ATI RN ADULT MEDICAL SURGICAL
PROCTORED NGN NEWEST 2024, 2023 AND
2019 TEST BANK COMPLETE 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
... [Show More]
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||EVERYTHING ON
MEDICAL SURGICAL NGN
ATI RN ADULT MEDICAL SURGICAL 2024
A nurse is caring for a client who has tuberculosis and is
taking rifampin. The client reports that her saliva has
turned red-orange in color. Which of the following responses
should the nurse make?
a.) "This finding may indicate possible medication toxicity"
b.) "Your provider will prescribe a different medication
regimen"
c.) "This is an expected adverse effect of this medication"
d.) "You will need to increase your fluid intake to resolve this
problem" - ...ANSWER..c.) "This is an expected adverse
effect of this medication" PAGE 137 ati MS pdf 10.0
.A nurse is planning care for a client who is 12 hr
postoperative following a kidney transplant. Which of the
following actions should the nurse include in the plan of care?
a.) Check the client's blood pressure every 8 hr
b.) Administer opioids PO
c.) Assess urine output hourly
d.) Monitor for hypokalemia as a manifestation of acute
rejection - ...ANSWER..c.) Assess urine output hourly
.A nurse in an emergency department is assessing a client who
has cirrhosis of the liver. Which of the following is a
priority finding?
a.) Yellow sclera
b.) Mental confusion can lead to portal systemic
encephalopathy
c.) Palmar erythema
d.) Spider angiomas - ...ANSWER..b.) Mental confusion can
lead to portal systemic encephalopathy (page 358 MS ATI
PDF 10.0 ::::::::::::::which
is something to report to provider meaning neuro is
worsening)
A nurse is obtaining a medication history from a client who is
to start therapy with naproxen for
rheumatoid arthritis. Which of the following medications
places the client at risk for bleeding?
a.) Captopril
b.) Ibuprofen
c.) Digoxin
d.) Phenytoin - ...ANSWER..b.) Ibuprofen
.A nurse is caring for a client in diabetic ketoacidosis (DKA).
Which of the following is the priority
intervention by the nurse?
a.) Administer 0.9% sodium chloride
b.) Check potassium levels
c.) Initiate a continuous IV insulin infusion
d.) Begin bicarbonate continuous IV infusion -
...ANSWER..c.) Initiate a continuous IV insulin infusion
.A nurse is assessing the extremities of a client who has
Raynaud's disease. Which of the following findings
should the nurse expect?
a.) Blanching of the hands
b.) Hyperactive reflexes
c.) Calf pain with foot dorsiflexion
d.) Vitiligo on affected extremities - ...ANSWER..a.)
Blanching of the hands (P 558 ati MD pdf 10.0)
A nurse is caring for a group of clients. The nurse should
obtain a blood pressure reading using only the
left extremity from which of the following clients?
a. A client who has a peripherally inserted central catheter in
the left arm
b. A client who has left-sided Bell's palsy
c. A client who has a right upper extremity arteriovenous
fistula
d. A client who has right-sided weakness due to Parkinson's
disease - ...ANSWER..c. A client who has a right upper
extremity arteriovenous fistula
A nurse is providing teaching to a client who has DVT.
Which of the following findings should the nurse
identify as a risk factor for the development of DVTs?
a. Hypertension
b. Cirrhosis
c. NSAIDS use
d. Oral Contraceptive Use - ...ANSWER..d. Oral
Contraceptive Use
.A nurse is caring for client who has Cushing's disease. Which
of the following actions should the nurse take
first? (Click Exhibit button for additional information)
a. Check the client's medication administration record for
antihypertensive medication.
b. Verify the client's understanding of sodium restriction.
c. Auscultate the client's lung sound
d. Determine the need for further glucose monitoring -
...ANSWER..d. Determine the need for further glucose
monitoring
A nurse is assessing a client who has nephrotic syndrome.
Which of the findings should the nurse expect?
A.Proteinuria
B.Flank pain
C.Hyperalbuminemia
D.Hypotension - ...ANSWER..A.Proteinuria
.A nurse is assessing a client who has right-sided heart failure.
Which of the following assessment findings
should the nurse expect to find?
a. Oliguria (Left)
b. S3/S4 galloping heart sounds (Left)
c. Poor skin turgor
d. Pitting edema - ...ANSWER..d. Pitting edema
.A nurse is caring for a client who has newly inserted chest
tube. The nurse should clarify which of the
following prescriptions with the provider?
A.Notify the provider when tidaling ceases.
