NGN EXAM ATI MEDICAL SURGICAL
a a a a
PROCTORED 6 2024
a a a a
a
A anurse ais aproviding adischarge ainstructions afor aa aclient afollowing acataract asurgery awith
ainsertion a
a
of aan aintraocular alens. aWhich aof athe afollowing ainstruction ashould athe anurse ainclude? a-
aRestrict
a
lifting aobjects agreater athan a10
apounds
a
Rationale: athe anurse ainstruct athe aclient ato arestrict alifting aobjects agreater athan a10 apounds ato
areduce a
a
the arest afor aincreased ainterocular
apressure
a
A anurse ais acaring afor aa aclient awho ahas aexpressive aaphasia afollowing aa acerebrovascular
aaccident a
a
(CVA). aWhich aof athe afollowing aparameters ashould athe anurse ause afirst ain aorder ato aassess
athe
a a
client's apain alevel? a- aA aself-report apain arating
ascale
a
Rationale: aexpressive aaphasia aresults afrom adamage ato aan aarea aof athe afrontal alobe aand ais aa
amotor aspeech aproblem. aThe aclient awho ahas aexpressive aaphasia ais a able ato aunderstand awhat ais
asad, abut ais aunable ato acommunicate averbally. aHowever, athis adoes anot anecessarily amean athat aa
aclient ais aunable ato areliably areport apain. aevidence abased apractice aindicates athe anurse ashould
afirst aattempt ato aobtain athe aclient aself areport aof apain. aWhen aassessing aa aclient afor apain, athe
anurse a should autilize athe ahierarchy aof apain ameasures awhich abegins awith aself areport. aIt ais
aalways abetter ato ause aa asubjective amethod, a such a as aa aclient areport, ainstead aof aan aobjective
amethod, asuch aas asomething athat ais aobservable aby athe anurse, awhich ais amuch aless areliable. a
a
A anurse ais aassessing aa aclient awho ahas aa aconcussion afrom aa asports ainjury. aWhich aof athe
afollowing a
a
manifestations ashould athe anurse aexpect? a- aSensitivity ato
alight
a
Rationale: athe anurse ashould aexpect aa aclient awho ahas aa amild atraumatic abrain ainjury, asuch
aas aa a
a
concussion, ato ahave asensitivity ato alight aand
anoise
a
A anurse ais acaring afor aa aclient awho ahas aaphasia afollowing aa astroke. aA afamily amember aasks
athe
nurse ahow ashe ashould acommunicate awith athe aclient. aWhich aof athe afollowing aresponses aby
athe a
, a a
nurse ais aappropriate? a- aIncorporate anonverbal acues ain athe
aconversation
a
Rationale: anonverbal acues, aenhance athe aclient's aability ato acomprehend aand ause alanguage a
a
A anurse ais acaring afor aa aclient awho ahas aParkinson's adisease aand ais ataking adiphenhydramine
a25 amg a
a
PO aTID. aWhich aof athe afollowing atherapeutic aoutcome ashould athe anurse aexpect ato
asee? a-
a
Decreased
atremors
a
Rationale: aClients awho ahave aParkinson's adisease aoften aexperience atrembling, amuscle arigidity,
adifficulty awalking aand aproblems awith abalance aand acoordination. aAntihistamines, alike
adiphenhydramine, ahave aa amild a anticholinergic aeffect aand amay abe ahelpful ain acontrolling
atremors ain athe aearly a stage aof athe adisease. a
a
A anurse ais acaring afor aa aclient awho ais aunconscious afollowing aa acerebral ahemorrhage. aWhich
aof athe a
a
following anursing ainterventions ais aof ahighest apriority? a- aSuction asaliva afrom athe aclients
amouth
a
Rationale: athe aunconscious aclient ais aunable ato aindependently amaintain aa aclear aairway aand ais aat
arisk a
a
for aineffective aairway aclearance aaccording ato athe asafety aand arisk areduction apriority
asetting
a
framework, amaintaining athe aclients aairway, abreathing, aand acirculation ais athe ahighest
apriority
a
Patient aadmitted awith aa apossible adiagnosis aof ainfective aendocarditis aand aprescribed
agentamicin. aClient ais a exhibiting asigns aof aheadache, adizziness, anausea a and atinnitus. a Client's
adiagnostic alab awailers aalso aindicated aan aincrease ain aBUN, a creatinine, agentamicin apeak alevel,
aAST/ALT. a- aThe anurse a should aidentify athat athe a priority ahypothesis ais athat athe agreatest arisk
afor athe aclient ais adeveloping ahearing aloss adue ato a antibiotics. aOtotoxicity amay aoccur ain aclients
awho aare areceiving a aminoglycosides, a such aas agentamicin. aAn aincrease ain aBUN, acreatinine,
agentamicin apeak alevel, aALT/AST aall aplace athe a client aat arisk afor aototoxicity aand ahearing aloss.
