ATI Med Surg Proctored Exam Practice Qs

ATI Med Surg Proctored Exam Practice
Qs

A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter
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(Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following
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complications related to the ventriculostomy?:
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a. Headache
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b. InfectionJ




c. Aphasia
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d. Hypertension - b. Infection
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Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
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A nurse is providing education to a client who is to undergo an EEG the next day. Which of the following info
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should the nurse include in the teaching?
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a. "Do not wash your hair the morning of the procedure."
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b. "Try and stay awake most of the night prior to the procedure."
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c. "The procedure will take approximately 15 mins."
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d. "You will need to lie flat for 4 hours after the procedure." - b. "Try and stay awake most of the night prior
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to the procedure."
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Tell the client to remain awake to provide cranial stress and increase the possibility of abnormal electrical
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activity
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A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a throbbing
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headache when sitting upright. Which of the following actions should the nurse take? SATA.
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a. Use the GCS scale to assess the client
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,b. Assist the client into a supine position
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c. Administer an opioid analgesic
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d. Encourage the client to increase PO fluid intake
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e. Instruct the client to perform coughing and deep breathing - B, D
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A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the
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prostate (TURP). Which of the following findings should the nurse report to the provider?
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a Output equal to the instilled irrigate
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b. Client reports bladder spasms
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c. Viscous urinary output with clots
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d. Reports of strong urge to urinate - c. Viscous urinary output with clots
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Urine that is bright red with clots is an indication of arterial bleeding.
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A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following findings should the
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nurse expect?
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a. Flattened T waves
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b. Prolonged QT intervals
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c. Shortened QT intervals
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d Widened QRS complexes - b. Prolonged QT intervals
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Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT intervals, and
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laryngospasm.
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A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following factors affects the
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manner in which the nurse will prepare the client for the scan?
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a. No food or fluids consumed for 4 hours
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b. Difficulty recalling recent events
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, c. Development of hives while eating shrimp
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d. Paresthesia in both hands - c. Development of hives while eating shrimp
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Shellfish allergy is contraindication of use of contrast media during a CT scan.
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A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the following
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pieces of info should the nurse include about prerenal azotemia?
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a. Prerenal azotemia begins prior to the onset of symptoms
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b. Interference with renal perfusion causes renal azotemia
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c. Prerenal azotemia is irreversible, even in early stages
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d. Infections and tumors cause prerenal azotemia - b. Interference with renal perfusion causes prerenal
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azotemia.
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Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.
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A nurse is teaching a client who has CAD about the difference between angina pectoris and MI. Which of the
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following should the nurse identify as indications of MI? SATA.
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a. N/V J




b. Diaphoresis and dizziness
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c. Chest and left arm pain that subsides with rest
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d. Anxiety and feelings of doom
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e. Bounding pulse and bradypnea - A, B, D
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A nurse is reviewing the lab results of a lumbar puncture for a client who has manifestations of bacterial
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meningitis. Which of the following findings should the nurse expect?
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a. Elevated glucose
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b. Elevated protein
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c. Presence of RBCs
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d. Presence of D-dimer - b. Elevated protein
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