NGN ATI RN MEDSURG 2023/2024 PROCTORED EXAM- LATEST 100% CORRECT STUDY GUIDE Q$A WITH
... [Show More] RATIONALES. RATED A+
A nurse is providing teaching to a client who is post-operative following a partial glossectomy. Which of the following statements by the client indicates an understanding of the teaching? P 601 MS ATI PDF 10.0
a.I will consume can soup whenever sores appear in my mouth
b.I will drink orange juice to increase my vitamin C intake- NO ACIDIC stuff in the mouth
c.I will rinse my toothbrush with hydrogen peroxide and water after each use- ONLY RINSE WITH NS SOLUTION
d.I will inspect my mouth once each week for sores.
A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take?
a.tilt the client's head 45 degrees
b.Insert the tip of the syringe to .5 centimeters 1 inch into the ear canal
c.Point the tip of the syringe toward the top of the ear canal
d.Use cool fluid for irrigation
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first? Page 426 MS ATI PDF 10.0
a.Check the client's urine output
b.Reposition the client in bed
c.Increase the client's fluid intake
d.administer PRN pain medication
A nurse is providing teaching for a client who has diabetes mellitus about the self administration of insulin. The client has prescriptions for regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?
a.I will draw up regular insulin into the syringe first- yup! Clear to cloudy
b.I will insert the needle at a 15 degree angle - 45 degree
c.I will store prefilled syringes in the refrigerator with the needle pointing downward
d.I will shake the NPH vial vigorously before drawing up the insulin= you can only roll it to mix it
A nurse is caring for a client who is receiving Total parenteral Nutrition
(TPN). which of the following nursing actions are appropriate? (Select all the apply)
a.Obtain the client's weight daily
b.Increase the rate of infusion if Administration is delayed - never ever do this because doing this will alter blood glucose significantly . it says so in the bright yellow box on mage 298. Also HYPERGLYCEMIA can happen if you do.
c.Monitor serum blood glucose during infusion - book says check glucose level every 4 -6 hours for at least 24 hours
d.In to use 0.9% sodium chloride if the solution is not available - it says have D5 10 % since that is needed in case to prevent hypoglycemia.
e.Verify the solution with another RN prior to infusion
A nurse is caring for a client in diabetic ketoacidosis dka. Which of the following is the priority intervention by the nurse?
PAGE 538 ati pdf 10.0
a.Check potassium levels
b.Administer 0.9% sodium chloride - always treat underlying cause which is done by giving rapid isotonic fluid replacement so you can Maintain perfusion to vital organs.
c.Begin bicarbonate continuous IV infusion
d.Initiate continuous IV insulin infusion
A nurse is reviewing the laboratory results of a female client who asked about acupuncture treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results indication to receiving acupuncture?
A. Absolute
neutrophil count 500/mm3
B. C-reactive protein 0.7 mg/dl
C. platelets 160000/mm3 D.Hemoglobin 12 /dl
nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon?
1.Heart rate 90/min
2.Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal.
3.Hgb 8.2 g/dl
4.Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
•A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take?
a.Strip or clear the chest tube every 8 hours
b. Refill the water chamber if the fluid is low
c. Empty the system at least every 8 hr
d.Change the chest to site dressing every 24 hour
A nurse is in an emergency department is reviewing a client's ECG reading. which of the following findings should the nurse identify as an indication that the client has first degree heart block?
Prolonged PR intervals (Per Tiamson) More p waves than QRS complexes Non discerniblep waves
No correlation between p and QRS waves
•A nurse is preparing to administer a unit of packed rbc's to a client who is anemic. Identify the sequence of steps the nurse should follow.
1.Obtain venous access using a 19 gauge needle
2.Obtain the unit of packed rbc's from Blood Bank align
3.verify blood compatibility with another
4.Initiate transfusion of the unit of packed rbc's
5.Remain with the client for the first 15 to 30 minutes of the infusion
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
•A nurse is teaching A client who is to begin chemotherapy about peripherally inserted Central catheter. which of the following statements should the nurse include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months, [Show Less]