NGN ATI RN Adult Medical Surgical 2024 [UPDATED] FOR FORM A,B,C Questions and Answers.
FORM A
A nurse in an acute care facility is caring for a client
... [Show More] who is at risk for seizures.
Which of the following precautions should the nurse implement? - ANSWEREnsure the client has a patient IV.
RATIONALE: The nurse should ensure the client has IV access in the event
that the client requires medication to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse report to
the provider? - ANSWER- Hgb 8 g/dL
RATIONALE: The nurse should report an Hgb level of 8 g/dL, which is below
the expected reference range and is an indicator of postoperative hemorrhage or
anemia.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy
(ESWL) 6 hr ago. Which of the following findings should the nurse expect? -
ANSWER- Stone fragments in the urine
RATIONALE: ESWL is an effort to break the calculi so that the fragments pass
down the ureter, into the bladder, and through the urethra during voiding.
Following the procedure, the nurse should strain the client's urine to confirm the
passage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats,
and a productive cough. Which of the following actions should the nurse take
first? - ANSWER- Initiate airborne precautions.
RATIONALE: This client is exhibiting manifestations of tuberculosis. The
greatest risk in this client situation is for other people in the facility to acquire an
airborne disease from this client. Therefore, the first action the nurse should take is
to initiate airborne precautions.
18/1/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C
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A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new bag is not available when the current infusion is nearly completed. Which of
the following actions should the nurse take? - ANSWER- Administer dextrose
10% in water until the new bag arrives.
RATIONALE: TPN solutions have a high concentration of dextrose. Therefore,
if a TPN solution is temporarily unavailable, the nurse should administer dextrose
10% or 20% in water to avoid a precipitous drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? - ANSWERCalcium
RATIONALE: Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere with
the metabolism of a number of medications, including levothyroxine. The nurse
should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration. [Show Less]