ATI PN Adult Medical Surgical Online Practice 2023 A with NGN, Exam Questions & Answers
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PN Adult Medical Surgical Online Practice
Institution
PN Adult Medical Surgical Online Practice
ATI PN Adult Medical Surgical Online Practice 2023 A with NGN, Exam Questions & Answers-A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss?
- Encourage weight-bearing exercise...
ATI PN Adult Medical Surgical Online Practice 2023 A with NGN,
Exam Questions & Answers
A nurse is contributing to the plan of care for a client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?
- Encourage weight-bearing exercises.
r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing
bone demineralization, thus helping to prevent osteoporosis.
A nurse is reinforcing discharge instructions with a client who is postoperative
following a right hip arthroplasty. Which of the following statements should the
nurse make?
- Avoid bending your hips more than 90 degrees. ( to prevent dislocation of the
replacement hip).
- Nurse should instruct client to wait 90 days before crossing legs. Crossing legs
early int heh postoperative period can result in dislocation of the replacement hip.
-Nurse should inform the client that she ay lie on her operative side with a pillow
between her legs. This will not injure the suture site or cause dislocation of the
replacement hip.
- Nurse should instruct the client to sleep on a firm mattress to avoid potential
dislocation of the replacement hip.
A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include
in the teaching?
- Remind the client to avoid watching their feet when walking.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which
of the following provider prescriptions should the nurse implement first?
- Initiate oxygen at 4L/min via nasal cannula.
,Rationale:
The nurse should remind the client to have a pneumococcal immunization at age
65 and every 10 years thereafter to protect them from acquiring pneumonia.
The nurse should collect a sputum culture to identify the organism causing the
client's infection. Antimicrobial sensitivities are obtained from the sputum culture
to guide the provider in prescribing antibiotics. However, there is another
prescription the nurse should implement first.
The nurse should administer antibiotics to treat the infection. A broad spectrum
antibiotic, such as ceftriaxone, is administered when sepsis is suspected because it
treats both gram-positive and gram-negative bacteria. After the results of the blood
and sputum cultures are obtained, the provider will often change to a more specific
antibiotic. However, there is another prescription the nurse should implement first.
The nurse should obtain blood cultures to identify the organism causing the client's
infection. Antimicrobial sensitivities obtained from the blood cultures will guide
the provider in prescribing treatment. However, there is another prescription the
nurse should implement first.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense
itching. Which of the following actions should the nurse take first?
- Stop the medication infusion.
Rationale:
The greatest risk to the client is injury from an allergic response to the medication.
Therefore, the first action the nurse should take is to stop the medication infusion.
--------------------
The nurse should notify the charge nurse about what has occurred. However, there
is another action the nurse should take first.
, The nurse should administer a PRN dose of diphenhydramine to keep the allergic
reaction from worsening. However, there is another action the nurse should take
first.
The nurse should follow facility policy when reporting an adverse reaction.
However, there is another action the nurse should take first.
A nurse enters the room of a client whose transfusion of packed RBCs was
initiated 15 min ago by the RN. The client reports dyspnea and urticaria.
After stopping the infusion, which of the following actions should the nurse take
next?
- Take the client's vital signs.
Rationale:
The first action the nurse should take when using the nursing process is to collect
data from the client to determine what actions should be taken next.
A nurse is reviewing the laboratory results of a client who is scheduled for a CT
scan with an IV contrast agent.
Which of the following laboratory findings should the nurse report to the provider
prior to the procedure?
- Creatinine 1.9 mg/dL
Normal range is 0.7 to 1.3
Therefore the it's high and should be reported the the provider
A nurse is preparing to administer scheduled medications to a client.
Which of the following prescriptions should the nurse verify with the provider?
(Click on the exhibit tabs for additional information about the client. There are
three tabs that contain separate categories of data.)
- Ceftriaxone
In exhibit 2 it says the patient is allergies: "penicillin reaction severe".
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