NEW ATI predictor: Adult MedSurg Nursing with NGN LATEST QUESTIONS AND ANSWERS (ALREADY GRADED A+)

NEW ATI predictor:
Adult MedSurg
Nursing with NGN
LATEST QUESTIONS
AND ANSWERS
(ALREADY GRADED
A+)


A nurse explains what to expect during a thorastenresis. Which client statement validates the
teaching was effective?
A- " I need to be still during the procedure."
B- "It will be difficult to swallow for a few hours."
C- " A cough may develop during aspiration of fluid."
D- "My breathing may be labored for several minutes." - ANSWER-ARATIONALE-The nurse should instruct the client to remain still and refrain from talking unless
instructed by the provider.
A clients wound eviscerates following bariatric surgery. Which of the following actions should
the nurse implement? (select all.)
A- call for help
B- Obtain vitals
C- Reinsert protruding organs
D- Place in high fowlers
E- Cover wound with moist sterile dressing - ANSWER-A, B, ERATIONALE-The nurse should call for help and the person who responds should notify the
rapid response team and surgeon. one nurse should provide care to the client while another
nurse notifies the personnel. abdominal wound evisceration is a surgical emergency. The nurse
should stay with the client, obtaining vitals every 5-10 min and closely monitoring for shock.
the wound should be covered with sterile dressing moistened with warm saline. the dressing
must be kept sterile and moist at all times.
A nurse provides care for a client who was just admitted to the ED reporting chest pain. Which
of the following diagnostic tests should the nurse prioritize?
A- echocardiogram
B- Chest radiograph
C- Electrocardiogram
D- Cardiac angiography - ANSWER-CRATIONALE-An EKG/ECG is one of the first diagnostic tests done on a client with chest pain
because it is fast, noninvasive, and immediate information is given. It shows electrical activity
and ischemia.
A nurse reviews a clients ABG results: pH 7.48, PaCO2 44, HCO3 35. Which of the following
acid base imbalances in present?
A- uncompensated metabolic alkalosis
B- Uncompensated respiratory acidosis
C- fully compensated respiratory alkalosis
D- Partially compensated metabolic acidosis - ANSWER-ARATIONALE-In an uncompensated acid-base imbalance, the pH and one other value will be
abnormal. In this analysis, the increase pH determines this client is alkaline, and the increased
HCO3 and normal PCO2 shows it is metabolic.
After obtaining a blood specimen from the clients PICC, which of the following actions should
the nurse take next?
A- Resume continuous IV infusion
B- Perform sterile dressing change
C- Instill heparin solution 10 units/ml
D- Flush with 20 ml .9% sodium chloride - ANSWER-DRATIONALE-Follow the infusion nurses society (INS) practive recommendations. Flush with
.9% sodium chloride after drawing blood. Use a 10ml syringe for flushing a PICC. Do not apply
force is resistance is met. Flush with 10 ml before, between, and after medications.
A client is admitted ti the telemetry unit for sustained paroxysmal supraventricutlar
tachycardia. Which of the following medications should the nurse prepare to administer?
A- Atropine
B- Adensoine
C- Nitroprusside
D-Norepinephrine - ANSWER-BRATIONALE-Adenosine 6mg rapid IVP is given to convert payoxymal SVT to NSR.
A nurse provides care for a client who is diagnosed with SIADH. Which of the following lab
values would be expected? (select all)
A- Sodium 128
B- Potassium 5.0
C- Magnesium 1.5
D- Urine gravity 1.035
E- Serum specific gravity 290 - ANSWER-A, DRATIONALE-Clients with SIADH retain fluid which results in hyponatremia and increased
urine gravity.
A nurse provides care for a client who has a JP drain. Which of the following actions will ensure
proper function?
A- Coil the tubing
B- Empty bulb every day
C- Keep bulb compressed
D- Place drain to wall suction. - ANSWER-CRATIONALE-A JP drain is an evacuator unit which exerts constant low pressure as long as the
bulb is fully compressed