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Exam (elaborations)

ATI MED SURG PROCTORED PRACTICE EXAM/ QUESTIONS WITH COMPLETE SOLUTIONS/ LATEST UPDATE 2024.

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  • ATI MED SURG
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  • ATI MED SURG

ATI MED SURG PROCTORED PRACTICE EXAM/ QUESTIONS WITH COMPLETE SOLUTIONS/ LATEST UPDATE 2024.

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  • October 8, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI MED SURG
  • ATI MED SURG
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ASSIGNMENT7
1




ATI MED SURG PROCTORED PRACTICE EXAM/ QUESTIONS WITH
COMPLETE SOLUTIONS/ LATEST UPDATE 2024.



A nurse is collecting data from a client who has open-angle glaucoma. Which of the following

findings should the nurse expect?



1) Loss of peripheral vision

2) Headache

3) Halos around lights

4) Discomfort in the eyes - ANS - 1



A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data
collection findings should the nurse identify as the priority?



1) Weight loss of 3% of total body weight.

2) Blood glucose 150 mg/dL.

3) Potassium 2.5 mEq/L

4) Urine specific gravity 1.035 - ANS - 3



A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this
client's secretions?



1) Provide humidified oxygen.

2) Perform chest physiotherapy prior to suctioning.

3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway.

4) Hyperventilate the client with 100% oxygen before suctioning the airway.. - ANS - 1

, 2




Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and
reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse
take to promote the client's comfort?



1) Rub the client's feet briskly for several minutes.

2) Obtain a pair of slipper socks for the client.

3) Increase the client's oral fluid intake.

4) Place a moist heating pad under the client's feet. - ANS - 2



A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the
prostate (TURP). Which of the following is the priority finding for the nurse report to the

provider?



1) Emesis of 100 mL

2) Oral temperature of 37.5Æ C (99.5Æ F)

3) Thick, red-colored urine

4) Pain level of 4 on a 0 to 10 rating scale - ANS - 3



A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect?



1) Cool, clammy skin.

2) Hyperventilation

3) Increased blood pressure

4) Bradycardia - ANS - 2



A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of

the following should the nurse include in the teaching?

, 3


1) Avoid bending at the waist.

2) Remove the eye shield at bedtime.

3) Limit the use of laxatives if constipated.

4) Seeing flashes of light is an expected finding following extraction. - ANS - 1



A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client
refuses breakfast and reports nausea. Which of the following actions should the nurse take first?



1) Suggest that the client rests before eating the meal.

2) Request a dietary consult.

3) Check the client's vital signs.

4) Request an order for an antiemetic. - ANS - 3



A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse

suspects the client's wound is infected because the drainage from the dressing is yellow and

thick. Which of the following findings should the nurse report as the type of drainage found?



1) Sanguineous

2) Serous

3) Serosanguineous

4) Purulent - ANS - 4



A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent

postoperative complications which of the following actions should be reinforced during the

teaching?



1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.

2) Place the client's affected leg into the CPM machine with the machine in the flexed position.

3) Place the client into a high Fowler's position when initiating the CPM exercises.

, 4


4) Align the joints of the CPM machine with the knee gatch in the client's bed. - ANS - 1



A nurse is collecting data from a client who has emphysema. Which of the following findings should the
nurse expect? (Select all that apply.)



1) Dyspnea

2) Barrel chest

3) Clubbing of the fingers

4) Shallow respirations

5) Bradycardia - ANS - 1 2 3 4



A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene
care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which
of the following actions should the nurse take first?



1) Take the client's temperature.

2) Place a dressing under the client's nose.

3) Notify the charge nurse.

4) Test the drainage for glucose. - ANS - 4



A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the
client is at risk for autonomic dysreflexia. Which of the following interventions should the

nurse take to prevent autonomic dysreflexia?



1) Monitor for elevated blood pressure.

2) Provide analgesia for headaches.

3) Prevent bladder distention.

4) Elevate the client's head. - ANS - 3

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