ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1 |ACTUAL
COMPLETE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+.
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - ANSWER -A Use
electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
--
B, keep head of bed higher than 30 degrees to prevent aspiration and
ventilator associated pneumonia. Turn the client q 2hr to prevent
complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine
suctioning. Base the need for suctioning on assessments, not a
schedule. Unnecessary suctioning can cause bronco spasms and
injury tracheal mucosa
,D, oral hygiene should be performed q 2 hr to decrease the risk of
ventilator associated pneumonia
A nurse is caring for a client who is receiving IV fluid replacement
therapy for dehydration. Which of the following laboratory results
indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - ANSWER -C
Within the expected range of 1.005-1.030
--
A, sodium range is 136-145
B, potassium range is 3.5-5
D, Hct range is 37%-52%
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
,C. Platelets 80,000
D. RBC 4.0 million - ANSWER -C platelet range is 150,000-400,000 --
A, PT range is 11-12.5
B, aPTT range is 30-40 seconds
D, RBC range is 4.2-6.1 million. A low RBC can indicate that bleeding
has occurred, but it does not indicate that the client is at risk for
bleeding
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following interventions
is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - ANSWER -D
The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad
coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
, A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - ANSWER -C
Dyspnea is an indication of possible transfusion associated
circulatory overload, leading to hypertension, bounding pulses, and
confusion. Dyspnea can also indicate transfusion related acute lung
injury to an anaphylactic response, which also causes wheezing,
chest tightness, cyanosis, and low BP
--
A, nausea can indicate an acute hemolytic transfusion reaction
B, transfusion reactions include acute hemolytic, febrile, mild allergic,
and anaphylactic
D, bradycardia is not an indication
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an
adverse effect of the therapy
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ANSWER -C
COMPLETE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+.
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr - ANSWER -A Use
electronic tablet computer, programmable speech generating
device, alphabet board, pencil and paper, etc
--
B, keep head of bed higher than 30 degrees to prevent aspiration and
ventilator associated pneumonia. Turn the client q 2hr to prevent
complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine
suctioning. Base the need for suctioning on assessments, not a
schedule. Unnecessary suctioning can cause bronco spasms and
injury tracheal mucosa
,D, oral hygiene should be performed q 2 hr to decrease the risk of
ventilator associated pneumonia
A nurse is caring for a client who is receiving IV fluid replacement
therapy for dehydration. Which of the following laboratory results
indicates effectiveness of the treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62% - ANSWER -C
Within the expected range of 1.005-1.030
--
A, sodium range is 136-145
B, potassium range is 3.5-5
D, Hct range is 37%-52%
A nurse is monitoring the laboratory findings for a client who is
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
,C. Platelets 80,000
D. RBC 4.0 million - ANSWER -C platelet range is 150,000-400,000 --
A, PT range is 11-12.5
B, aPTT range is 30-40 seconds
D, RBC range is 4.2-6.1 million. A low RBC can indicate that bleeding
has occurred, but it does not indicate that the client is at risk for
bleeding
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following interventions
is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing - ANSWER -D
The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad
coughing)
A nurse is caring for a client who is receiving a blood transfusion.
Which of the following findings indicates that the client is
experiencing transfusion-associated circulatory overload
, A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia - ANSWER -C
Dyspnea is an indication of possible transfusion associated
circulatory overload, leading to hypertension, bounding pulses, and
confusion. Dyspnea can also indicate transfusion related acute lung
injury to an anaphylactic response, which also causes wheezing,
chest tightness, cyanosis, and low BP
--
A, nausea can indicate an acute hemolytic transfusion reaction
B, transfusion reactions include acute hemolytic, febrile, mild allergic,
and anaphylactic
D, bradycardia is not an indication
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an
adverse effect of the therapy
A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold - ANSWER -C
