjindicatejbleeding,jhowever,jWBCsjarejwhatjindicatesjbacterialjmeningitis.
Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjdiagnosisjofjmyastheniajgravisj(MG).jWhichj
ofjthejfollowingjpiecesjofjinformationjshouldjthejnursejinclude?
A. Usejenemasjtojtreatjconstipationjcausedjbyjdailyjmedications
B. Takejajhotjbathjwhenjmusclesjache
verified with 100 % correct questions and
answers.
Ajnursejisjcaringjforjajclientjwhojexperiencedjajtraumaticjheadjinjuryjandjhasjanjintraventricularjcat
heterj(Ventriculostomy)jforjICPjmonitoring.jThejnursejshouldjmonitorjthejclientjforjwhichjofjthejfol
lowingjcomplicationsjrelatedjtojthejventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertensionj-jb.jInfection
Monitorjforjinfectionjandjusejstrictjasepsisjtojavoidjlife-threateningjmeningitis.
AjnursejisjprovidingjeducationjtojajclientjwhojisjtojundergojanjEEGjthejnextjday.jWhichjofjthejfollo
wingjinfojshouldjthejnursejincludejinjthejteaching?
a. "Dojnotjwashjyourjhairjthejmorningjofjthejprocedure."
b. "Tryjandjstayjawakejmostjofjthejnightjpriorjtojthejprocedure."
c. "Thejprocedurejwilljtakejapproximatelyj15jmins."
d. "Youjwilljneedjtojliejflatjforj4jhoursjafterjthejprocedure."j-
jb.j"Tryjandjstayjawakejmostjofjthejnightjpriorjtojthejprocedure."
Telljthejclientjtojremainjawakejtojprovidejcranialjstressjandjincreasejthejpossibilityjofjabnormaljele
ctricaljactivity
Ajnursejisjcaringjforjajclientjwhojisjpostproceduraljfollowingjajlumbarjpuncturejandjreportsjajthrob
bingjheadachejwhenjsittingjupright.jWhichjofjthejfollowingjactionsjshouldjthejnursejtake?jSATA.
a. UsejthejGCSjscalejtojassessjthejclient
b. Assistjthejclientjintojajsupinejposition
c. Administerjanjopioidjanalgesic
d. EncouragejthejclientjtojincreasejPOjfluidjintake
e. Instructjthejclientjtojperformjcoughingjandjdeepjbreathingj-jB,jD
Ajnursejisjcaringjforjajclientjwhojhasjcontinuousjbladderjirrigationjfollowingjajtransurethraljrese
ctionjofjthejprostatej(TURP).jWhichjofjthejfollowingjfindingsjshouldjthejnursejreportjtojthejprovi
der?
ajOutputjequaljtojthejinstilledjirrigate
b. Clientjreportsjbladderjspasms
c. Viscousjurinaryjoutputjwithjclots
d. Reportsjofjstrongjurgejtojurinatej-jc.jViscousjurinaryjoutputjwithjclots
Urinejthatjisjbrightjredjwithjclotsjisjanjindicationjofjarterialjbleeding.
AjnursejisjmonitoringjthejECGjofjajclientjwhojhasjhypocalcemia.jWhichjofjthejfollowingjfindingsjsh
ouldjthejnursejexpect?
,a. FlattenedjTjwaves
, b. ProlongedjQTjintervals
c. ShortenedjQTjintervals
djWidenedjQRSjcomplexesj-jb.jProlongedjQTjintervals
Manifestationsjofjhypocalcemiajincludejtingling,jnumbness,jtetany,jseizures,jprolongedjQTjinter
vals,jandjlaryngospasm.
AjnursejisjpreparingjajclientjwhojhasjajbrainjtumorjforjajCTjscan.jWhichjofjthejfollowingjfactorsjaffe
ctsjthejmannerjinjwhichjthejnursejwilljpreparejthejclientjforjthejscan?
a. Nojfoodjorjfluidsjconsumedjforj4jhours
b. Difficultyjrecallingjrecentjevents
c. Developmentjofjhivesjwhilejeatingjshrimp
d. Paresthesiajinjbothjhandsj-
jc.jDevelopmentjofjhivesjwhilejeatingjshrimpjShellfishjallergyjisjcontraindicationj
ofjusejofjcontrastjmediajduringjajCTjscan.
Ajnursejisjpreparingjanjin-
servicejprogramjaboutjthejstagesjofjacutejkidneyjinjury.jWhichjofjthejfollowingjpiecesjofjinfojshou
ldjthejnursejincludejaboutjprerenaljazotemia?
a. Prerenaljazotemiajbeginsjpriorjtojthejonsetjofjsymptoms
b. Interferencejwithjrenaljperfusionjcausesjrenaljazotemia
c. Prerenaljazotemiajisjirreversible,jevenjinjearlyjstages
d. Infectionsjandjtumorsjcausejprerenaljazotemiaj-
jb.jInterferencejwithjrenal jperfusion jcausesjprerenaljazotemia.
Prerenalj=jinterferencejwithjrenaljperfusion,jsuchjasjfromjheartjfailurejorjhypovolemicjshock.
AjnursejisjteachingjajclientjwhojhasjCADjaboutjthejdifferencejbetweenjanginajpectorisjandjMI.jWh
ichjofjthejfollowingjshouldjthejnursejidentifyjasjindicationsjofjMI?jSATA.
a. N/V
b. Diaphoresisjandjdizziness
c. Chestjandjleftjarmjpainjthatjsubsidesjwithjrest
d. Anxietyjandjfeelingsjofjdoom
e. Boundingjpulsejandjbradypneaj-jA,jB,jD
Ajnursejisjreviewingjthejlabjresultsjofjajlumbarjpuncturejforjajclientjwhojhasjmanifestationsjofjbact
erialjmeningitis.jWhichjofjthejfollowingjfindingsjshouldjthejnursejexpect?
a. Elevatedjglucose
b. Elevatedjprotein
c. PresencejofjRBCs
d. PresencejofjD-dimerj-jb.jElevatedjprotein
ManifestationsjofjbacterialjmeningitisjincludejincreasejproteinjinjthejCSF,jdecreasedjglucose.jRBC
sjcanjindicatejbleeding,jhowever,jWBCsjarejwhatjindicatesjbacterialjmeningitis.
Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjdiagnosisjofjmyastheniajgravisj(MG).jWhichj
ofjthejfollowingjpiecesjofjinformationjshouldjthejnursejinclude?
A. Usejenemasjtojtreatjconstipationjcausedjbyjdailyjmedications
B. Takejajhotjbathjwhenjmusclesjache