Virtual ATI Med-Surg Set 2025
Questions and Answers |100% Solved
A nurse is administering packed red blood cells to a client. What should the nurse
do if a transfusion reaction is suspected? - ....ANSWER ...-Stop the infusion.
A nurse is caring for a client with skeletal traction following a fracture. How and
when should skeletal pin care be provided? - ....ANSWER ...-One cotton
swab with chlorhexidine is designated for each pin for pin care to be done once a
shift.
A nurse is providing dietary teaching to a client newly diagnosed with constipation-
predominant irritable bowel syndrome. List two (2) teaching points the should
share with the client about dietary practices. - ....ANSWER ...-Eat foods high
in fiber
Increase fluids
Late Cushing's Triad manifestation - ....ANSWER ...-Severe hypertension
with widening of pulse pressure and bradycardia
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, Identifying Basal cell cancer - ....ANSWER ...-small, waxy nodule with
superficial blood vessels, well-defined borders
Teaching post Bronchoscopy - ....ANSWER ...-assess LOC, cough and gag
reflex, and ability to swallow before consuming oral intake
Teaching how to prevent transmission of HIV - ....ANSWER ...-take
antiretroviral medications to inhibit DNA synthesis and Viral replication
ABGs
Determine imbalance - ....ANSWER ...-
Blood compatibility:
Nursing Actions for Hemolytic transfusion reaction - ....ANSWER ...-
Remove the blood tubing from the IV access site. Initiate an infusion of 0.9% of
sodium chloride using new tubing. Monitor VS and fluid status. Send the blood
bag and administrating set to the lab for testing.
Priority intervention for Complication of Central Venous Catheter -
....ANSWER ...-1) look for safety risk; what is the risk for patient and how
significant is the risk? 2)
Teaching about levothyroxine (overdose manifestations) - ....ANSWER ...-
overmedication can result thyrotoxicosis (anxiety, tachycardia, heat intolerance,
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
Questions and Answers |100% Solved
A nurse is administering packed red blood cells to a client. What should the nurse
do if a transfusion reaction is suspected? - ....ANSWER ...-Stop the infusion.
A nurse is caring for a client with skeletal traction following a fracture. How and
when should skeletal pin care be provided? - ....ANSWER ...-One cotton
swab with chlorhexidine is designated for each pin for pin care to be done once a
shift.
A nurse is providing dietary teaching to a client newly diagnosed with constipation-
predominant irritable bowel syndrome. List two (2) teaching points the should
share with the client about dietary practices. - ....ANSWER ...-Eat foods high
in fiber
Increase fluids
Late Cushing's Triad manifestation - ....ANSWER ...-Severe hypertension
with widening of pulse pressure and bradycardia
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, Identifying Basal cell cancer - ....ANSWER ...-small, waxy nodule with
superficial blood vessels, well-defined borders
Teaching post Bronchoscopy - ....ANSWER ...-assess LOC, cough and gag
reflex, and ability to swallow before consuming oral intake
Teaching how to prevent transmission of HIV - ....ANSWER ...-take
antiretroviral medications to inhibit DNA synthesis and Viral replication
ABGs
Determine imbalance - ....ANSWER ...-
Blood compatibility:
Nursing Actions for Hemolytic transfusion reaction - ....ANSWER ...-
Remove the blood tubing from the IV access site. Initiate an infusion of 0.9% of
sodium chloride using new tubing. Monitor VS and fluid status. Send the blood
bag and administrating set to the lab for testing.
Priority intervention for Complication of Central Venous Catheter -
....ANSWER ...-1) look for safety risk; what is the risk for patient and how
significant is the risk? 2)
Teaching about levothyroxine (overdose manifestations) - ....ANSWER ...-
overmedication can result thyrotoxicosis (anxiety, tachycardia, heat intolerance,
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
