ATI MED SURG PROCTORED NEWEST 2024 gg gg gg gg gg
TESTBANK AND A STUDY GUIDE WITH
gg gg gg gg gg gg
QUESTIONS (COMPLETE COURSE) 300+
gg gg gg gg
QUESTIONS AND CORREC DETAILED
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ANSWERS WITH RATIOANLES (VERIFIED
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ANSWERS) |ALREADY GRADED A+ gg gg gg gg
The nurse is completing an admission interview for a client with Parkinson disease. Which question
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will provide additional information about manifestations that the client is likely to experience?
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A. "Have you ever experienced any paralysis of your arms or legs?"
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ggB. "Do you have frequent blackout spells?"
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ggC."Have you ever been frozen in one spot, unable to move?"
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D. "Do you have headaches, especially ones with throbbing pain?" - answer-C. Have you ever been
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g gfrozen in one spot, unable to move?"
aa aa aa aa aa aa aa
Rationale:
Clients with Parkinson disease frequently experience difficulty in initiating, maintaining, and
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performing motor activities. They may even experience being rooted to the spot and unable to
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g move. Parkinson disease does not typically cause option A, B, or D.
g aa aa aa aa aa aa aa aa aa aa aa aa
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest tube
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g insertion for hemothorax. What is the best initial action for the nurse to take?
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa
A. Document this expected decrease in drainage.
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B. Clamp the chest tube while assessing for air leaks. C. Milk the tube to remove any excessive blood
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g clot buildup.
g aa aa
D. Assess for kinks or dependent loops in the tubing. - answer-D.Assess for kinks or dependent loops
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g in the tubing.
g aa aa aa
Rationale:
The least invasive nursing action should be performed first to determine why the drainage has
aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g diminished. Option A is completed after assessing for any problems causing the decrease in
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g drainage. Option B is no longer considered standard protocol because the increase in pressure may
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g be harmful to the client. Option C is an appropriate nursing action after the tube has been assessed
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g for kinks or dependent loops.
g aa aa aa aa aa
,A 77-year-old female client is admitted to the hospital with confusion and anorexia of several days'
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g duration. She has symptoms of nausea and vomiting and is currently complaining of a headache. The
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
client's pulse rate is 43 beats/min. The nurse is most concerned about the client's history related to
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g which medication?
g aa aa
,A. Warfarin (Coumadin)
aa aa
gg B. Ibuprofen (Motrin)
aa aa
gg C. Nitroglycerin (Nitrostat)
aa aa
gg D. Digoxin (Lanoxin) - answer-D. Digoxin
aa aa aa aa aa
Rationale:
Older persons are particularly susceptible to the buildup of cardiac glycosides, such as digoxin or
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g digitoxin (medications derived from digitalis), to a toxic level in their systems. Toxicity can cause
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g anorexia, nausea, vomiting, diarrhea, headache, and fatigue. Options A, B, and C are unlikely to result
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g in the symptoms described.
g aa aa aa aa
The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for a
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bedridden client with Huntington disease. Which care measure is most important for the nurse to
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g supervise?
g g g aa
A. Oral care
aa aa
aa B.Bathing
gg C. Foot care
aa aa
D. Catheter care - answer-A. Oral care
aa aa aa aa aa aa
Rationale:
The client with Huntington disease experiences problems with motor skills such as swallowing and is
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at high risk for aspiration, so the highest priority for the nurse to observe is the UAP's ability to
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g perform oral care safely. Options B, C, and D do not necessarily require registered nurse (RN)
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g supervision because they do not ordinarily pose life-threatening consequences.
g aa aa aa aa aa aa aa aa aa
A client who is receiving an angiotensin-converting enzyme (ACE) inhibitor for hypertension calls the
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g gclinic and reports the recent onset of a cough to the nurse. Which action should the nurse
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g implement?
g aa
A. Advise the client to come to the clinic immediately for further assessment.
aa aa aa aa aa aa aa aa aa aa aa aa
gg B. Instruct the client to discontinue use of the drug and to make an appointment at the clinic.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g g C. Suggest that the client learn to accept the cough as a side effect to a necessary prescription.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
D. Encourage the client to keep taking the drug until seen by the health care provider. - answer-D.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g Encourage the client to keep taking the drug until seen by the health care provider.
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
Rationale:
Coughing is a common side effect of ACE inhibitors and is not an indication to discontinue the
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g medication. Immediate evaluation is not needed. Antihypertensive medications should not be
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stopped abruptly because rebound hypertension may occur. Option C is demeaning because the
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cough may be
g g aa aa aa
, very disruptive to the client, and other antihypertensive medications may produce the desired effect
aa aa aa aa aa aa aa aa aa aa aa aa aa
without the adverse effect.
g g aa aa aa aa
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge nurse
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to assign which client to the PN?
