MED SURG ATI PROCTORED EXAM. Concise answers. Graded A

MED SURG ATI PROCTORED EXAM

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 - 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 - 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 - 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

d. Install a raised toilet seat in your bathroom - d. Install a raised toilet seat in your bathroom

A nurse is planning care for a client following a cardiac catheterization. Which of the following actions

should the nurse take?

a. Keep the client on bed rest for 24 hours

b. Limit the client's fluid intake to 1 l per day

c. Maintain the client's affected extremity in extension

d. Change the client's dressing every 8 hour - c. Maintain the client's affected extremity in extension

A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which

of the following client statements indicates that the client is adapting to their role change?

a. I will need to have my partner take over shopping for groceries and cooking the meals for us

b. These crutches will make it impossible to care for my child

c. I feel bad that I have to ask my partner to keep the house clean

d. Its going to be difficult to tell my parents I cant take them to their appointments anymore - a. I will

need to have my partner take over shopping for groceries and cooking the meals for us

A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should

the nurse recognize as an indication that the client is experiencing dehydration?

a. Pitting, dependent edema

b. Distended jugular veins

c. Increased BP

d. Decreased BP - d. Decreased BP

A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary

output was 4,000 ml over the past 24 hour. The nurse should anticipate a prescription for which of the

following IV medication?

a. Desmopressin

b. Epinephrine

c. Furosemide

d. Nitroprusside - a. Desmopressin

A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor

and reports a nagging dry cough. Which of the following responses by the nurse is appropriate?

a. "your cough may require that you stop or change your medication"

b. "Increasing your daily fluid intake may eliminate your cough"

c. "sucking on lozenge may reduce the frequency of your cough"

d. You cough should go away in time" - a. "your cough may require that you stop or change your

medication"

A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the

following assessment findings should the nurse identify as a potential trigger for exacerbations

of Raynaud's?

a. Eating a strict vegetarian diet

b. A history of herpes zoster

c. Taking amiodipine for hypertension

d. Using a nicotine transdermal patch - d. Using a nicotine transdermal patch

A nurse is caring for a client who has a central venous access device and notes the tubing has become

disconnected. The client develops dyspnea and tachycardia. Which of the following

actions should the nurse take first?

a. Perform an ECG

b. Obtain ABG values

c. Turn the client to his left side

d. Clamp the catheter - d. Clamp the catheter

A nurse is completing an assessment of an older adult client and notes reddened areas over the bony

prominences, but the client's skin is intact. Which of the following interventions should the nurse

include in the plan of care?

a. Turn and reposition the client every 4 hr

b. Apply an occlusive dressing

c. Support bony prominences with pillows

d. Massage the reddened areas three times a day - c. Support bony prominences with pillows

A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the

following actions is the priority for the nurse to take?