aHearing aloss ais agenerally ain athe ahigh afrequency a range aand ais aassociated awith apeak
aaminoglycoside alevels athat a continue ato aremain aelevated. a
a
A anurse ais acaring afor aa aclient afollowing acataract asurgery. aWhich aof athe afollowing acomments
afrom athe aclient ashould athe anurse areport ato athe a clients aprovider? a- a"I aneed a something afor athe
apain ain amy aeye. aI acan't astand ait" a
a
Rationale: afollowing acataract asurgery, athe aclient ashould aexpect aonly amild apain aand ashould
aimmediately areport aany apain, adecrease ain avision, aor aincrease ain adischarge afrom athe a eye.
aSevere aeye apain aafter asurgery amight aindicate aincreased aintraocular apressure aor ahemorrhage. a
a
, A anurse ais aassessing aa aclient awho ahas aa aspinal acord ainjury. aWhich aof athe afollowing aaction
ashould a
the anurse atake ato amonitor aC4 afunction? a- aApply adownward apressure awhile athe aclient ashrugs
atheir a
a
shoulders
aupward
a
Rationale: athis aassessment amonitors athe amotor afunction aof aC4 ato aC5 a
a
A anurse ais aplanning acare afor aa aclient awho ahad aa atraumatic abrain ainjury aand ais aemerging
arestlessly afrom aa acoma. awhich aof athe afollowing a intervention ashould athe anurse ainclude ain athe
aplan? a- a Reduce astimuli a a
a
Rationale: athe anurse ashould areduce astimuli aby adecreasing athe anumber aof avisitors, aspeaking
acalmly, a
a
and acreating aa aquiet
aenvironment
a
A anurse ais acaring afor aa aclient awho ahas ahad aa aspinal acord ainjury aat athe alevel aof athe aT2-T3
avertebra.
When aplanning acare, athe anurse aanticipate awhich aof athe afollowing atypes aof adisability? a-
aParaplegia a
a
Rationale: aParaplegia aor aparalysis aof aboth alegs, ais aseen aafter aa aSCI abelow aT1 a
a
A anurse ais acaring afor aa aclient afour ahours afollowing aevacuation aof aa asubdural ahematoma.
aWhich aof a
a a
the afollowing aassessment ais athe anurses apriority? a- aRespiratory
astatus
a
Rationale: aWhen ausing athe aairway, abreathing, a a
circulation aapproach ato aclient acare, athe anurse ashould aplace athe apriority aon aassessing athe
aclient's a
a
respirations, anoting athe arate aand apattern aand aevaluating aarterial ablood agases.
aFollowing
a
intercranial asurgery, aeven aslight ahypoxia acan aworsen acerebral
aischemia.
a
A anurse ais acaring afor aan aolder aadult aclient awho ahas adementia aand ahandles aanxiety aby
aconfabulating. aThe anurse ashould arecognize aconfabulation awhen athe aclient a.. a- aMakes aup
astories a when ahe ais aunable ato aremember aactual aevents a a
a
Rationale: aConfabulating ais afilling ain agaps ain amemory aby afabrication. aA aclient awho ahas
adementia a
a
may ado athis aunconsciously ato acover afor aand adecrease aanxiety aabout amemory
agaps.
