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ATI: Med-Surg: Exam 2 Preparation questions with complete solutions
[Meer zien]ATI: Med-Surg: Exam 2 Preparation questions with complete solutions
[Meer zien]A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
Voorbeeld 3 van de 25 pagina's
In winkelwagenA nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?: 
 
a. Headache 
b. Infection 
c. Aphasia 
d....
Voorbeeld 3 van de 25 pagina's
In winkelwagenA nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?: 
 
a. Headache 
b. Infection 
c. Aphasia 
d....
What is the cause of a 'non-mechanical' bowel obstruction? 
A. A tumor or twisting of the bowel. 
B. Constipation. 
C. General anesthesia, narcotics, and handling of the bowel during surgery. 
D. Adhesions 
C 
 
 
 
What should the nurse advise a pt. who has diverticulosis to eat? 
A. High fiber f...
Voorbeeld 3 van de 21 pagina's
In winkelwagenWhat is the cause of a 'non-mechanical' bowel obstruction? 
A. A tumor or twisting of the bowel. 
B. Constipation. 
C. General anesthesia, narcotics, and handling of the bowel during surgery. 
D. Adhesions 
C 
 
 
 
What should the nurse advise a pt. who has diverticulosis to eat? 
A. High fiber f...
Respiratory Alkalosis S/S 
lethargy 
lightheadedness 
confusion 
tachycardia 
dysrhythmias related to hypokalemia 
nausea 
vomiting 
epigastric pain 
numbness and tingling of the extremities 
hyperventilation (tachypnea) 
 
 
 
A nurse is contributing to the plan of care for an older adult client wh...
Voorbeeld 2 van de 13 pagina's
In winkelwagenRespiratory Alkalosis S/S 
lethargy 
lightheadedness 
confusion 
tachycardia 
dysrhythmias related to hypokalemia 
nausea 
vomiting 
epigastric pain 
numbness and tingling of the extremities 
hyperventilation (tachypnea) 
 
 
 
A nurse is contributing to the plan of care for an older adult client wh...
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? 
 
Loosen the knots on the ropes if the client is experiencing pain 
Ensure the client's weights are hanging freely from the bed 
Check the clie...
Voorbeeld 4 van de 37 pagina's
In winkelwagenA nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? 
 
Loosen the knots on the ropes if the client is experiencing pain 
Ensure the client's weights are hanging freely from the bed 
Check the clie...
A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client 
has dry oral mucous membranes, temperature 38.5° C (101.3° F), pulse 92/min, respirations 24/min, skin 
cool with tenting present, and blood pressure 102/64 mm Hg. His urine is concentrated with ...
Voorbeeld 2 van de 6 pagina's
In winkelwagenA nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client 
has dry oral mucous membranes, temperature 38.5° C (101.3° F), pulse 92/min, respirations 24/min, skin 
cool with tenting present, and blood pressure 102/64 mm Hg. His urine is concentrated with ...
Diabetic Ketoacidosis 
- assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
 
 
Beta blockers (Propanolol) 
- monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd...
Voorbeeld 2 van de 15 pagina's
In winkelwagenDiabetic Ketoacidosis 
- assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
 
 
Beta blockers (Propanolol) 
- monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd...
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 
Take temperature once a day 
 
 
 
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious a...
Voorbeeld 3 van de 16 pagina's
In winkelwagenA nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 
Take temperature once a day 
 
 
 
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious a...
A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) 
Visual spatial deficits,...
Voorbeeld 2 van de 11 pagina's
In winkelwagenA home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) 
Visual spatial deficits,...
1. A nurse is orienting a newly licensed nurse on the care of a client who is receiving hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates the teaching was effective? 
A. "Air should be instilled into the monitoring system." 
B. "The client should be i...
Voorbeeld 2 van de 7 pagina's
In winkelwagen1. A nurse is orienting a newly licensed nurse on the care of a client who is receiving hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates the teaching was effective? 
A. "Air should be instilled into the monitoring system." 
B. "The client should be i...
An older adult is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? 
Urine Specific gravity 1.045 
 
A urine specific gravity greater than 1.030 indicates a decrease in urine...
Voorbeeld 3 van de 29 pagina's
In winkelwagenAn older adult is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? 
Urine Specific gravity 1.045 
 
A urine specific gravity greater than 1.030 indicates a decrease in urine...
What would you do for wound Evisceration ( removal of internal organs) , Emergency management? 
Saline cover wound 
 
 
 
What would you do for an ASTHMA emergency management of a bee sting allergies? 
Epi Pen 
 
 
 
Seizures and Epilepsy: Seizure precautions 
During a seizure: 
 
1) Position client...
Voorbeeld 4 van de 63 pagina's
In winkelwagenWhat would you do for wound Evisceration ( removal of internal organs) , Emergency management? 
Saline cover wound 
 
 
 
What would you do for an ASTHMA emergency management of a bee sting allergies? 
Epi Pen 
 
 
 
Seizures and Epilepsy: Seizure precautions 
During a seizure: 
 
1) Position client...
A nurse is caring for a client who has a WBC count of 20,000/mm3. Which of the following WBC abnormalities is consistent with the findings? 
 
