ATI PROCTORED MEDSURG EXAM WITH 100%
CORRECT QUESTIONS AND PERFECT ANSWERS
A nurse is providing discharge teaching for a client who has new
... [Show More] tracheostomy. Which of the
followingstatements bythe client indicates an understanding of the teaching
• I’ll insert the obturatoraftercleaning mystoma
• I’llcutaslit in aclean gauze pad to use as astoma dressing
• I’llcleanse the cannula with halfstrength hydrogen peroxide
• I’ll remove the soiled tracheostomyties priorto cleaning mystoma
A nurse is caring for a client who has a sealed radiation implant which of the following actions
shouldthe nurse take?
Limit family member visits to 30 min per day
Limit visitors to 30-min visits, and have visitors maintain 6 feet distance from the source
• Give the dosimeter badge to the oncoming nurse at the end of the shift
• Applysecond pair of gloves before touching the clients implant if it dislodges
• Remove soiled linens from the room after each change
A nurse is reviewing the medical record of a client who has pneumonia. Which of the
followingserum laboratoryvalues should the nurse expect?
• WBC count 15,000/mm
• Hematocrit 35%
• Sodium 130 mg/dl
• BUN 8 mg/dl
A nurse is planning care for a client who has a newlyimplanted arteriovenous graft in the
right arm.Which of the following actions should the nurse include in the plan of care?
• Instruct the client to avoid lifting the rightarm for 72 hr
• Check blood pressure in the right arm
• Palpate the site for thrill
• Insertasaline lock into asite 10 cm (4in) distal to the graft
A nurse in the emergency department is caring for a client who has a gunshot wound to the
abdomen.which of the following should the nurse take first?
• Checkthe color of the client’s skin – Assessment first
• Prepare the client’sclothing
• Remove all the clients clothing
• Administeran opioid analgesic
A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which
of thefollowing findingsshould the nurse identifyas an indication ofacomplication at the
vascular accesssite?
• Presence of palpable thrill
• 2 + left radial pulse
• Absence of bruit
• Dilated appearance of the AV site
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. The client reports spasms and the nurse observes
decreased urinary output. Which of the following actions should the nurse take?
• Decrease traction on the catheter
• Remove the indwelling urinarycatheter
• Flush the catheter manually with 0.9% sodium chloride
• Administer ibuprofen 400 mg for pain relief
A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which
of thefollowing actions should the nurse take?
• Applycoolcompresses
• Elevate the client’s extremity using a pillow
• Tap the skin around the insertion site
• Raise the angle of the catheter to 30 degrees above the insertion site
A nurse is caring for a client in the ER following a myocardial infarction. which of the following
actionsshould the nurse anticipate if the client develops asystole?
• Administeratropine
• Defibrillate with 200 joules
• Startsacontinuous lidocaine infusion
• Begin CPR – first line of medical management is CPR and ACLS
A nurse is caring for a client with severe burn injury. The nurse should recognize which of the
followingclient findings as an indication of hypovolemic shock?
• Potassium 5.2 mEq/L
• Capillaryrefill 1.5 seconds
• Urine output 45 mL/hr
• PaCO3 37 mmHg
A critical care nurse is assessing a client who has a severe head injury. In response to painful
stimuli the client does not open her eyes, displays decerebrate posturing, and makes
incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse
assign the client?
• 2
• 5
• 10
• 13
A nurse is teaching a client who has heart failure about self-management techniques. Which of
the following statements bythe client indicates an understanding of the teaching?
• I will keep an exercise diary
• I will take ibuprofen for mild pain
• I will expect swelling in myfeet and ankle
• I will weigh myself every other day [Show Less]