ATI RN MEDSURG 2019 PROCTORED EXAM UPDATED 2021.

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ATI RN MEDSURG 2019 PROCTORED EXAM RELIABLE REVISION STUDY GUIDE 1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to... reduce the risk of which of the following adverse effects 2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse? 3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about which of the following medications in the client’s medication administration record? 4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective? 5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at… 6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the nurse indicates an understanding of the teaching? 7. A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of the following actions should the nurse take? 8. A nurse is caring for a client in the ER following a myocardial infarction. which of the following actions should the nurse anticipate if the client develops asystole? 9. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? 10. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client? 11. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following statements by the client indicates an understanding of the teaching? 12. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching 13. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? 14. A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect? 15. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? 16. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first? 17. A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site? 18. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take? 19. A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? 20. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? 21. A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions? 22. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? 23. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client’s recovery? 24. A nurse is preparing to assist the provider with thoracentesis for a client who has left pleural effusion. Which of the following interventions is the priority for the nurse? 25. A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect? 26. A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? 27. A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? A nurse is providing discharge teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply) 29. A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the following ABG values should the nurse expect? 30. A nurse is caring for a client who has atrial fibrillation. Which of the following should the nurse expect to administer? 31. A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse’s priority? 32. A nurse is planning care for a client who has chest drainage system set to low suction following a thoracotomy. Which of the following nursing actions is appropriate to include in the plan of care? 33. A nurse is caring for an older adult client who is prescribed packed RBCs. Which of the following actions is appropriate for the nurse to take? 34. A nurse in the intensive care unit is caring for a client who has the following ABG results: pH 7.30; HCO3 19 mEq/L, PaCO2 with the expected reference range. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? 36. A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first? 37. A nurse is providing a discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching? 38. A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? 39. A nurse is caring for a client who is 2 days postoperative following below the knee amputation and asks about the purpose of maintaining an elastic bandage around residual limb of the extremity. Which of the following is an appropriate response by the nurse? 40. A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect? 41. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? 42. 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? 43. A nurse is providing instructions about foot care for a client who has peripheral disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? 44. A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? 45. A nurse is caring for a client who is receiving total parenteral nutrition through 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? 46. A nurse is providing teaching to a client who has tuberculosis. Which of the following is appropriate for the nurse to include in the teaching? 47. A nurse is teaching a client who has Graves’ disease about recognizing the manifestation of thyroid storm. Which of the following findings should the nurse include in the teaching? 48. A nurse is caring for a female client who has toxic shock syndrome. Which of the of findings should the nurse expect? 49. A nurse is caring for a client who is 5 days post op ff a total abdominal hysterectomy. Which of the ff findings indicated wound dehiscence? 50. A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the following? 51. A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following should the nurse plan to include in the teaching? ...............................continued...............................DOWNLOAD FOR BEST SCORES........................................................... 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