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A. A young adult with bacterial meningitis with recent seizures
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gg B. An older adult client with pneumonia and viral meningitis
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gg C. A female client in isolation with meningococcal meningitis
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D. A male client 1 day postoperative after drainage of a brain abscess - answer-B. An older adult
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g client with pneumonia and viral meningitis
g aa aa aa aa aa aa
Rationale:
The most stable client is option B. Options A, C, and D are all at high risk for increased intracranial
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g pressure and require the expertise of the RN for assessment and management of care.
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa
In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test
aa aa aa aa aa aa aa aa aa aa aa aa aa
g gresults to indicate a decreased serum level of which substance?
aa aa aa aa aa aa aa aa aa aa
A.Sodium
B.Phosphate
aa
ggaa C.Potassium
D.Glucose - answer-C. Potassium aa aa aa
gg Rationale:
Clients with primary aldosteronism exhibit a profound decline in serum levels of potassium;
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g ghypokalemia; hypertension is the most prominent and universal sign. The serum sodium level is
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g gnormal or elevated, depending on the amount of water resorbed with the sodium. Option B is
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g influenced by parathyroid hormone (PTH). Option D is not affected by primary aldosteronism.
g aa aa aa aa aa aa aa aa aa aa aa aa aa
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
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Based on this finding, the nurse anticipates assisting the physician with which treatment?
g g aa aa aa aa aa aa aa aa aa aa aa aa aa
A.Administer lidocaine, 75 mg intravenous push. aa aa aa aa aa
ggaa B.Perform synchronized cardioversion. aa aa
C.Defibrillate the client as soon as possible. aa aa aa aa aa aa
D.Administer atropine, 0.4 mg intravenous push. - answer-B.Perform synchronized cardioversion.
aa aa aa aa aa aa aa aa aa
TESTBANK AND A STUDY GUIDE WITH
gg gg gg gg gg gg
QUESTIONS (COMPLETE COURSE) 300+
gg gg gg gg
QUESTIONS AND CORREC DETAILED
g g gg gg gg
ANSWERS WITH RATIOANLES (VERIFIED
gg gg g g gg gg
ANSWERS) |ALREADY GRADED A+ gg gg gg gg
The nurse is completing an admission interview for a client with Parkinson disease. Which question
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
will provide additional information about manifestations that the client is likely to experience?
g g aa aa aa aa aa aa aa aa aa aa aa aa aa
A. "Have you ever experienced any paralysis of your arms or legs?"
aa aa aa aa aa aa aa aa aa aa aa
ggB. "Do you have frequent blackout spells?"
aa aa aa aa aa aa
ggC."Have you ever been frozen in one spot, unable to move?"
aa aa aa aa aa aa aa aa aa aa
D. "Do you have headaches, especially ones with throbbing pain?" - answer-C. Have you ever been
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g gfrozen in one spot, unable to move?"
aa aa aa aa aa aa aa
Rationale:
Clients with Parkinson disease frequently experience difficulty in initiating, maintaining, and
aa aa aa aa aa aa aa aa aa aa
performing motor activities. They may even experience being rooted to the spot and unable to
ggaa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g move. Parkinson disease does not typically cause option A, B, or D.
g aa aa aa aa aa aa aa aa aa aa aa aa
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest tube
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g insertion for hemothorax. What is the best initial action for the nurse to take?
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa
A. Document this expected decrease in drainage.
aa aa aa aa aa aa
B. Clamp the chest tube while assessing for air leaks. C. Milk the tube to remove any excessive blood
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g clot buildup.
g aa aa
D. Assess for kinks or dependent loops in the tubing. - answer-D.Assess for kinks or dependent loops
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g in the tubing.
g aa aa aa
Rationale:
The least invasive nursing action should be performed first to determine why the drainage has
aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g diminished. Option A is completed after assessing for any problems causing the decrease in
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g drainage. Option B is no longer considered standard protocol because the increase in pressure may
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g be harmful to the client. Option C is an appropriate nursing action after the tube has been assessed
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g for kinks or dependent loops.
g aa aa aa aa aa
,A 77-year-old female client is admitted to the hospital with confusion and anorexia of several days'
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g duration. She has symptoms of nausea and vomiting and is currently complaining of a headache. The
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
client's pulse rate is 43 beats/min. The nurse is most concerned about the client's history related to
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g which medication?
