ATI RN Medical Surgical Online Practice Assessment exam 2023 with 100% correct answers
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A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - correct answer Hypokalemia
Rationale: Lactulose works by stimulating the pr...
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ATI RN Medical Surgical Online Practice
Assessment exam 2023 with 100%
correct answers
A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The
client is experiencing excessive stools. Which of the following findings is an adverse effect of this
medication? - correct answer Hypokalemia
Rationale: Lactulose works by stimulating the production of excess stores to rid the body of excess
ammonia. These excessive stores can result in a hypo kalemia and dehydration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client
appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions
should the nurse take first? - correct answer Instruct the client to allow the machine to breathe for
them.
Rationale: When providing client care, the nurse should first use the least restrictive intervention.
Therefore, the first action the nurse should take is to provide verbal instructions in emotional support to
help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness we're
trying to "fight the ventilator."
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which
of the following dietary alterations should the nurse recommend? - correct answer Add cabbage to the
diet.
Rationale: To help reduce the risk for colorectal cancer, the client should consume a diet that is high in
fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and
broccoli, are all high in fiber.
A home health nurse is assigned to a client who was recently discharged from a rehabilitation center
after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the
nurse expect to find when assessing the client? (Select all that apply.) - correct answer Visual spatial
deficits, Left hemianopsia, One-sided neglect.
, Rationale: Visual spatial deficits and loss of depth perception occur secondary to a right hemispheric
stroke. Left hemianopsia, or blindness in the left half of the visual field, occur secondary to right
hemispheric stroke. One-sided neglect, or in unawareness of the affected side, occur secondary to a
right hemispheric stroke.
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems
should the nurse initiate to provide the highest concentration of oxygen? - correct answer
Nonrebreather mask
Rationale: The nurse should initiate a nonrebreather mask to deliver between 80% to 95% oxygen to the
client. A client who has an unstable respiratory status should receive oxygen via non-rebreather mask.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has dyspnea
with a productive cough and is using accessory muscles to breathe. Which of the following actions
should the nurse take first? - correct answer Place the client in high-Fowler's position.
Rationale: the greatest risk to this client is injury from airway obstruction. Therefore, their priority
intervention the nurse should take us to move the client into high Fowlers position. High Fowlers
position facilitate long expansion and improves been elation and gas exchange
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which
of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas
aeruginosa infection? - correct answer Avoid placing plants or flowers in the client's room.
Rationale: live plants can harbor P. Aeruginosa, And this bacterium can infect burn moons and cause life-
threatening complications. The nurse should ensure no one brings live plants or flowers into the clients
room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - correct answer Urine specific gravity 1.045
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