2023 ATI Med surg proctored exam LATEST VERSION GRADED A NEW EXAM
A nurse is assisting with he care of a client following a left femoral
... [Show More] cardiac angiography. Thee nurse should place a sandbag on the client over which of the following areas? Correct anwer- left groin
A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas ABG values include:
pH 7.22
PaCO2 68 mm Hg
base excess -2
PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L.
Correct anwer- respiratory acidosis
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? Correct anwer- I will abstain from sexual intercourse
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance which of the following actions should the nurse take first?
Correct anwer- cover the clients wound with a moist sterile dressing
Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?
Correct anwer- Do you sleep well at night
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at Mcburneys point?
Correct anwer- Mcburneys point is found between the naval and the anterior iliac crest (left lower)
A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct anwer- I should avoid injecting insulin into my thigh if I am going to go running
A nurse is caring for a client who is postoperative following a tracheostomy and has copies and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions?
Correct anwer- provide humidified oxygen
A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant. Which of the following lab findings should the nurse identify as the most important to report to the provider?
Correct anwer- increase in serum creatinine
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
Correct anwer- breath in through nose and out through pursed lips
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with regard to the clients mobility?
Correct anwer- propel a wheelchair equipped with knobs on the wheels
A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching?
Correct anwer- you will remain NPO for 8 hours before the procedure
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct anwer- drop is systolic BP more than 10 mm Hg on inspiration
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to section. Which of the following is the priority finding the nurse should report to the provider?
Correct anwer- abdomen is distended
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching?
Correct anwer- avoid medications in a capsule or enteric form
A nurse is caring for a client after a radical dissection. To which of the following should the nurse give priority in the immediate postoperative period?
Correct anwer- ineffective airway clearance related to thick copious secretions
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
Correct anwer- Bypass surgery must be very frightening for you
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations?
Correct anwer- hypotension
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect?
Correct anwer- dyspnea, barrel chest, clubbing of the fingers, shallow respirations
A nurse is assisting with thee care of a client who is postoperative and has a closed wound drainage system in place. Which of the following actions should the nurse take? Correct anwer- fully recollapse the reservoir after emptying it
A nurse is caring for a Client who has Alzheimers disease. The nurse discovers the client entering the room of another client who comes upset and frightened. Which of the following actions should the nurse take?
Correct anwer- attempt to determine what the client was looking for
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?
Correct anwer- this test will measure the intraocular pressure of the eye
A nurse is collecting data from a client who has open angle glaucoma. Which of the following findings should the nurse expect?
Correct anwer- loss of peripheral vision [Show Less]