ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
8 8 8 8 8
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
1.A54nurse54is54assessing54aclient54who54is5412hrpostoperative54following54
a54col54o54n54resection.54Which54of54thefollowing54findings54should54the54n
urse report54t54o54t54he54surgeon?
5
1. Heart54rate5490/min
2. Absentbowelsounds→normalfindings8after8major bowel54surgery;54t5
5
a kes54several54days54to54returnto54normal.
4 54
3. Hgb548.254g/dl
4. GastricpHof543.0
Rationale:54Normal54Hgb54is5413-18M8g/dl,5412-
1654g/dl.54This54mayindicatea54possiblehemorrhaging.
Anurseiscaring54for8a8client54who54has8pneumothorax54and54achesttube54with54c
los54e54d54water54seal8drainage54system.Which of54the54following54actions54should54th
5
enurseta54ke
?
a. Strip54or8clear54the8chest t 5
u54be54every88hours
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, b. Refill54the water54chamber
5
if54the54fluid8islow
54
c. Emptythe54system at least every54854hr
5 5 5
d. Changethechest54to site54dressing54every542454hour
5
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, Anurseis54in54an54emergencydepartment54is54reviewingaclient's54 ECGreading.5
w54hi54ch54of54the54following54findingsshould54the54nurse54identify54as54an54indicati
4
on54that54the54clie54nt54has54first54degree54heart54block?
Prolonged54PR54intervals(P
e54r54Tiamson)More54p54wa
ves54t54han54QRScomplexe
s54Nond54iscernible54p54wa
ves
No54correlation54between54p54and8QRS54waves
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, Anurse54is54preparing54to54administer54aunit of54packed54rbc's54to a54client who54is54anemic
5 5 5
.54Identifythesequence54ofstepsthe54nurseshould54follow.
1. Obtainvenous54access54using54 a541954gauge54needle
2. Obtaintheunit54ofpacked54rbc's54from54Blood54Bank54align
3. verify54blood54compatibility54with54another54nurse
4. Initiate54transfusion54of54theunit54ofpacked54rbc's
5. Remain54withthe54client54for54the54first 158to543054minutes54ofthe infusion
5 5
Rationale:54see54ATI54Med-Surg54p.5424954nursing54actions54BCADE
A54nurse54is54teaching54Aclient8who8is54to54begin54chemotherapyaboutperipherall
y54i54n54serted54Centralcatheter.8whichofthe5 4 following8statements54should54the54nur
se54inclu54de54in54the54teaching?
We54will54replace54the54PICC8every8month
We8can54draw54blood8samples8fromthe54PICC54for54diagnostic54test
We54will54change8the54dressing54daily
We54can54measureyourbloodpressure54in54either54arm
Rationale:5 4 ATI8Med-
Surgp.541668PICC linescanbeusedupto 5412 54months,54http://www.atitesting.com
5
/ati_next_gen/skillsmodules/content/cvad/equipment/site-
care.html54change54gauze54dressings54every54485 4 hours5 4 and5 4 transparent5 4 dr
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
8 8 8 8 8
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
1.A54nurse54is54assessing54aclient54who54is5412hrpostoperative54following54
a54col54o54n54resection.54Which54of54thefollowing54findings54should54the54n
urse report54t54o54t54he54surgeon?
5
1. Heart54rate5490/min
2. Absentbowelsounds→normalfindings8after8major bowel54surgery;54t5
5
a kes54several54days54to54returnto54normal.
4 54
3. Hgb548.254g/dl
4. GastricpHof543.0
Rationale:54Normal54Hgb54is5413-18M8g/dl,5412-
1654g/dl.54This54mayindicatea54possiblehemorrhaging.
Anurseiscaring54for8a8client54who54has8pneumothorax54and54achesttube54with54c
los54e54d54water54seal8drainage54system.Which of54the54following54actions54should54th
5
enurseta54ke
?
a. Strip54or8clear54the8chest t 5
u54be54every88hours
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, b. Refill54the water54chamber
5
if54the54fluid8islow
54
c. Emptythe54system at least every54854hr
5 5 5
d. Changethechest54to site54dressing54every542454hour
5
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, Anurseis54in54an54emergencydepartment54is54reviewingaclient's54 ECGreading.5
w54hi54ch54of54the54following54findingsshould54the54nurse54identify54as54an54indicati
4
on54that54the54clie54nt54has54first54degree54heart54block?
Prolonged54PR54intervals(P
e54r54Tiamson)More54p54wa
ves54t54han54QRScomplexe
s54Nond54iscernible54p54wa
ves
No54correlation54between54p54and8QRS54waves
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
, Anurse54is54preparing54to54administer54aunit of54packed54rbc's54to a54client who54is54anemic
5 5 5
.54Identifythesequence54ofstepsthe54nurseshould54follow.
1. Obtainvenous54access54using54 a541954gauge54needle
2. Obtaintheunit54ofpacked54rbc's54from54Blood54Bank54align
3. verify54blood54compatibility54with54another54nurse
4. Initiate54transfusion54of54theunit54ofpacked54rbc's
5. Remain54withthe54client54for54the54first 158to543054minutes54ofthe infusion
5 5
Rationale:54see54ATI54Med-Surg54p.5424954nursing54actions54BCADE
A54nurse54is54teaching54Aclient8who8is54to54begin54chemotherapyaboutperipherall
y54i54n54serted54Centralcatheter.8whichofthe5 4 following8statements54should54the54nur
se54inclu54de54in54the54teaching?
We54will54replace54the54PICC8every8month
We8can54draw54blood8samples8fromthe54PICC54for54diagnostic54test
We54will54change8the54dressing54daily
We54can54measureyourbloodpressure54in54either54arm
Rationale:5 4 ATI8Med-
Surgp.541668PICC linescanbeusedupto 5412 54months,54http://www.atitesting.com
5
/ati_next_gen/skillsmodules/content/cvad/equipment/site-
care.html54change54gauze54dressings54every54485 4 hours5 4 and5 4 transparent5 4 dr
ATI RN MEDSURG 2022/2023 PROCTORED
8 8 8 8
EXAM-
5
LATEST 100% CORRECT STUDY GUIDE.Q
8 8 8 8 8
$A WITH RATIONALES.
8 8
