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Exam (elaborations)

NUR3365 ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A

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NUR 3365 ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A

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  • March 28, 2021
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  • 2020/2021
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RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A

A nurse is preparing to admit a client who has dysphasia. The nurse should plan to place which
of the following items at bedside?
Suction machine
A nurse is caring for a client who is having a seizure. Which of the following interventions is the
nurse’s priority?
Turn the client to the side
A nurse is providing teaching to a client who was hypothyroidism and is receiving levothyroxine.
The nurse should instruct the client that which of the following supplements can interfare with
the effectiveness of this medication?
Calcium
A nurse is providing teaching to a female client who has a history of UTI’s. Which of the
following information should nurse teach?
Take daily cranberry supplements




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A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the




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client understands the teaching?
“I will use my hands rather than a washcloth to clean the radiation area”




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A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the
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formation of a hematoma at the insertion site and a decreased pulse rate in the affected
extremity. Which of the following interventions is the nurse’s priority?
Apply firm pressure to the insertion site
o

A nurse is caring for a client who has emphysema and is receiving medication ventilation. The
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client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
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following actions should the nurse take first?
Instruct the client to allow the machine to breathe for him
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following
laboratory values should the nurse expect?
ed d




Elevated bilirubin level
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A nurse is teaching a client who has venous insufficiency about self-care. Which of the following
statements should the nurse identify as an indication that the client understands the teaching?
“I will wear clean graduated compression stockings every day”
is




A nurse is caring ofr a client who is postoperative following a total hip arthroplasty. Which of
the following laboratory values should the nurse report to the provider?
Th




Hgb 8 g/dL
A nurse is caring ofr a client who has a stage III pressure injury. Which of the following findings
contributes to delayed wound healing?
sh




Urine output 25 mL/hr
A nurse is caring for a client who is undergoing hemodialysis to treat ESKD. The client reports
muscle cramps and tingling sensation in their hands. Which of the following should the nurse
plan to administer?
Calcium carbonate



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, A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the following actions should the nurse include in
the client’s plan of care?
Wear a lead apron while providing care to the client
A nurse is preparing to administer a unite of packed RBC’s to a client. Which of the following
actions should the nurse take?
Remain with the client for the first 15 minutes of the infusion
A nurse is caring for a client who has a closed head injury and has an intraventricular catheter
placed. Which of the following findings indicates that the client is experiencing increased
intracranial pressure?
Sleepiness exhibited by client, widening pulse pressure, decerebrate posturing
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following prescribed medications should the nurse instruct to withhold for 48 hr
prior to cardioversion?
Digoxin




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A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the
nurse’s priority?




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Tachycardia
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after




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hospitalization for heart failure (view chart)
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Heart rate of 55/min
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following
assessment findings should the nurse expect?
o

Hypoactive bowel sounds
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A nurse is providing dietary teaching to a client who is postoperative following a thyriodectomy
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with removal of the parathyroid glands. The nurse should instruct the client to include which of
the following foods that has the greatest amount of calcium in her diet?
12 almonds
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
ed d




migraine. To help reduce the risk for migraine headaches, which of the following foods should
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the nurse recommend the client avoid?
Aged cheese
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
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the past 3 days. Which of the following findings indicate to the nurse that the client is
experiencing fluid volume deficit?
Th




Heart rate of 110/min
A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of
metformin. Which of the following statements by the client indicates an understanding of the
sh




teaching?
“I should take this medication with a meal”
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days
ago. Which fo the following actions should the nurse take first after hearing the following
sound?
Listed with the client on their left side


This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 01:48:15 GMT -05:00


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