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ATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISED

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ATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISEDATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISED 1.A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? Potassium 5.2 mEq/L 2. A nurse is teaching a client who has asthma the use of a peak flow meter. After setting the meter to the zero baseline. What is the sequence of steps the nurse should instruct the client to take? (Move the steps into the box on the right, placing them in the selected order of performance use all the steps.) "Stand upright" "Fill your lungs with a deep breath." "Seal your lips around the mouthpiece." "Exhibit forcefully and quickly." "Record the highest of three consecutive readings." 3.A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? - Feet elevated 4. A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? a. Assess the client’s stools for occult blood 5. a nurse is caring for a client who has sealed radiation implant. which of the following actions should the nurse take? limit family member visits to 30 min per day 6. a nurse providing teaching for a client who has chronic kidney disease. which of the following client statements indicates an understanding of the teaching? a. I will spread my protein allowances over the entire day 7. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client's recovery? Provide analgesic medication prior to physical activities. 8. A the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following should the nurse report to the provider ? Hemoglobin 10 mg/dL 9. A nurse on an acute care unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse assess first? A client who had an acute kidney injury and has a potassium level of 6.5 mEq/L 10. A nurse in a long-term care facility caring for a bedridden. Which of the following findings should alert the nurse to a complication of the client’s immobility? - blurred vision 11. A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse? a. “The elastic bandage will keep you from seeing the surgical site.” b. “The elastic bandage will prevent a postoperative wound infection.” c. “The elastic bandage will prevent excessive edema.”*** d. “The elastic bandage will keep the sutures from loosening.” 12. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take? a. Hold the transfusion if the client is actively bleeding b. Transfuse the plasma over 4 hours c. Administer the transfusion through a 25-gauge saline lock d. Administer the plasma immediately after thawing 13. A nurse caring for a client in diabetic ketoacidosis (DKA) , Which of the following is the priority intervention by the nurse a. Initiate a continuous IV insulin infusion b. Begin bicarbonate continuous IV infusion c. Check potassium levels d. Administer 0.9% sodium chloridATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISED 1.A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? Potassium 5.2 mEq/L 2. A nurse is teaching a client who has asthma the use of a peak flow meter. After setting the meter to the zero baseline. What is the sequence of steps the nurse should instruct the client to take? (Move the steps into the box on the right, placing them in the selected order of performance use all the steps.) "Stand upright" "Fill your lungs with a deep breath." "Seal your lips around the mouthpiece." "Exhibit forcefully and quickly." "Record the highest of three consecutive readings." 3.A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? - Feet elevated 4. A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? a. Assess the client’s stools for occult blood 5. a nurse is caring for a client who has sealed radiation implant. which of the following actions should the nurse take? limit family member visits to 30 min per day 6. a nurse providing teaching for a client who has chronic kidney disease. which of the following client statements indicates an understanding of the teaching? a. I will spread my protein allowances over the entire day 7. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client's recovery? Provide analgesic medication prior to physical activities. 8. A the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following should the nurse report to the provider ? Hemoglobin 10 mg/dL 9. A nurse on an acute care unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse assess first? A client who had an acute kidney injury and has a potassium level of 6.5 mEq/L 10. A nurse in a long-term care facility caring for a bedridden. Which of the following findings should alert the nurse to a complication of the client’s immobility? - blurred vision 11. A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse? a. “The elastic bandage will keep you from seeing the surgical site.” b. “The elastic bandage will prevent a postoperative wound infection.” c. “The elastic bandage will prevent excessive edema.”*** d. “The elastic bandage will keep the sutures from loosening.” 12. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take? a. Hold the transfusion if the client is actively bleeding b. Transfuse the plasma over 4 hours c. Administer the transfusion through a 25-gauge saline lock d. Administer the plasma immediately after thawing 13. A nurse caring for a client in diabetic ketoacidosis (DKA) , Which of the following is the priority intervention by the nurse a. Initiate a continuous IV insulin infusion b. Begin bicarbonate continuous IV infusion c. Check potassium levels d. Administer 0.9% sodium chlorid

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Test Bank for ATI MEDSURG
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PROCTOREDEXAM,QUESTIONS &
v v v v




ANSWERS LATEST UPDATE 2022
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, ATIMEDSURGPROCTOREDEXAM v v v




A nurse is assessing a client who is12hr postoperative following a colon resection. Which of the
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following findings should the nurse report to the surgeon?
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a. Heart rate 90/min v v




b. Absent bowel sounds v v




c. Hgb 8.2 g/dl v v




d. Gastric pH of 3.0 (normal 0-4) - c v v v v v v v




A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
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the nurse plan to administer?
v v v v v




a. Desmopressin
b. Regular insulin v




c. Furosemide
d. Lithium carbonate - a v v v




A nurse isadmitting a client whohas arthriticpain and reports taking ibuprofen several times daily for
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3 years. Which of the following test should the nurse monitor?
v v v v v v v v v v v




a. Fasting blood glucose v v




b. Stoolfor occult blood v v v




c. Urine for white blood cells v v v v




d. Serum calcium - b v v v




A nurse in the emergency department is assessing a client. Which of the following actions should
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thenursetake first (Click on the"Exhibit"button for additional information about the client. There
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are three tabs that contain separate categories of data.)
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a. Obtain a sputum sample for culture v v v v v




b. Prepare the client for a chest x-ray v v v v v v




c. Initiate airborne precautions v v




d. Administer ondansetron. - c v v v




A nurse is contacting theprovider for a client who has cancer and is experiencing breakthrough pain.
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Which of the following prescriptions should the nurse anticipate?
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a. Transmucosal fentanyl v




b. Intramuscular meperidine v




c. Oral acetaminophen v




d. Intravenousdexamethasone - a v v v




A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor.
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Which of thefollowing should the nurse analyze to determine whether the client is experiencing a
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myocardial infarction?
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a. PR interval v




b. QRS duration v




Med C File
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, c. T wave v




d. ST segment - d v v v




A nurse isteaching a client who has ovarian cancer about skin carefollowing radiation treatment.
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Which of the following instructions should the nurse include?
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a. Pat the skin on the radiation site to dry it
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b. Apply OTCmoisturizer tothe radiation site v v v v v v




c. Cover the radiation site loosely with a gauze wrap before dressing
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d. Use a soft washcloth to clean the area around the radiation site - a
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A nurse is caring for a client who isreceiving ablood transfusion. The nurse observes that the client
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has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
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anticipate administering which of the following prescribed medications?
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a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - d v v




A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
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hypomagnesemia. Which of thefollowing findings indicates effectivenessofthemedication?
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a. Lungs clear v




b. Apical pulse 82/min v v




c. Hyperactive bowel sounds v v




d. Blood pressure 90/50 mm Hg - b v v v v v v




A nurse is reviewing a client's ABG results pH7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse
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should recognize these findings as indication of which of the following conditions?
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a. Metabolic acidosis v




b. Metabolicalkalosis v




c. Compensated respiratoryalkalosis v v




d. Uncompensatedrespiratory acidosis - c v v v v




A nurse is caring for a client who has a deep partial thickness burnsover 15% of her body which of the
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following labs should the nurse expect during the first 24 hours
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a. Decreased BUN v




b. Hypoglycemia
c. Hypoalbuminemia
d. Decreased Hematocrit - c v v v




A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the
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following actions should the nurse take ?
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a. Offerthe client high carbohydrate mealoptions
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b. Provide the client with four full meals a day v v v v v v v v




c. Encourage the client to to drink at least 360 ml offluids with meals v v v v v v v v v v v v v




Med C File
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