NGN ATI RN Adult Medical Surgical Exam 2023 B Version 1| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
The nurse is providing care
... [Show More] for the client.
Nurse's Note
0730:
Admission history and physical completed and documented. Provider notified of findings and will provide further prescriptions. Plan of care initiated.
A nurse is providing discharge teaching with the client. Which of the following statements made by the client indicates an understanding of the teaching?
(Select all that apply.)
Answer:
When evaluating outcomes, the nurse should identify that the client understands discharge teaching after stating "I will schedule several rest periods throughout the day" and "I will notify my provider if temperature is greater than 101 F." The client had an exploratory laparotomy procedure and has a closed incision; therefore, the client will require rest throughout the day and should monitor for manifestations of infection such as an elevated temperature and drainage from surgical wound.
QUESTION
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter reading have fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen?
Answer:
Nonrebreather mask
The nurse should initiate a nonrebreather mask to deliver between 80% to 95% oxygen to the client. A client who has an unstable respiratory status should receive oxygen via a nonrebreather mask.
QUESTION
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect?
Answer:
Hair loss on the lower legs
The nurse should expect a client who has peripheral arterial disease to have hair loss on the lower legs as a result of impaired arterial circulation affecting follicular growth.
QUESTION
A nurse is planning to provide discharge teaching for the family of older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Answer:
Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls.
QUESTION
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take?
Answer:
Remain with the client for the first 15 min of the infusion.
The nurse should remain with the client for the first 15 to 30 min of the infusion because hemolytic reactions usually occur during the infusion of the first 50 mL of blood.
QUESTION
A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider?
Answer:
Warfarin
Warfarin is an anticoagulant, which increases the client's risk for bleeding, and is contraindicated for a client scheduled for eye or central nervous system surgery.
QUESTION
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change?
Answer:
"I used to never worry about my feet. Now, I inspect my feet every day with a mirror."
This statement indicates that the client is successfully coping with the change because the client is performing preventive foot care to reduce the risk for complications.
QUESTION
A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching?
Answer:
Try to walk at least three times per week for exercise.
The development of a regular exercise routine can improve outcomes in clients who have heart failure.
QUESTION
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The pumps would be set at how many mL/hr?
Answer:
167
QUESTION
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside?
Answer:
Suction machine
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to clear the client's airway as needed and reduce the risk for aspiration.
QUESTION
A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Answer:
Create complete outfits and allow the client to select one each day.
The family should place completed outfits on hangers and allow the client to select which one to wear each day.
QUESTION
A nurse is providing teaching to 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?
Answer:
Calcium
Calcium limits the development of osteo [Show Less]