Exam (elaborations)
RN Adult Medical Surgical Online Practice 2023/2024 ATI NGN questions and answers correct and verified 100%
RN Adult Medical Surgical Online Practice 2023/2024 ATI NGN questions and answers correct and verified 100%
RN Adult Medical Surgical Online Practice 2023/2024 ATI NGN questions and answers correct and verified 100%
NGN
1000:
Client is alert and oriented and reports not feeling well for a...
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October 12, 2024
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Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers
Institution
Med surg
Course
Med surg
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RN Adult Medical Surgical Online Practic
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NGN
1000:
Clientigisigalertigandigorientedigandigreportsignotigfeelingigwelligforigaigfewigdays.igClientigisigonigcontinuousigambul
atoryigperitonealigdialysisig(CAPD)igandigreportsigdialysateigappearedigcloudyigthisigmorning.
Reportsigabdominaligpainigasig4igonigaigscaleigofig0igtoig10.
Boweligsoundsigactiveiginigalligquadrants.
Peritonealigdialysisigaccessigsiteigred,igwarmigtoigtouch,igwithigaigsmalligamountigofigpurulentigdrainageignotedigon
igdressing.1300:
Clientigisiglyingiginigbedigwithigtheigkneesigflexed,igguardingigtheigabdomen.igAbdomenigisigslightlyigdistended,ighy
poactiveigboweligsounds.igClientigreportsignausea.igReportsigpainigasig6igonigaigscaleigofig0igtoig10.igProviderignotifi
edigandigupdatedigwithigclientigconditionigandigdiagnosticigresults.ig-igcorrectiganswers-
Theigclientigisigexperiencingigmanifestationsigofig
peritonitis
dueigtoig
x-rayigresults
.
NGN
Clientigadmittedigtoigmedical-
surgicaligunitigfromigPACU.igClientigreportsigincisionaligpainigasig2igonigaigscaleigofig0igtoig10.igClientigappearsigrestle
ssigandigfrequentlyigasksigforigwater.igBilateraliglowerigextremitiesigcooligwithig+1igpedaligpulses.igUrineigoutputigisi
g40igmLigforigtheigpastig2ighr.igModerateigamountigofigbrightigredigdrainageignotedigonigsurgicaligincisionigdressing.ig
-igcorrectiganswers-Insertigaiglarge-gaugeigIV.
Initiateigaigfluidigchallenge.
Hypovolemia
,Urineigoutput
Bloodigpressure
Aignurseigisigcaringigforigaigclientigwhoighasigaigpotassiumigleveligofig3igmEq/L.igWhichigofigtheigfollowingigassessme
ntigfindingsigshouldigtheignurseigexpect?ig-igcorrectiganswers-HypoactiveigBoweligSounds
NGN
0900:
Clientigpresentsigwithigabdominaligpainiginigtheigupperigleftigquadrantigforigtheigpastig2igdays.igStatesigpainigbecam
eigworseigthisigmorningigandigisigradiatingigtoigtheigback.igRatesigpainigasig8igonigaigscaleigofig0igtoig10.
Hypoactiveigboweligsounds;igreportsignausea,ignoigvomiting;igclientigisigpassingigflatus.
Febrile,igorientedigtoigperson,igplace,igandigtime.
Tachypneaigwithigdiminishedigbreathigsounds.
Sinusigtachycardia.
Clientigvoidsig300igmLigofigclear,igamberigurine.
0930:
Clientigvomitedig100igmLigbrownigliquid.ig-igcorrectiganswers-Theigclientigisigexperiencingigmanifestationsigofig
pancreatitis
asigevidencedigbyigtheig
amylaseigandiglipase
.
0530:
Clientigisigawakeigandigalert.
Arteriovenousigfistulaig(AVF)igtoigrightigforearmigwithigthrilligpalpatedigandigauscultatedigforigbruit.igLungigsound
sigcleariguponigauscultation;igclientigdeniesigshortnessigofigbreath.igNoigperipheraligedemaignoted;igcapillaryigrefi
lligisiglessigthanig3igseconds;ig+2igbilateraligpedaligandigradialigpulses.
AVFigaccessigpreparedigandigcannulatedigtwiceigwithignoigdifficulty.igLinesigareigtapedigandigsecured;igtreatmentig
isiginitiated.0600:
Clientigisigreadingigaigbook.igAccessigisigvisible,igandiglinesigareigsecure.igClientigreportsignoigdiscomfortigorigpain.0
630:
Clientigreportsigfeelingigwarm,ignauseated,igandiglightheaded;igappearsigrestlessigandigslightlyigconfused.ig-
igcorrectiganswers-Performigaig12-leadigECGigisignotigindicated.
, PlaceigtheigclientiginigTrendelenburgigpositionigisigindicated.
Administerigaig0.9%igsodiumigchlorideig200igmLigIVigbolusigisigindicated.ig
Applyigoxygenigatig2igL/minigviaignasaligcannulaigisigindicated
Notifyigtheigproviderigimmediatelyigisigindicated
Obtainigtheigclient'sigbloodigglucoseigleveligisignotigindicated.
1800:
Emergencyigmedicaligteamigremovedigclient'sigshirtigatigtheigsceneigandiginitiatedig18-
gaugeigIVigtherapyiginigtheigrightigantecubitaligspace.
Clientighasigfull-thicknessigburnsigoverigtheigupperighalfigofigtheigchestigandigbothigforearms;igpartial-
thicknessigburnsigareigpresentigonigtheigclient'sigfaceigandigneck.
Sinusigtachycardia,igpulsesigtoigbrachialigextremitiesigpalpable.ig1+igedemaigtoigupperigextremities.
Respirationsigeven,iglaboredigwithigscatteredigrhonchi.igSootignotedigtoigtheigclient'sigmouthigandignose.igOxygeni
g40%igviaigfaceigtentigapplied.
Hypoactiveigboweligsounds.
16igFrenchigindwellingigurinaryigcatheteriginsertedigwithigreturnigofig250igmLigofigyellowigurine.
LactatedigRinger'siginfusingigtoigrightigantecubital.igProviderigpreparingigtoiginsertigrightigfemoraligcentraliglineigc
atheter.
1830:
Client'sigvoiceigisigbecomingighoarseigandigreportsigdifficultyigswallowing.igWheezesigpresentigtoigupperiglobesigb
ilaterally.igProviderignotified.igClientigpositionedigupright,igoxygenigviaigfaceigtent.igBloodigcollectedig-
igcorrectiganswers-Duringigtheigemergentigphaseigofigburnigcare,igtheigclientigisigatigriskigforigdevelopingig
hypovolemia
andig
respiratoryigfailure
.
Aignurseigisigteachingigaigclassigaboutigclientigrights.igWhichigofigtheigfollowingiginstructionsigshouldigtheignurseigin
clude?ig-igcorrectiganswers-
Aigclientigshouldigsigniganiginformedigconsentigbeforeigreceivingigaigplaceboigduringigaigresearchigtrial.