ATI Medical Surgical Proctored Exam A/Latest 2022:2023/ Questions& Answers

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A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following lab results to be BELOW the expected reference range? A. Amylase B. Alkaline phosphatase C. Bi... lirubin D. Calcium (ANS- D. Calcium A client who has pancreatitis is expected to have a DECREASED calcium and magnesium d/t fat necrosis. The other options would all be increased. A nurse is caring for a client who has DKA. Which of the following lab findings should the nurse expect? A. negative urine ketones B. BUN 32 mg/dL C. pH 7.43 D. HCO3 23 mEq/L (ANS- B. BUN 32 mg/dL DKA results in osmotic diuresis and subsequent dehydration. The nurse should expect a client who has DKA to have elevated BUN, creatinine, and specific gravity levels resulting from the excess glucose present in the urine. A. DKA causes ketones in the urine and blood. C. You would expect the pH to be <7.35 (because of the production of ketones) D. You would expect HCO3 <15 d/t increased production of ketones causing metabolic acidosis. A nurse is providing d/c instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? A. Change the dressing q 72 hr. B. Immobilize the hand with a pressure dressing. C. Take pain medication 30 min after changing the dressing. D. Wrap fingers with individual dressings. (ANS- D. Wrap the fingers with individual dressings. The nurse should instruct the client to wrap the fingers individually to allow for functional use of the hand while healing occurs. The nurse should also instruct the client to perform range-of-motion exercises to each finger every hour while awake to promote function of the injured hand. A. q 12-24 hr B. With skin grafts, you should elevate and immobilize the graft site with cotton pressure dressings for 3-5 days following the procedure. C. 30 min before dressing change 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 POC to prevent Pseudomonas aeruginosa infection? A. Encourage the client to eat raw fruits and veggies. B. Avoid placing plants or flowers in the client's room. C. Limit visitors to members of the client's immediate family. D. Wear an N95 respirator mask when providing care to the client. (ANS- B. Avoid placing plants or flowers in the client's room. [Show More]

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