ATI RN MEDSURG NGN PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES.
.A nurse is assessing a client who is 12hr postoperative
following acolon resection. Which of the following findings
should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
nurse take?
a.Strip or clear the chest
tube every 8 hours
b. Refill the water chamber
if the fluid is low
c. Empty the system at least every 8 hr
d.Change the chest to site dressing every 24 hour
,• A nurse is in an emergency department is reviewing a client's ECG reading.
which of the following findings should the nurse identify as an indication that
the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson) More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
,• A nurse is preparing to administer a unit of packed rbc's to a client who is
anemic. Identify the sequence of steps the nurse should follow.
1. Obtain venous access using a 19 gauge needle
2. Obtain the unit of packed rbc's from Blood Bank align
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed rbc's
5. Remain with the client for the first 15 to 30 minutes of the infusion
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
• A nurse is teaching A client who is to begin chemotherapy about peripherally
inserted Central catheter. which of the following statements should the nurse
include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months,
http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/
site-care.html change gauze dressings every 48 hours and
transparent dressings 3 to 7 days or whenever they are no
, longer intact. Measure BP in opposite arm
• A nurse is assessing a client who has Pyelonephritis and reports flank pain.
which of the following actions should the nurse take?
Assist the client to a sitting position
Percuss the side of tenderness first
Auscultate for a bruit over the coastal
vertebral area Thump the area of
tenderness directly with a closed fist
.A nurse is assessing a client who has acute kidney failure. Which of the
following findings should the nurse report to the provider?
Peripheral pulses 2 + bilaterally
Weight gain 1.1 kilogram to 2.4 pound in 24-hour
Urine specific
gravity 1.045
Creatinine 0.8
milliliter
Rationale: weight gain can indicate fluid retention. normal urine specific
gravity: 1.000-1.030, normal creatinine: 0.5-1.2
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES.
.A nurse is assessing a client who is 12hr postoperative
following acolon resection. Which of the following findings
should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
nurse take?
a.Strip or clear the chest
tube every 8 hours
b. Refill the water chamber
if the fluid is low
c. Empty the system at least every 8 hr
d.Change the chest to site dressing every 24 hour
,• A nurse is in an emergency department is reviewing a client's ECG reading.
which of the following findings should the nurse identify as an indication that
the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson) More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
,• A nurse is preparing to administer a unit of packed rbc's to a client who is
anemic. Identify the sequence of steps the nurse should follow.
1. Obtain venous access using a 19 gauge needle
2. Obtain the unit of packed rbc's from Blood Bank align
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed rbc's
5. Remain with the client for the first 15 to 30 minutes of the infusion
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
• A nurse is teaching A client who is to begin chemotherapy about peripherally
inserted Central catheter. which of the following statements should the nurse
include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months,
http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/
site-care.html change gauze dressings every 48 hours and
transparent dressings 3 to 7 days or whenever they are no
, longer intact. Measure BP in opposite arm
• A nurse is assessing a client who has Pyelonephritis and reports flank pain.
which of the following actions should the nurse take?
Assist the client to a sitting position
Percuss the side of tenderness first
Auscultate for a bruit over the coastal
vertebral area Thump the area of
tenderness directly with a closed fist
.A nurse is assessing a client who has acute kidney failure. Which of the
following findings should the nurse report to the provider?
Peripheral pulses 2 + bilaterally
Weight gain 1.1 kilogram to 2.4 pound in 24-hour
Urine specific
gravity 1.045
Creatinine 0.8
milliliter
Rationale: weight gain can indicate fluid retention. normal urine specific
gravity: 1.000-1.030, normal creatinine: 0.5-1.2