A. Neutropenia 
B. Leukocytosis 
C. Left shift 
D. Leukopenia 
B. Leukocytosis (WBC count greater than 10,000/mm3 , which indicate inflammation or infection....
Voorbeeld 1 van de 4 pagina's
In winkelwagenA nurse is caring for a client who has a WBC count of 20,000/mm3. Which of the following WBC abnormalities is consistent with the findings? 
 
A. Neutropenia 
B. Leukocytosis 
C. Left shift 
D. Leukopenia 
B. Leukocytosis (WBC count greater than 10,000/mm3 , which indicate inflammation or infection....
A nurse in a providers office is providing teaching to a client who has recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? 
I can take this medication with aspirin. 
*avoid taking this m...
Voorbeeld 2 van de 12 pagina's
In winkelwagenA nurse in a providers office is providing teaching to a client who has recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? 
I can take this medication with aspirin. 
*avoid taking this m...
A nurse in a providers office is providing teaching to a client who has recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? 
I can take this medication with aspirin. 
*avoid taking this m...
Voorbeeld 2 van de 12 pagina's
In winkelwagenA nurse in a providers office is providing teaching to a client who has recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? 
I can take this medication with aspirin. 
*avoid taking this m...
A nurse working in an outpatient clinic is assessing a client who has rheumatoid arthritis (RA). The client reports increased joint tenderness and swelling. Which of the following findings should the nurse expect? (Select all that apply) 
 
a.) Recent influenza 
 
b.) Decreased range of motion 
 
c....
Voorbeeld 2 van de 14 pagina's
In winkelwagenA nurse working in an outpatient clinic is assessing a client who has rheumatoid arthritis (RA). The client reports increased joint tenderness and swelling. Which of the following findings should the nurse expect? (Select all that apply) 
 
a.) Recent influenza 
 
b.) Decreased range of motion 
 
c....
A nurse is caring for a client who has blood glucose of 52 mg/dL. The client is lethargic but arousable. 
Which of the following actions should the nurse perform first? 
 
A. Recheck blood glucose in 15 min. 
B. Provide a carbohydrate and protein food. 
C. Provide 4 oz grape juice. 
D. Report findin...
Voorbeeld 4 van de 59 pagina's
In winkelwagenA nurse is caring for a client who has blood glucose of 52 mg/dL. The client is lethargic but arousable. 
Which of the following actions should the nurse perform first? 
 
A. Recheck blood glucose in 15 min. 
B. Provide a carbohydrate and protein food. 
C. Provide 4 oz grape juice. 
D. Report findin...
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? 
 
A. Position the client in an upright position, leaning over the bedside table 
B. Explain the procedure 
C. Obtain ABGs 
D. Administer benzocaine spra...
Voorbeeld 2 van de 15 pagina's
In winkelwagenA nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? 
 
A. Position the client in an upright position, leaning over the bedside table 
B. Explain the procedure 
C. Obtain ABGs 
D. Administer benzocaine spra...
A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) 
A. Flat jugular veins 
B. A Glasgow Coma Scale score of ...
Voorbeeld 4 van de 32 pagina's
In winkelwagenA nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) 
A. Flat jugular veins 
B. A Glasgow Coma Scale score of ...
A nurse is caring for a client who has a blood glucose of 52 mg/dl. The client is lethargic but arousable. Which of the following actions should the nurse perform first? 
 
A. Recheck the blood glucose in 15 mins 
B. Provide a carbohydrate and protein food 
C. Provide 15 g of simple carbohydrates 
D...
Voorbeeld 2 van de 12 pagina's
In winkelwagenA nurse is caring for a client who has a blood glucose of 52 mg/dl. The client is lethargic but arousable. Which of the following actions should the nurse perform first? 
 
A. Recheck the blood glucose in 15 mins 
B. Provide a carbohydrate and protein food 
C. Provide 15 g of simple carbohydrates 
D...
ATI: Med-Surg: Exam 2 Prep
Voorbeeld 4 van de 35 pagina's
In winkelwagenATI: Med-Surg: Exam 2 Prep
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? 
Lymphedema 
 
 
 
A nurse is preparing ...
Voorbeeld 2 van de 13 pagina's
In winkelwagenA nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? 
Lymphedema 
 
 
 
A nurse is preparing ...
S/Sx hypoparathyroidism 
involuntary muscle spasms 
 
 
 
protamine sulfate 
antidote to heparin 
 
 
 
monitor aPTT levels for... 
heparin 
 
 
 
chest petechaie in a pt with a fractured long bone 
notify HCP- could be an indication of fat emboli 
 
 
 
antipurinol 
antigout medication 
-also teach...
Voorbeeld 2 van de 9 pagina's
In winkelwagenS/Sx hypoparathyroidism 
involuntary muscle spasms 
 
 
 
protamine sulfate 
antidote to heparin 
 
 
 
monitor aPTT levels for... 
heparin 
 
 
 
chest petechaie in a pt with a fractured long bone 
notify HCP- could be an indication of fat emboli 
 
 
 
antipurinol 
antigout medication 
-also teach...
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? Select all that apply. 
A. Ask the dietit...
Voorbeeld 3 van de 23 pagina's
In winkelwagenA nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? Select all that apply. 
A. Ask the dietit...
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