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ATI PN MED SURG PROCTORED LATEST 2024 TEST BANK COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS$14.99
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1. A nurse is par- Herpes zoster
ticipating in a
health fair for old- Rationale:
er adult clients. The nurse should recommend the herpes zoster vaccine
Which of the fol- for adults who are 60 years of age and older.
lowing vaccines
should the nurse --------------
recommend for
this age group? The nurse should recommend the meningococcal vac-
cine to college students and military recruits who are
living in shared housing.
The nurse should recommend the HPV vaccine for
clients who are 9 to 26 years of age.
The nurse should recommend the MMR vaccine to
clients who are 62 years of age.
2. A nurse is re- Creatinine 1.9 mg/dL
viewing the labo-
ratory results of Rationale:
a client who is Creatinine 1.9 mg/dL is not within the expected reference
scheduled for a range. Therefore, the nurse should report the finding to
CT scan with an the provider before the client has a CT scan with an IV
IV contrast agent. contrast agent. This finding places the client at risk for
Which of the fol- developing contrast-induced nephropathy.
lowing laboratory
findings should ---------------------
the nurse report Expected ranges:
to the provider Calcium (ca) 9 - 10.5 mg/dL
prior to the proce- Sodium (Na) 136 - 145 mEq/L
dures? Potassium (K) 3.5 - 5 mEq/L
3. A nurse is rein- The client stops the nurse and asks for pain medication
forcing teaching
about home care Rationale:
with a client who The nurse should identify that a client who is in pain will
had knee arthro- not be able to concentrate, which can interfere with their
plasty. Which of ability to learn.
, ATI PN Med Surg
the following fac-
tors should the
nurse identify as
an indication that
a barrier to learn-
ing might be pre-
sent?
4. A nurse is caring Allow for 30 min of rest before meals.
for a client who
has a acute is- Rationale:
chemic stroke 1 The nurse should allow the client to rest for 30 min before
day ago. Which of meals to prevent aspiration.
the following ac-
tions should the
nurse take to re-
duce the risk for
aspirations?
5. A nurse is con- Encourage the client to complete ADLs.
tributing to the
plan of care Rationale:
for a client The nurse should encourage the client to complete ADLs
who has multi- and provide assistance as needed. Performing self-care
ple sclerosis and increases the client's independence, strength, and level
is taking dantro- of functioning.
lene to manage
muscle spasms.
Which of the fol-
lowing interven-
tions should the
nurse include?
6. A nurse is re- Apply cold packs to the inflamed joints
inforcing about
joint protection Rationale: The nurse should instruct the client to use
with a clietn both warm and cold packs on inflamed joints to decrease
who has an pain.
acute exacerba-
, ATI PN Med Surg
tion of rheuma- -----------------
toid arthritis. The nurse should instruct the client to participate in
Which of the fol- low-impact aerobic exercises, which will not inflame the
lowing informa- client's joints.
tion should the
nurse include in The nurse should instruct the client to carry a shoulder
the teaching? bag, which places the stress on larger muscles.
The nurse should instruct the client to sleep on a firm
mattress to support their joints.
7. A nurse is car- Determine the client's understanding of the procedure.
ing for a client
who is sched- Rationale: When using the nursing process, the first ac-
ules for surgery tion the nurse should take is to collect data from the
and is experienc- client. Therefore, the nurse should determine the client's
ing anxiety. Which understanding of the procedure to reinforce necessary
of the follow- teaching, which can help manage their anxiety.
ing interventions
should the nurse
identify as the pri-
ority?
8. A nurse is caring Eat soft foods.
for a client who
reports stomati- Rationale:
tis. Which of The nurse should instruct a client who has stomatitis to
the following di- eat soft, nonirritating foods to decrease irritation to the
etary recommen- oral mucosa.
dations should
the nurse make? -----------------
Instruct the client to avoid seasoning foods with salt or
spices that can irritate the oral mucosa.
Instruct the client to eat foods that are high in protein and
calories to increase their caloric intake and nutrition.
Instruct the client to choose foods that are a lukewarm or
, ATI PN Med Surg
cool temperature to prevent irritation of the client's oral
mucosa.
9. A nurse is plan- Apply a mask on the client if transport is needed.
ning to implement
droplet precau- Raitonale:
tions for a client The nurse should apply a mask to a client who has
who has manifes- manifestations of pertussis during transport to prevent
tations of pertus- exposure to others.
sis. Which of teh
following inter-
ventions should
the nurse include
when contribut-
ing to the plan of
care?
10. A nurse is assist- Listen to soft music before sleeping.
ing a client who
reports difficul- Rationale:
ty falling asleep. Listening to soft music can help the client to relax and
Which of the fol- reduces environmental stressors.
lowing activities
should the nurse
recommend to
promote sleep?
11. A nurse is con- Implement recommendation from the speech language
tributing to the pathologist.
plan of care for a
client who is hav- Rationale:
ing difficulty eat- The greatest risk to the client following a stroke is injury
ing following a from aspiration. Therefore, the first intervention the nurse
stroke. Which of should include in the plan of care is to implement rec-
the following ac- ommendations from the speech language pathologist.
tions should the A speech language pathologist can conduct a swallow
nurse take first? study to determine the client's risk for aspiration, provide
teaching to the client regarding swallowing techniques,
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