ATI RN MEDSURG 2023/2024 PROCTORED EXAM QUESTIONS WITH RATIONALE 70 QUESTIONS AND ANSWERS
The nurse is preparing the discontinue long term TPN therapy
... [Show More] for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
A. Hyperglycemia (if speeding up tpn rate)
B. Diarrhea
C. Constipation
D. Hypoglycemia- You taper it off to avoid this!!!
Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia
A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse?
A. The machine only senses and records electrical currents coming from your heart
B. The lead wires and cables are insulated for your safety
C. The electrode pads will prevent the conduction of electricity to your skin
D. The machine voltage delivery is low enough that you won’t feel any discomfort Rationale PDF p.170:
Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over time.
A nurse is caring for client who has hypertension and has a new prescription for lisinopril (ACE inhibitor). The nurse should consult with the provider about which of the following medications in the client’s medication administration record? (A)
A. Potassium chloride (extra K+ increases risk of hyperkalemia)
B. Levothyroxine
C. Acetaminophen
D. Metformin
Rationale PDF p.275: ACE Inhibitor--monitor for increased level of K+
A nurse is administering furosemide (Lasix) 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
A. Elevation in blood pressure
B. Adventitious breath sounds
C. Weight loss of 1.8 kg (4 lb) in the past 24 hr
D. Respiratory rate of 24/min
Rationale PDF p.383: furosemide--a loop-diuretic administered to excrete excess fluids
Couldn't paste the picture on here. B [Show Less]