ATI MED SURG EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024
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Course
Med-surg (MEDSURG)
Institution
Chamberlain College Of Nursing
1. 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 ICP?
a. Flat jugular veins
b. GCS score of 15
c. Sleepiness exhibited by the client
d. Widening pulse p...
ati med surg exam questions and answers latest upd
1a nurse is caring for a client who has a closed
2a nurse is preparing a client who has supravent
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ATI MED SURG EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2023/2024
1. 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 ICP?
a. Flat jugular veins
b. GCS score of 15
c. Sleepiness exhibited by the client
d. Widening pulse pressure
e. Decerebrate posturing
f. Flat jugular veins is incorrect. With increased ICP, the jugular veins are typically
distended.
A Glasgow Coma Scale score of 15 is incorrect. A Glasgow Coma Scale score of 15
indicates neurological functioning within the expected reference range for eye
opening, motor, and verbal response.
Sleepiness exhibited by the client is correct. Sleepiness or difficulty arousing the client
from sleep is an indication of increased ICP.
Widening pulse pressure is correct. A widening pulse pressure (increase in systolic
with concurrent decrease in diastolic blood pressure) is an indication of increased
ICP.
Decerebrate posturing is correct. Both decerebrate and decorticate posturing indicate
increased ICP.
2. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of
the following prescribed medications should the nurse instruct the clients to withhold for 48hr prior to
cardioversion?
a. Enoxaparin
b. Metformin
c. Diazepam
d. Digoxin
e. Anticoagulants can be beneficial during cardioversion due to their ability to prevent
blood clots that can be released into the client's circulatory system after
cardioversion. This medication should not be withheld.
f. Metformin
g. Metformin might be withheld for a client scheduled for cardiac catheterization or
other procedures involving contrast dye in order to prevent damage to the kidneys.
However, metformin should not be withheld prior to cardioversion.
h. Diazepam
i. Sedatives are generally administered to clients prior to cardioversion to reduce
anxiety and minimize the discomfort associated with the procedure. This medication
should not be withheld.
j. Digoxin: ANSWER
,ATI MED SURG EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2023/2024
k. Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for
ventricular fibrillation after the synchronized countershock of cardioversion.
3. A nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse’s priority?
,ATI MED SURG EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2023/2024
a. Anorexia
b. Abdominal pain radiating to the right shoulder
c. Tachycardia
d. Rebound abdominal tenderness
i.
Anorexia
ii. Anorexia is nonurgent because it is an expected finding for a client who has
acute cholecystitis. Therefore, there is another finding that is the nurse's
priority.
iii. Abdominal pain radiating to the right shoulder
iv. MY ANSWER
v. Abdominal pain radiating to the right shoulder is nonurgent because it is an
expected finding for a client who has acute cholecystitis. Therefore, there
is another finding that is the nurse's priority.
vi. Tachycardia
vii. When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is tachycardia. Tachycardia is a
manifestation of biliary colic, which can lead to shock. The nurse should
position the head of the client's bed flat and report this finding immediately
to the provider.
viii. Rebound abdominal tenderness
ix. Rebound abdominal tenderness is nonurgent because it is an expected
finding for a client who has acute cholecystitis. Therefore, there is
another finding that is the nurse's priority.
4. A nurse is preparing to admit a client who has dysphagia. The nurse should plant to place which of the
following items at the client’s bedside?
a. Suction machine
b. Wire cutters
c. Padded clamp
d. Communication board
e. Suction machine: ANSWERThe 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.
f. Wire cutters: The nurse should ensure wire cutters are at the bedside of a
client who has an inner maxillary fixation to cut the wires in case the client
vomits. This enables the client to clear their airway and reduce the risk for
aspiration.
, ATI MED SURG EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2023/2024
g. Padded clamp: The nurse should ensure a padded clamp is at the bedside
of a client who has a chest tube to clamp the tube and prevent air from entering
the client's chest if there is an interruption in the sealed drainage system.
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