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ATI RN MEDICAL SURGICAL PROTOCORED EXAM 2024 VERSION/ ATI MED SURG PROTOCORED EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS) |GRADED A+$27.99
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ATI RN MEDICAL SURGICAL PROTOCORED EXAM 2024 VERSION/
ATI MED SURG PROTOCORED EXAM QUESTIONS AND ANSWERS
(VERIFIED ANSWERS) |GRADED A+
A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the
following findings indicates hypokalemia?
a. Oliguria
b. Hypertension
c. Muscle weakness
d. Positive chvostek's sign (CHEEK) - ANSWER: c. Muscle weakness
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body.
Which of the following actions should the nurse take?
a. Weigh the client once per week
b. Provide the client with a protein intake of 1g/kg/day
c. Maintain a daily count of the client's calorie intake
d. Place the client on a low-carb diet - ANSWER: c. Maintain a daily count of the client's
calorie intake
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following
client statements indicates an understanding of the teaching?
a. "I will expect my stools to be loose"
b. "I will eat a high fiber diet'
c. "I will take a laxative when I'm constipated"
d. "I will empty my bag when it is full" - ANSWER: a. "I will expect my stools to be loose"
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A nurse is caring for a client who is receiving total parental nutrition through a central line. The
current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the
following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag is available
d. Start an infusion of 0.45% sodium chloride solution - ANSWER: a. Switch the infusion
to a 10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The client
reports tingling and numbness in the hands. The nurse should identify this as a sign of which of
the following electrolyte imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - ANSWER: a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative who has chronic disease. Which of
the following statements indicates the client is adapting to the role change?
a. "I had to reschedule my doctor's appointment last week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d. "I need to get my blood pressure medicine refilled" - ANSWER: d. "I need to get my
blood pressure medicine refilled"
A nurse is reviewing medications taken at home with a client who has angina. Which of the
following statements by the client indicates an understanding of the teaching?
a. "I should withhold my metoprolol if my heart rate is above 100 bpm"
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b. "I should take my daily aspirin on an empty stomach"
c. "I should lie down before taking dose of isosorbide dinitrate"
d. "I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four
doses" - ANSWER: c. "I should lie down before taking dose of isosorbide dinitrate"
A nurse in the post-anesthesia care unit is assessing a client following an appendectomy and
finds a 2-cm (3/4in) area of blood on the postoperative dressing. Which of the following actions
should the nurse take?
a. Apply pressure
b. Loosen the dressing
c. Circle the drainage
d. Apply a new dressing - ANSWER: c. Circle the drainage
A nurse is caring for a client who is receiving mechanical ventilation. Which of following
interventions should the nurse implement?
a. Empty water from the ventilator tubing daily
b. Suction the client's airway every 4 hour
c. Maintain the client in supine position
d. Perform oral care every 2 hour - ANSWER: a. Empty water from the ventilator tubing
daily
A nurse is a planning care for a client who has full-thickness burns on the lower extremities.
Which of the following interventions should the nurse include?
a. Apply new gloves when alternating between wound care sites
b. Provide a diet of fresh fruits and vegetables for the client
c. Limit visitation time for the client's children to 40 min per day
d. Clean the equipment in the client's room once per week - ANSWER: a. Apply new
gloves when alternating between wound care sites
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A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSWER: d. Perform the
irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump
to administer? Round to near whole number - ANSWER: 33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention - ANSWER:
b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
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