a
a a a a
PROCTORED 6 2024
a a a a
a
A anurse ais aproviding adischarge ainstructions afor aa aclient afollowing acataract asurgery awith
ainsertion a
a
of aan aintraocular alens. aWhich aof athe afollowing ainstruction ashould athe anurse ainclude? a-
aRestrict
a
lifting aobjects agreater athan a10
apounds
a
Rationale: athe anurse ainstruct athe aclient ato arestrict alifting aobjects agreater athan a10 apounds ato
areduce a
a
the arest afor aincreased ainterocular
apressure
a
A anurse ais acaring afor aa aclient awho ahas aexpressive aaphasia afollowing aa acerebrovascular
aaccident a
a
(CVA). aWhich aof athe afollowing aparameters ashould athe anurse ause afirst ain aorder ato aassess
athe
a a
client's apain alevel? a- aA aself-report apain arating
ascale
a
Rationale: aexpressive aaphasia aresults afrom adamage ato aan aarea aof athe afrontal alobe aand ais aa
amotor aspeech aproblem. aThe aclient awho ahas aexpressive aaphasia ais a able ato aunderstand awhat ais
asad, abut ais aunable ato acommunicate averbally. aHowever, athis adoes anot anecessarily amean athat aa
aclient ais aunable ato areliably areport apain. aevidence abased apractice aindicates athe anurse ashould
afirst aattempt ato aobtain athe aclient aself areport aof apain. aWhen aassessing aa aclient afor apain, athe
anurse a should autilize athe ahierarchy aof apain ameasures awhich abegins awith aself areport. aIt ais
aalways abetter ato ause aa asubjective amethod, a such a as aa aclient areport, ainstead aof aan aobjective
amethod, asuch aas asomething athat ais aobservable aby athe anurse, awhich ais amuch aless areliable. a
a
A anurse ais aassessing aa aclient awho ahas aa aconcussion afrom aa asports ainjury. aWhich aof athe
afollowing a
a
manifestations ashould athe anurse aexpect? a- aSensitivity ato
alight
a
Rationale: athe anurse ashould aexpect aa aclient awho ahas aa amild atraumatic abrain ainjury, asuch
aas aa a
a
concussion, ato ahave asensitivity ato alight aand
anoise
a
A anurse ais acaring afor aa aclient awho ahas aaphasia afollowing aa astroke. aA afamily amember aasks
athe
nurse ahow ashe ashould acommunicate awith athe aclient. aWhich aof athe afollowing aresponses aby
athe a
, a a
nurse ais aappropriate? a- aIncorporate anonverbal acues ain athe
aconversation
a
Rationale: anonverbal acues, aenhance athe aclient's aability ato acomprehend aand ause alanguage a
a
A anurse ais acaring afor aa aclient awho ahas aParkinson's adisease aand ais ataking adiphenhydramine
a25 amg a
a
PO aTID. aWhich aof athe afollowing atherapeutic aoutcome ashould athe anurse aexpect ato
asee? a-
a
Decreased
atremors
a
Rationale: aClients awho ahave aParkinson's adisease aoften aexperience atrembling, amuscle arigidity,
adifficulty awalking aand aproblems awith abalance aand acoordination. aAntihistamines, alike
adiphenhydramine, ahave aa amild a anticholinergic aeffect aand amay abe ahelpful ain acontrolling
atremors ain athe aearly a stage aof athe adisease. a
a
A anurse ais acaring afor aa aclient awho ais aunconscious afollowing aa acerebral ahemorrhage. aWhich
aof athe a
a
following anursing ainterventions ais aof ahighest apriority? a- aSuction asaliva afrom athe aclients
amouth
a
Rationale: athe aunconscious aclient ais aunable ato aindependently amaintain aa aclear aairway aand ais aat
arisk a
a
for aineffective aairway aclearance aaccording ato athe asafety aand arisk areduction apriority
asetting
a
framework, amaintaining athe aclients aairway, abreathing, aand acirculation ais athe ahighest
apriority
a
Patient aadmitted awith aa apossible adiagnosis aof ainfective aendocarditis aand aprescribed
agentamicin. aClient ais a exhibiting asigns aof aheadache, adizziness, anausea a and atinnitus. a Client's
adiagnostic alab awailers aalso aindicated aan aincrease ain aBUN, a creatinine, agentamicin apeak alevel,
aAST/ALT. a- aThe anurse a should aidentify athat athe a priority ahypothesis ais athat athe agreatest arisk
afor athe aclient ais adeveloping ahearing aloss adue ato a antibiotics. aOtotoxicity amay aoccur ain aclients
awho aare areceiving a aminoglycosides, a such aas agentamicin. aAn aincrease ain aBUN, acreatinine,
agentamicin apeak alevel, aALT/AST aall aplace athe a client aat arisk afor aototoxicity aand ahearing aloss.