g aa aa
,A. Warfarin (Coumadin)
aa aa
gg B. Ibuprofen (Motrin)
aa aa
gg C. Nitroglycerin (Nitrostat)
aa aa
gg D. Digoxin (Lanoxin) - answer-D. Digoxin
aa aa aa aa aa
Rationale:
Older persons are particularly susceptible to the buildup of cardiac glycosides, such as digoxin or
aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g digitoxin (medications derived from digitalis), to a toxic level in their systems. Toxicity can cause
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g anorexia, nausea, vomiting, diarrhea, headache, and fatigue. Options A, B, and C are unlikely to result
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g in the symptoms described.
g aa aa aa aa
The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for a
aa aa aa aa aa aa aa aa aa aa aa aa aa
bedridden client with Huntington disease. Which care measure is most important for the nurse to
ggaa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g supervise?
g g g aa
A. Oral care
aa aa
aa B.Bathing
gg C. Foot care
aa aa
D. Catheter care - answer-A. Oral care
aa aa aa aa aa aa
Rationale:
The client with Huntington disease experiences problems with motor skills such as swallowing and is
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
at high risk for aspiration, so the highest priority for the nurse to observe is the UAP's ability to
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g perform oral care safely. Options B, C, and D do not necessarily require registered nurse (RN)
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g supervision because they do not ordinarily pose life-threatening consequences.
g aa aa aa aa aa aa aa aa aa
A client who is receiving an angiotensin-converting enzyme (ACE) inhibitor for hypertension calls the
aa aa aa aa aa aa aa aa aa aa aa aa aa
g gclinic and reports the recent onset of a cough to the nurse. Which action should the nurse
g g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g implement?
g aa
A. Advise the client to come to the clinic immediately for further assessment.
aa aa aa aa aa aa aa aa aa aa aa aa
gg B. Instruct the client to discontinue use of the drug and to make an appointment at the clinic.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g g C. Suggest that the client learn to accept the cough as a side effect to a necessary prescription.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
D. Encourage the client to keep taking the drug until seen by the health care provider. - answer-D.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g Encourage the client to keep taking the drug until seen by the health care provider.
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
Rationale:
Coughing is a common side effect of ACE inhibitors and is not an indication to discontinue the
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g medication. Immediate evaluation is not needed. Antihypertensive medications should not be
g aa aa aa aa aa aa aa aa aa aa aa
stopped abruptly because rebound hypertension may occur. Option C is demeaning because the
ggaa aa aa aa aa aa aa aa aa aa aa aa aa g g
cough may be
g g aa aa aa
, very disruptive to the client, and other antihypertensive medications may produce the desired effect
aa aa aa aa aa aa aa aa aa aa aa aa aa
without the adverse effect.
g g aa aa aa aa
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge nurse
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
to assign which client to the PN?
g g aa aa aa aa aa aa aa
A. A young adult with bacterial meningitis with recent seizures
aa aa aa aa aa aa aa aa aa
gg B. An older adult client with pneumonia and viral meningitis
aa aa aa aa aa aa aa aa aa
gg C. A female client in isolation with meningococcal meningitis
aa aa aa aa aa aa aa aa
D. A male client 1 day postoperative after drainage of a brain abscess - answer-B. An older adult
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g client with pneumonia and viral meningitis
g aa aa aa aa aa aa
Rationale:
The most stable client is option B. Options A, C, and D are all at high risk for increased intracranial
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g pressure and require the expertise of the RN for assessment and management of care.
g aa aa aa aa aa aa aa aa aa aa aa aa aa aa
In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test
aa aa aa aa aa aa aa aa aa aa aa aa aa
g gresults to indicate a decreased serum level of which substance?
aa aa aa aa aa aa aa aa aa aa
A.Sodium
B.Phosphate
aa
ggaa C.Potassium
D.Glucose - answer-C. Potassium aa aa aa
gg Rationale:
Clients with primary aldosteronism exhibit a profound decline in serum levels of potassium;
aa aa aa aa aa aa aa aa aa aa aa aa g g
g ghypokalemia; hypertension is the most prominent and universal sign. The serum sodium level is
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g gnormal or elevated, depending on the amount of water resorbed with the sodium. Option B is
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa g g
g influenced by parathyroid hormone (PTH). Option D is not affected by primary aldosteronism.
g aa aa aa aa aa aa aa aa aa aa aa aa aa
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
Based on this finding, the nurse anticipates assisting the physician with which treatment?
g g aa aa aa aa aa aa aa aa aa aa aa aa aa
A.Administer lidocaine, 75 mg intravenous push. aa aa aa aa aa
ggaa B.Perform synchronized cardioversion. aa aa
C.Defibrillate the client as soon as possible. aa aa aa aa aa aa
D.Administer atropine, 0.4 mg intravenous push. - answer-B.Perform synchronized cardioversion.
aa aa aa aa aa aa aa aa aa
