ATI MED SURG FINAL PROCTORED STUDY SET with correct answers 2024/2025

ATI MED SURG FINAL PROCTORED STUDY SET Tetany-low Calcium - correct answer Trousseau's sign-hand spasm when blood pressure cuff inflated Chvostek's sign-facial twitching when facial nerve tapped Pancreatitis Labs - correct answer Amylase-increases w/in 24 hr, remains increased 2-3 days Blood lipase-incerases slowly, remain increased for days longer than amylase Urine amylase remains increased up to 1 wk. Increase in enzymes=pancreatic cell injury IN PANCREATITIS THE "ACES" ARE HIGH "Ases" WBC=increased Platelets=decreased Blood Ca and Mg= decreased Liver enzymes/bilirubin=increased Glucose=increased ESR=increased A nurse caring for a client who has a closed head injury an-d has an Intraventricular catheter placed. Which of the following finding indicated that the client is experiencing IICP (SELECT ALL) - correct answer -distended jugular veins -Sleepiness or difficulty arousing client -Widening pulse pressure (increase in systolic w/concurrent decrease in diastolic BP) -Both decerebrate and decorticate posturing A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following Rx meds should the nurse instruct the client to withhold for 48 hours prior to cardioversion. - correct answer Digoxin -Cardiac glycosides are withheld prior to cardioversion. They can increase ventricular irritability and put client at risk for Vfib post synchronized counter shock of cardioversion Enaxoparin - correct answer Anticoagulant- can be beneficial during cardioversion due to ability to prevent clots that can be released into client circulatory system after cardioversion. Metformin - correct answer Oral hypoglycemic May be held for cardiac cath or procedures INVOLVING CONTRAST to prevent damage to kidneys. Diazepam - correct answer Sedative/Valium Administered to clients prior to cardioversion to reduce anxiety. RN assessment for client who has acute cholecystitis. What following finding is PRIORITY? - correct answer TACHYCARDIA-manifestation of biliary colic, which can lead to shock. Position HOB flat and report to MD -Anorexia is an expected finding -abdominal pain radiating to right shoulder is expected -Rebound abdominal tenderness is expected finding