aHearing aloss ais agenerally ain athe ahigh afrequency a range aand ais aassociated awith apeak
aaminoglycoside alevels athat a continue ato aremain aelevated. a
a
A anurse ais acaring afor aa aclient afollowing acataract asurgery. aWhich aof athe afollowing acomments
afrom athe aclient ashould athe anurse areport ato athe a clients aprovider? a- a"I aneed a something afor athe
apain ain amy aeye. aI acan't astand ait" a
a
Rationale: afollowing acataract asurgery, athe aclient ashould aexpect aonly amild apain aand ashould
aimmediately areport aany apain, adecrease ain avision, aor aincrease ain adischarge afrom athe a eye.
aSevere aeye apain aafter asurgery amight aindicate aincreased aintraocular apressure aor ahemorrhage. a
a
, A anurse ais aassessing aa aclient awho ahas aa aspinal acord ainjury. aWhich aof athe afollowing aaction
ashould a
the anurse atake ato amonitor aC4 afunction? a- aApply adownward apressure awhile athe aclient ashrugs
atheir a
a
shoulders
aupward
a
Rationale: athis aassessment amonitors athe amotor afunction aof aC4 ato aC5 a
a
A anurse ais aplanning acare afor aa aclient awho ahad aa atraumatic abrain ainjury aand ais aemerging
arestlessly afrom aa acoma. awhich aof athe afollowing a intervention ashould athe anurse ainclude ain athe
aplan? a- a Reduce astimuli a a
a
Rationale: athe anurse ashould areduce astimuli aby adecreasing athe anumber aof avisitors, aspeaking
acalmly, a
a
and acreating aa aquiet
aenvironment
a
A anurse ais acaring afor aa aclient awho ahas ahad aa aspinal acord ainjury aat athe alevel aof athe aT2-T3
avertebra.
When aplanning acare, athe anurse aanticipate awhich aof athe afollowing atypes aof adisability? a-
aParaplegia a
a
Rationale: aParaplegia aor aparalysis aof aboth alegs, ais aseen aafter aa aSCI abelow aT1 a
a
A anurse ais acaring afor aa aclient afour ahours afollowing aevacuation aof aa asubdural ahematoma.
aWhich aof a
a a
the afollowing aassessment ais athe anurses apriority? a- aRespiratory
astatus
a
Rationale: aWhen ausing athe aairway, abreathing, a a
circulation aapproach ato aclient acare, athe anurse ashould aplace athe apriority aon aassessing athe
aclient's a
a
respirations, anoting athe arate aand apattern aand aevaluating aarterial ablood agases.
aFollowing
a
intercranial asurgery, aeven aslight ahypoxia acan aworsen acerebral
aischemia.
a
A anurse ais acaring afor aan aolder aadult aclient awho ahas adementia aand ahandles aanxiety aby
aconfabulating. aThe anurse ashould arecognize aconfabulation awhen athe aclient a.. a- aMakes aup
astories a when ahe ais aunable ato aremember aactual aevents a a
a
Rationale: aConfabulating ais afilling ain agaps ain amemory aby afabrication. aA aclient awho ahas
adementia a
a
may ado athis aunconsciously ato acover afor aand adecrease aanxiety aabout amemory
agaps.
a
