ATI ADVANCED MED SURG PROCTORED 2024 WITH GLASGOW COMA SCALE EXAM WITH RACTIONALES (ACTUAL ANSWERS) ALREADY GRADED A+

ATI ADVANCED MED SURG
PROCTORED 2024 WITH GLASGOW
COMA SCALE EXAM WITH
RACTIONALES (ACTUAL ANSWERS)
ALREADY GRADED A+
1. A nurse in the ICU is caring for a client who has
acute respiratory distress
syndrome (ARDS) and is receiving mechanical via
an endotracheal tube. The
provider plans to extubate her within the next 24
hour. Which of the following is
an important criterion for extubating the client?
- CORRECT ANSWER-Adequate tidal volume
without manually assisted breaths
2. A nurse is monitoring the fluid replacement of a
client who has sustained burns.
Which of the following fluids is used in the first 24
hours following a burn injury? - CORRECT
ANSWER-lactated ringers
A nurse is caring for a client who has full-thickness
burns all over 75% of his
body. Which of the following methods is appropriate
to accurately monitor the
cardiovascular system?
- CORRECT ANSWER-obtain a central venous
pressure
A nurse is assessing the depth and extent of a client
who has severe burns to the
face, neck, and upper extremities. Which of the
following factors is the first priority
when assessing the severity of the burn?
- CORRECT ANSWER-Cause of the burn
A client arrives at the emergency dept following an
explosion at the chemical
plant. He has deep partial and full-thickness
chemical burns over more than 25 %
of his body surface area. What is the nurse's priority
intervention?
- CORRECT ANSWER-Maintain a patent
airway
A nurse is caring for a client who came the
emergency dept reporting chest pain.
The provider suspects a myocardial infarction.
While waiting for the laboratory to
report the client's troponin levels, the client asks
what this blood test will show.
The nurse should explain that troponin is
- CORRECT ANSWER-A heart muscle protein
that appears in the bloodstream when there is
damage to the heart
A nurse is assessing a client who has disseminated
intravascular coagulation
(DIC). Which of the following should the nurse
expect in the findings?
- CORRECT ANSWER-Increased clotting
factors
A nurse is about to administer warfarin (Coumadin)
to a client who has atrial
fibrillation. When the client asks what his
medication will do, which of the
following is an appropriate nursing response?
- CORRECT ANSWER-It prevents strokes in
clients who have atrial fibrillation
A nurse in a cardiac care unit is caring for a client
with acute heart failure. Which
of the following findings should the nurse expect?
- CORRECT ANSWER-Elevated central venous
pressure (CVP)