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ATI RN ADULT MEDICAL SURGICAL EXAM.docx

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ATI RN ADULT MEDICAL SURGICAL
PROCTORED NGN NEWEST 2024, 2023 AND
2019 TEST BANK COMPLETE 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||EVERYTHING ON
MEDICAL SURGICAL NGN




ATI RN ADULT MEDICAL SURGICAL 2024


A nurse is caring for a client who has tuberculosis and is
taking rifampin. The client reports that her saliva has
turned red-orange in color. Which of the following responses
should the nurse make?
a.) "This finding may indicate possible medication toxicity"
b.) "Your provider will prescribe a different
medication regimen"
c.) "This is an expected adverse effect of this medication"
d.) "You will need to increase your fluid intake to resolve
this problem" - ...ANSWER..c.) "This is an expected adverse
effect of this medication" PAGE 137 ati MS pdf 10.0

.A nurse is planning care for a client who is 12 hr
postoperative following a kidney transplant. Which of the
following actions should the nurse include in the plan of care?
a.) Check the client's blood pressure every 8 hr
b.) Administer opioids PO
c.) Assess urine output hourly

,d.) Monitor for hypokalemia as a manifestation of acute
rejection - ...ANSWER..c.) Assess urine output hourly

.A nurse in an emergency department is assessing a client
who has cirrhosis of the liver. Which of the following is a
priority finding?
a.) Yellow sclera
b.) Mental confusion can lead to portal
systemic encephalopathy
c.) Palmar erythema
d.) Spider angiomas - ...ANSWER..b.) Mental confusion can
lead to portal systemic encephalopathy (page 358 MS ATI
PDF 10.0 ::::::::::::::which
is something to report to provider meaning neuro is
worsening)

A nurse is obtaining a medication history from a client who
is to start therapy with naproxen for
rheumatoid arthritis. Which of the following medications
places the client at risk for bleeding?
a.) Captopril
b.) Ibuprofen
c.) Digoxin
d.) Phenytoin - ...ANSWER..b.) Ibuprofen

.A nurse is caring for a client in diabetic ketoacidosis (DKA).
Which of the following is the priority
intervention by the nurse?
a.) Administer 0.9% sodium chloride
b.) Check potassium levels
c.) Initiate a continuous IV insulin infusion
d.) Begin bicarbonate continuous IV infusion -
...ANSWER..c.) Initiate a continuous IV insulin infusion

,.A nurse is assessing the extremities of a client who has
Raynaud's disease. Which of the following findings
should the nurse expect?
a.) Blanching of the hands
b.) Hyperactive reflexes
c.) Calf pain with foot dorsiflexion
d.) Vitiligo on affected extremities -
...ANSWER..a.) Blanching of the hands (P 558 ati
MD pdf 10.0)

A nurse is caring for a group of clients. The nurse should
obtain a blood pressure reading using only the
left extremity from which of the following clients?
a. A client who has a peripherally inserted central catheter
in the left arm
b. A client who has left-sided Bell's palsy
c. A client who has a right upper extremity
arteriovenous fistula
d. A client who has right-sided weakness due to
Parkinson's disease - ...ANSWER..c. A client who has a
right upper extremity arteriovenous fistula

A nurse is providing teaching to a client who has DVT.
Which of the following findings should the nurse
identify as a risk factor for the development of DVTs?
a. Hypertension
b. Cirrhosis
c. NSAIDS use
d. Oral Contraceptive Use - ...ANSWER..d.
Oral Contraceptive Use

.A nurse is caring for client who has Cushing's disease.
Which of the following actions should the nurse take

, first? (Click Exhibit button for additional information)
a. Check the client's medication administration record for
antihypertensive medication.
b. Verify the client's understanding of sodium restriction.
c. Auscultate the client's lung sound
d. Determine the need for further glucose monitoring -
...ANSWER..d. Determine the need for further glucose
monitoring

A nurse is assessing a client who has nephrotic syndrome.
Which of the findings should the nurse expect?
A. Proteinuria
B.Flank pain
C.Hyperalbuminemia
D.Hypotension - ...ANSWER..A.Proteinuria

.A nurse is assessing a client who has right-sided heart failure.
Which of the following assessment findings
should the nurse expect to find?
a. Oliguria (Left)
b. S3/S4 galloping heart sounds (Left)
c. Poor skin turgor
d. Pitting edema - ...ANSWER..d. Pitting edema

.A nurse is caring for a client who has newly inserted chest
tube. The nurse should clarify which of the
following prescriptions with the provider?
A.Notify the provider when tidaling ceases.
B.Assisting the client out of bed three times daily.
C.Vigorously strip the chest tube twice daily.
D.Administer morphine 2 mg IV bolus every 3 hr PRN for
pain. - ...ANSWER..C.Vigorously strip the chest tube twice
daily. (VIGOROUSLY and TWICE A DAY)
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