B.Assisting the client out of bed three times daily.
C.Vigorously strip the chest tube twice daily.
D.Administer morphine 2 mg IV bolus every 3 hr PRN for
pain. - ...ANSWER..C.Vigorously strip the chest tube twice
daily. (VIGOROUSLY and TWICE A DAY)
.A nurse is teaching a client who is taking an ACE inhibitor
for heart failure. Which of the following instructions
should the nurse include for home management of heart
failure?
A,Obtain daily weight.
B.Use of salt substitute. (Avoid it)
C.Monitor I and O.
D.Limit daily activity. - ...ANSWER..C.Monitor I and O.
.A nurse is providing discharge teaching to a client who has a
permanent pacemaker. Which of the following
statements by the client indicates an understand of the
teaching?
A.I need to maintain pressure over the pacemaker site with an
elastic bandage.
B.I need to check my pulse rate every day for a full minute.
C.The pacemaker will deliver shock if I develop a
dysrhythmia
D.When a microwave oven is in use, I need to stay out of the
room - ...ANSWER..B.I need to check my pulse rate every
day for a full minute
.A nurse in a clinic is providing preventive teaching to an
older adult client during well visit. The nurse should
instruct the client that which of the following immunization
are recommended for healthy adults after age 60?
SATA.
A.Herpes Zoster
B.Influenza
C.HPV
D.Meningococcal
E.Pneumococcal Polysaccharide - ...ANSWER..A.Herpes
Zoster
B.Influenza
D.Meningococcal
E.Pneumococcal Polysaccharide
A nurse is assessing a client who is 4hr postoperative
following arterial revascularization of the left femoral
artery. Which of the following findings should the nurse
report immediately?
A. Bruising around the incision site
B. Pallor in the affected extremity
C. Urine output 150mL over 4hr
D.Temperature of 37.9 - ...ANSWER..B. Pallor in the affected
extremity
.A nurse is caring for an older adult client who has not been
eating. Which of the following findings indicates
dehydration?
A.Crackles auscultated bilaterally
B.Capillary refill of 2 seconds
C..Dimiminished peripheral pulses
D.Engorged neck veins - ...ANSWER..C..Dimiminished
peripheral pulses
A nurse is preparing to discharge a client who has a halo
device and is reviewing new prescriptions from
the provider. The nurse should clarify which of the following
prescriptions with the provider?
A. Increase intake of fiber rich foods
B. May operate a motor vehicle when no longer taking
analgesics
C. Take tub baths instead of showers
D. May place a small pillow under the head when sleeping -
...ANSWER..
A nurse is assessing for elderly signs of compartment
syndrome for a client who has a short leg fiberglass cast.
Which of the following findings should the nurse expect?
A. Bounding distal pulses
B. Capillary refill less than 2 seconds (Pretty much the only
thing that makes sense)
C.Erythema of the toes
D.Intense pain with movement - ...ANSWER..D.Intense pain
with movement
A nurse is caring for a client who is postoperative following
coronary artery bypass surgery and reports shortness
of breath. The nurse administers oxygen at 3L/min and
obtains arterial blood gases 60 min later. Which of the
following lab findings indicates a positive response to the
oxygen therapy?
A.PaCO2 34 mmHg
B.Bicarbonate 20 mEq/L
C.PaO2 90 mmHg
D.Ph 7.32 - ...ANSWER..C.PaO2 90 mmHg (Normal range:
80-100 mmHg)
.A nurse is performing a cranial nerve assessment on a client
following a head injury. Which of the following
findings should the nurse expect if the client has impaired
function of the vestibulocochlear (VIII)?
A.Loss of the peripheral vision
B.Disequilibrium with movement
C.Deviation of the tongue from midline
D.Inability to smell - ...ANSWER..B.Disequilibrium with
movement (Vertigo (room spinning) - This is what happened
to me when my
eardrum ruptured. I now have a tube in my right ear. *TRUE
STORY. CN VIII is acoustic.)
.A nurse is caring for a client admitted with a skull fracture.
Which of the following assessment findings should
be of greatest concern to the nurse?
A.Glasgow coma scale score changes from 14 to 9
B.Bilateral pupil diameter changes from 4 to 2 mm
C.Pulse pressure changes from 30 to 20 mm Hg
D.WBC count changes from 9000 to 16,000 mm3 -
...ANSWER..A.Glasgow coma scale score changes from 14 to
9
.A nurse is caring for a client who is taking furosemide. The
client has a potassium level of 3.1 mEq/L. Which of
the following should the nurse assess first?
