Medical Surgical Rn Ati Exit Exam Questions And Answers Verified 100% Correct

Medical Surgical Rn Ati Exit Exam Questions And Answers Verified 100% Correct A female patient with irritable bowel syndrome has been advised to take alosetron hydrochloric (HCL) (Lotronex). The nurse understands that the medication may cause severe, adverse side effects, requiring the medication to be discontinued. What side effects should the nurse advise the patient to be observant for and to notify the health care provider of? Select all that apply. ANSWER-- - blood in the stools - severe constipation - abdominal pain A patient with chronic obstructive pulmonary disease (COPD) is suspected to have developed cor pulmonale. The nurse recognizes that which test result helps confirm the diagnosis? -ANSWER-- Large pulmonary vessels on chest Xray A registered nurse is caring for a patient who suffered a stroke 1 day ago. What is the role of the registered nurse? Select all that apply. -ANSWER-- - assess respiratory & neuro status A patient with heart failure is admitted to the hospital. Laboratory findings indicate that this patient is severely anemic. The nurse recognizes that for this patient, the anemia most likely led to heart failure. Arrange these condition s in the order in which they lead to heart failure triggered by severe anemia. - ANSWER-- (1). a decrease in the oxygen carrying capacity of the blood stimulates an increase in cardiac output (2). This increase in cardiac output causes an increase in cardiac workload (3), resulting in hypertrophy of the left ventricle (4) A patient with cystic fibrosis is being treated by the nurse with chest physiotherapy for the left upper lobe (LUL) of the lung. In which order should the nurse perform the following actions? Put a comma and space between each ANSWER choice (1, 2, 3, 4). -ANSWER-- 1. give Albuterol (Proventil) nebulizer therapy (short-acting bronchodilator) to facilitate ventilation during therapy 2. positioned on the right side with the head up to expose the LUL for treatment and drainage. 3. Percussion and vibration are performed to loosen secretions 4. help patient with coughing effectively and expectorating the thick secretions. The effects of nitroglycerin on the body that are beneficial to the patient in acute decompensated heart failure include which of the following? Select all that apply -ANSWER-- - vasodilation - increased myocardial O2 supply - decrease preload Which item would be most beneficial when providing oral care to a patient with cancer who is at risk for oral-tissue injury? -ANSWER-- soft-bristled toothbrush A nurse is developing health promotion programs for older adults. Which would be the primary focus of health promotion programs at this age? ANSWER-- providing services that reduce health hazards The nurse is planning care for a patient with cystic fibrosis (CF). Which actions by the nurse are most appropriate? Select all that apply -ANSWER-- - Provides fat-soluble vitamin supplementation - Evaluates blood glucose levels - Prepares to provide pancreatic enzyme replacement medications The pt with an acute kidney injury is being admitted. Which prescriptions by the primary health care provider should RN anticipate? -ANSWER-- - Sodium AND Potassium restriction - Encourage fluid replacement - Phosphate binding agents When performing a physical assessment on a pt with amyotrophic lateral sclerosis, which manifestations is the RN likely to find? -ANSWER-- - limb weakness - difficulty swalloing - difficulty articulating words Which nursing intervention is most important for a patient during the first several days after a myocardial infarction? -ANSWER-- Instructing the patient in how to utilize a bedside commode Rationale: To prevent complications it is important for the pt to cease any unnecessary activity, thereby decreasing cardiac demands. Straining while having a bowel movement on a bedpan causes an unnecessary increase in cardiac workload. Therefore allowing a pt to assume a normal elimination position on a bedside commode will facilitate an easy bowel movement and conservation of energy. The nurse is discharging a patient admitted with a transient ischemic attack (TIA). For which medications might the nurse expect to provide discharge instructions? -ANSWER-- - Clopidogrel (Plavix) - Enteric-coated Aspirin (Ecotrin) - Dipyridamole (Persantine) The lipid profile of a patient is indicative of hyperlipidemia. A nurse advises the patient to consume a diet rich in high-density lipoproteins based on what rationale? -ANSWER-- - High-density lipoproteins (HDLs) transport lipids to the liver. - High-density lipoproteins (HDLs) prevent deposition of lipids in the blood vessels. Place the following steps in the renin-angiotensin-aldosterone system (RAAS) in the order that they occur. -ANSWER-- (1.) decreased cardiac output leads to the release of renin (2.). Renin activates angiotensinogin (3), which converts angiotensin 1 to angiotensin 2 (4.), which is a potent vasoconstrictor (5.) A patient with heart failure has been admitted with a diagnosis of digitalis toxicity. Which symptoms that the patient is exhibiting suggest this diagnosis? -ANSWER-- - altered mental status - HR of 52 - poor appetite (anorexia, N/V) - seeing halos around light A pt has suffered a right-brain stroke. What should the RN include in the safety measures immediately after the stroke? -ANSWER-- - elevate side rails - avoid using vests