NGN ATI MEDSURG PROCTORED EXAM 2023 NEWEST TESTBANK COMPLETE 300 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) /ALREADY GRADED A+

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 syringe 3.81 cm (1.5 in) above the eye d. Perform the irrigation with sterile water for irrigation A nurse is preparing to administer lactat- ed ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump to administer? Round to near whole number. A. 10 B. 22 C. 33 D. 4 A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the fol- lowing client statements indicates an understanding of the teaching? a. I can keep my medications for 1 year before replacing it b. I should lie down when I take this med- ication c. I should discontinue this medication if I develop a headache D. Perform the irrigation with sterile water for irrigation C. 33 gtt/min b. I should lie down when I take this med- ication d. I can take up to five tablets in 15 min- utes before seeking medical attention A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following in- structions should the nurse include in the teaching? a. Clean the incision daily with hydrogen peroxide b. You can cross your legs the ankles when sitting down c. You should use an incentive spirome- ter every 8 hours d. Install a raised toilet seat in your bath- room A nurse is planning care for a client fol- lowing a cardiac catheterization. Which of the following actions should the nurse take? a. Keep the client on bed rest for 24 hours b. Limit the client's fluid intake to 1 l per day c. Maintain the client's affected extremity in extension d. Change the client's dressing every 8 hour A nurse is caring for a client who has a lower extremity fracture and a prescrip- tion for crutches. Which of the following client statements indicates that the client is adapting to their role change? a. I will need to have my partner take over shopping for groceries and cooking the d. Install a raised toilet seat in your bath- room c. maintain the clients affected extremity in extension meals for us b. These crutches will make it impossible to care for my child c. I feel bad that I have to ask my partner to keep the house clean d. Its going to be difficult to tell my par- ents I cant take them to their appoint- ments anymore A nurse is caring for a client who has gastroenteritis. Which of the following as- sessment findings should the nurse recognize as an indication that the client is experienc- ing dehydration? a. Pitting, dependent edema b. Distended jugular veins c. Increased BP d. Decreased BP A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a prescription for which of the following IV medication? a. Desmopressin b. Epinephrine c. Furosemide d. Nitroprusside A nurse in a clinic receives a phone call from a client who recently started thera- py with an ACE inhibitor and reports a nagging dry cough. Which of the following re- a. I will need to have my partner take over shopping for groceries and cooking the meals for us d. Decreased BP a. Desmopressin sponses by the nurse is appropriate? a. "your cough may require that you stop or change your medication" b. "Increasing your daily fluid intake may eliminate your cough" c. "sucking on lozenge may reduce the frequency of your cough" d. You cough should go away in time" A nurse is taking an admission history from a client who reports Raynaud's dis- ease. Which of the following assessment find- ings should the nurse identify as a poten- tial trigger for exacerbations of Raynaud's? a. Eating a strict vegetarian diet b. A history of herpes zoster c. Taking amiodipine for hypertension d. Using a nicotine transdermal patch A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycar- dia. Which of the following actions should the nurse take first? a. Perform an ECG b. Obtain ABG values c. Turn the client to his left side d. Clamp the catheter A nurse is completing an assessment of an older adult client and notes reddened areas a. your cough may require that you stop or change your medication d. Using a nicotine transdermal patch d. Clamp the catheter over the bony prominences, but the client's skin is intact. Which of the follow- ing interventions should the nurse include in the plan of care? a. Turn and reposition the client every 4 hr b. Apply an occlusive dressing c. Support bony prominences with pil- lows d. Massage the reddened areas three times a day A home health nurse is making an initial visit to a client who has multiple sclero- sis. Which of the following actions is the pri- ority for the nurse to take? a. Discuss recommendations for eating and swallowing techniques b. List strategies for family coping when dealing with possible role changes c. Review the use of adaptive grooming devices to promote client independence d. Give the client information about the local national multiple sclerosis society A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? Ex- hibit a. Obtain a sputum sample for culture b. Administer ondansetron c. Initiate airborne precautions d. Prepare the client for a chest x-ray A nurse is reviewing the medical record of a client to identify risk factors for col- orectal c. Support bony prominences with pil- lows a. Discuss recommendations for eating and swallowing techniques c. Initiate airborne precautions cancer. The nurse should identify which of the following findings as increasing the client's risk? a. History of Crohn's disease b. BMI of 24 c. Diet high in fiber d. Age 46 years A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure I want to have a mas- tectomy." Which of the following state- ments should the nurse make? a. "I can give you a list of other people who had the same procedure" b. "You will be cancer-free if you have the procedure" c. "I can give you additional information about the procedure" d. "You should should get a second opin- ion regarding the procedure" a. History of Crohn's disease c. I can give you additional information about the procedure A nurse is preparing to administer a unit of packed RBCs to a client who is ane- mic. Identify the sequence of steps the nurse should follow. a. Obtain venous access using 19-gauge needle b. Obtain the unit of packed RBCs from blood bank c. Verify blood compatibility with another nurse d. Initiate transfusion of the unit of packed RBCs a. Obtain venous access using 19-gauge needle b. Obtain the unit of packed RBCs from blood bank c. Verify blood compatibility with another nurse d. Initiate transfusion of the unit of packed RBCs e. Remain with the client for the first 15 to 30 min of the infusion e. Remain with the client for the first 15 to 30 min of the infusion A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include? a. "rinse your mouth with hydrogen per- oxide" b. "brush your teeth for 60 seconds twice daily" c. "wear your dentures only during meals" d. "floss your teeth following each meals" A critical care nurse is assessing a client who has severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate postur- ing, and makes incomprehensible sounds. Which of the following Glasgow Coma Scale scores should the nurse assign the client? a. 5 b. 2 c. 13 d. 10 A nurse is providing discharge teaching to a client who has heart failure and in- structs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teach- ing? d. Floss your teeth following each meals a. 5 a. "I can season my foods with garlic and onion salts" b. "I can have mayonnaise on my sand- wiches" c. "I can have a frozen fruit juice bar for dessert" d. "I can drink vegetable juice with a meal" A nurse is preparing to perform ocular irrigation for a client following chemical splash to the eye. Which of the following actions should the nurse plan to take first? a. Instill 0.9% sodium chloride solution into the affected eye b. Administer proparacaine eyedrops into the affected eye c. Collect information about the irritant that caused the injury A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse inter- vene immediately? a. Rhonchi b. SaO2 92% c. Sore throat d. Stridor A nurse is reviewing the laboratory re- ports of a client who has acute pancre- atitis. Which of the following findings should the nurse expect? a. Elevated serum calcium b. Elevated blood glucose c. Decreased serum amylase c. I can have a frozen fruit juice bar for dessert c. Collect information about the irritant that caused the injury d. Stridor b. Elevated blood glucose d. Decreased erythrocyte sedimentation rate A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Hypothermia b. Urine specific gravity 1.001 (<1.005) c. Elevated blood pressure d. BUN 15 mg/dl A nurse is planning care for a client who has pulmonary embolism. Which of the following interventions should the nurse include? a. Initiate a continuous IV heparin infu- sion b. Instruct the client to massage the low- er extremities c. Position the client on the left side d. Measure vital signs every 4 hour A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the nurse include? a. Avoid extremely hot or cold tempera- tures b. Limit fluids to 1.5 L per day c. Limit alcohol intake to one drink per day d. Avoid getting a flu vaccination A nurse in the emergency department is caring for a client who is in hypovolemic shock. b. Urine specific gravity 1.001 (<1.005) a. Initiate a continuous IV heparin infu-