NGN med surg ati proctored exam
LATEST 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse in
... [Show More] an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation -
CORRECT ANSWER d. Perform the irrigation with sterile water for irrigation
A nurse is developing a plan of care for a client who is returning from the PACU following a left below-the-knee amputation. Which of the following interventions should the nurse include in the plan? a. Provide the client with a firm mattress
b. Wrap the client's residual limb with elastic bandage in a distal to proximal direction
c. Place the client's residual limb in a dependent position when possible
d. Keep the client in a supine position for 48 hours - CORRECT
ANSWER a. Provide the client with a firm mattress
A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching?
a. "I will monitor my blood glucose every 8 hours"
b. "I will consume 250 grams of carbs daily while I'm sick"
c. "I will not take my diabetes medications while I am sick"
d. "I will check urine for ketones if my blood glucose is greater than 240 mg/dl - CORRECT ANSWER d. "I will check urine for ketones if my blood glucose is greater than 240 mg/dl
A nurse is reviewing ABG results for a client who has COPD.
Which of the following findings should the nurse expect? a. pH 7.38
b. PaO2 85 mm Hg
c. PaCO2 48 mm Hg
d. HCO3- 25 mEq/l - CORRECT ANSWER c. PaCO2 48 mm
Hg
A nurse is admitting a client to a medical unit following placement of a permanent pacemaker. Which of the following findings requires further assessment by the nurse? a. Sneezing
b. Hiccups
c. Presence of a sharp spike prior to the QRS complex on the
ECG
d. Presence of intrinsic P waves following a QRS complex on the
ECG - CORRECT ANSWER b. Hiccups
A nurse is caring for a client who experienced extensive burns to the arms and torso. Which of the following actions should the nurse take regarding the client's oral nutritional intake? a. Adhere to scheduled meal times three times daily
b. Encourage the client to eat as many calories as possible
c. Limit the client's fluid intake to 1,500 ml/day
d. Avoid the use of supplemental feedings throughout the day - CORRECT ANSWER b. Encourage the client to eat as many calories as possible
A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care?
a. Place pillows under the client's knees
b. Apply compression stockings to the lower extremities
c. Avoid use of anticoagulants
d. Discourage leg exercises while in bed - CORRECT ANSWER
b. Apply compression stockings to the lower extremities
A nurse is caring for a client who has duodenal ulcer. Which of
the following actions should the nurse take? Exhibit
a. Restrict the client's fluid intake to 1,000 ml/day
b. Infuse packed RBCs
c. Administer the client's naproxen prescription
d. Offer a snack before bedtime - CORRECT ANSWER b.
Infuse packed RBCs
A nurse is assessing an older adult client at a health fair. Which of the following statements by the client is the nurse's priority?
a. "I can't seem to get reading materials far enough away to see the words"
b. "I'm having more difficulty telling the difference between blues and greens"
c. "I've noticed that there is a gray ring around the colored part of my eye"
d. "In the last day, I have had a severe headache and pain around my right eye" - CORRECT ANSWER d. "In the last day, I have had a severe headache and pain around my right eye"
A nurse is caring for an adolescent client who has an acute kidney injury. Which of the following laboratory findings should the nurse anticipate? a. BUN 8 mg/dl
b. Hgb 20 g/dl
c. Potassium 6.8 mEq/l
d. Creatinine 0.4 mg/dl - CORRECT ANSWER c. Potassium 6.8
mEq/l
A nurse is planning care for an older adult client who has Meniere's disease. Which of the following interventions should the nurse include in the plan?
a. Perform range-of-motion exercises to the client's neck every 4 hour
b. Limit the client's fluid intake to 1,500 ml/day
c. Encourage the client to change positions slowly
d. Administer aspirin if the client reports a headache - CORRECT
ANSWER c. Encourage the client to change positions slowly
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? - CORRECT ANSWER a. Upper left abdomen (THIS
ONE IS A DIAGRAM CHOOSE THE POINT ON THE TOP LEFT
OF
ABDOMEN)
A nurse is admitting a client to the emergency department after a
gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
a. Initiate beta blocker therapy
b. Insert a urinary catheter
c. Prepare the client for an intravenous pyelogram
d. Administer IV fluids to the client - CORRECT ANSWER d.
Administer IV fluids to the client
A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take?
a. Administer through a 22-gauge IV catheter
b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2 hour
d. Slow the transfusion rate if the client reports itching -
CORRECT ANSWER c. Complete the transfusion within 2 hour [Show Less]