NGN ATI RN Adult Medical Surgical Exam 2023 B Version 3| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is providing
... [Show More] teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching?
"I should take calcium supplements so the medication will work better in my system."
"I am taking this medication to increase my energy level."
"This medication can cause my blood pressure to drop."
"I will not need to restrict protein in my diet while taking this medication."
Answer:
"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients who have anemia. When the medication is effective, the client should have a decrease in fatigue and an improvement in activity tolerance.
QUESTION
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)?
Creatine kinase (CK-MB) 85 units/L
High-density lipoprotein (HDL) 65 mg/dL
Alanine aminotransferase (ALT) 28 units/L
Troponin I 8 ng/mL
Answer:
Troponin I 8 ng/mL
ALT is an enzyme that is found primarily in the liver, although it can also be detected in the kidneys, heart, and skeletal muscle. Increases in this enzyme are associated with injury or disease. However, because the enzyme is not specific to the heart, its use as a diagnostic tool for MI is limited. An ALT value of 28 units/L is within the expected reference range.
QUESTION
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Low urine specific gravity
Hypertension
Bounding peripheral pulses
Hyperglycemia
Answer:
Low urine specific gravity
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the hormone.
QUESTION
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?
Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast
Answer:
Pain that increases with passive movement
The nurse should identify that a client who has compartment syndrome experiences pain that increases with passive movement. Compartment syndrome results from a decrease in blood flow in the extremity caused by a decrease in the muscle compartment size due to a cast that is too tight.
QUESTION
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs). Which of the following information should the nurse include in the teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements.
Answer:
Take daily cranberry supplements.
The client should take cranberry supplements or drink low-fructose cranberry juice because it contains compounds that adhere to the urinary tract wall, decreasing the risk for developing a UTI.
QUESTION
A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment?
Decreased T cells
Increased creatinine clearance
Increased eosinophils
Decreased viral load
Answer:
Decreased viral load
Viral load testing measures the presence of HIV viral genetic material. Therefore, a decreased viral load indicates a positive response to the prescribed HIV treatment.
QUESTION
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first?
Document the client's intake and output.
Scan the bladder with a portable ultrasound.
Pour warm water over the client's perineum.
Perform a straight catheterization.
Answer:
Scan the bladder with a portable ultrasound.
Scan the bladder with a portable ultrasound.
QUESTION
The nurse has completed the assessment and is reviewing the findings in the EMR. Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again.
Answer:
- 12 % weight loss over 2 months
- muscle guarding and tenderness in right lower quadrant of abdomen,
- abdominal firmness and rigidity,
- abdominal pain rate of 8,
- hypoactive bowel sounds,
- report of anorexia
- temperature of 38.5 C (101.4 F)
QUESTION
The nurse has completed their performing an assessment of the client and reviewing the client's EMR.
(For each of the client's assessment finding, click to specify if the finding is consistent with appendicitis or Crohn's disease. Each finding may support more than one disease process.)
Answer:
????
Appendicitis:
- pain
- temperature
- GI concerns
Chron's Disease:
- stool color
- pain location
- temperature [Show Less]