A. Urine output
B. Level of orientation
C. Cardiovascular status
D. Muscle weakness - ...ANSWER..C. Cardiovascular status
(Potassium imbalances causes DYSRHYTHMIAS which is
the number one
reason why potassium levels are crucial to monitor.)
49.A nurse is caring for a client who is scheduled for an
abdominal paracentesis. The nurse should plan to take
which of the following actions? P . 299 ati ms pdf 10.0
e. Instruct the client to take deep breaths and hold them during
the procedure
f. Administer a stool softener following the procedure
g. Ask the client to empty his bladder prior to the procedure
h. Assist the client into the left lateral position during the
procedure- - ...ANSWER..g. Ask the client to empty his
bladder prior to the procedure
nurse is caring for a client who is 6 hours postoperatively
following a thyroidectomy. The client reports
tingling and numbness in the hands. The nurse should identify
this as a sign of which of following electrolytes
imbalances?
A.Hypernatremia
B.Hypomagnesemia
C.Hypokalemia
D.Hypocalcemia - ...ANSWER..D.Hypocalcemia (Parathyroid
gland which is the gland that secretes calcitonin is right
behind the
thyroid . When you have a thyroidectomy, you decrease the
production of calcitonin which decreases
production of calcium.)
.A nurse is assessing a client 15 min after the start of a
transfusion of 1 unit of packed RBC's. Which of
the following findings is an indication of a hemolytic
transfusion reaction? Page 250 MS ATI PDF 10.0
under acute hemolytic complications
A. Hypotension
B. BradypneaC.Bradycardia
D.Hypothermia- - ...ANSWER..A. Hypotension
52.A nurse in an emergency department is caring for a client
who has sinus bradycardia. Which of the
following actions should the nurse take first?
A. Prepare the client for temporary pacing.
B. Initiate IV fluid therapy for the client
C. Measure the client's blood pressure
D. Administer atropine to the client - ...ANSWER..B. Initiate
IV fluid therapy for the client -> to solve hypotension
A nurse is caring for a client who has a prescription to
discontinue a peripherally inserted central
catheter. Which of the following actions should the nurse
take?
Apply slight pressure when resistance is met
B. Measure the catheter after removal
C. Remove the catheter with one continuous motion
D. Place a dry sterile dressing to the site after removal -
...ANSWER..D. Place a dry sterile dressing to the site after
removal
A nurse is caring for a client who has a flail chest. Which of
the following actions should the nurse take?
A.Provide humidified oxygen Pg150
B.Implement fluid restriction nope
C.Administer antibiotic medication
D.Administer acetaminophen orally nope -
...ANSWER..A.Provide humidified oxygen Pg150
55.A nurse is teaching a group of newly licensed nurses about
acute respiratory failure. Which of the following
manifestations should the nurse include in the teaching? Page
153 MS ATI PDF 10.0
A. Hypoxemia
B. Hyperventilation
C. HypocarbiaD. Hypervolemia - ...ANSWER..A. Hypoxemia
A nurse is caring for a client who is experiencing a seizure.
Which of the following actions should the nurse
take first?
A. Obtain the client's vital signs
B. Clear items from the client's surrounding area
C. Loosen the client's restrictive clothing
D. Lower the client to the floor - ...ANSWER..D. Lower the
client to the floor
57.A nurse is teaching a client who is receiving total
parenteral nutrition at home through a central venous access
device about transparent dressing changes. Which of the
following instructions should the nurse include in the
teaching?
A. Change the dressing every 48 hr no
B. Replace the extension tubing with each dressing change no
72 hours
C. Use clean technique when changing the dressing no
Surgical aseptic
D. Wear a mask during dressing change Surgical asepsis
required - ...ANSWER..D. Wear a mask during dressing
change Surgical asepsis required
58.A nurse is caring for a client in the emergency department
who experienced a full-thickness burn injury to the
lower torso 1 hr ago. Which of the following findings should
the nurse expect? During a major burn the initial
phase will activate the Sympathetic nervous system. MS ATI
PDF 10.0 page 482
i. Decreased respiratory ratej. Hypotension
k. Bradycardia-
l. Urinary diuresis - ...ANSWER..j. Hypotension
A nurse in an emergency department is assessing a client who
has cirrhosis of the liver. Which of the following
is a priority finding? P 356 MS ATI PDF 10.0
a. Spider angiomas
b. Palmar erythema
c. Mental confusion
d. Yellow Sclera - ...ANSWER..c. Mental confusion
A nurse is providing instructions about foot care for a client [Show Less]