ATI RN MEDICAL SURGICAL PROCTORED EXAM 90+ QUESTIONS WITH DETAILED ANSWERS GRADED A+ BY EXPERT

ATI RN MEDICAL SURGICAL PROCTORED EXAM 90+ QUESTIONS
WITH DETAILED ANSWERS GRADED A+ BY EXPERT

Postoperative care - Instruct the client to splint the abdomen with a pillow for coughing,
plan to ambulate the client as soon as possible, report urinary output to the provider, and
ask the client to rate their pain on a 0 to 10 pain scale.
Chronic kidney disease psychosocial care - Tell the client that it is possible to return to
similar previous levels of activity.
Pseudomonas aeruginosa infection prevention - Advise against placing plants or flowers in
the client's room to prevent Pseudomonas aeruginosa infection.
Role change risk - Recognize that a client with multiple sclerosis and progressive difficulty
ambulating is at risk for experiencing a role change.
Seizure precautions - Ensure client has IV access for seizure medication administration.
Postoperative lab values - Report Hgb level of 8 g/dL to provider as an indicator of
postoperative hemorrhage or anemia.
ESWL procedure - Expect stone fragments in the urine after extracorporeal shock wave
lithotripsy.
Hypokalemia and bowel sounds - Expect hypoactive bowel sounds in a client with
hypokalemia.
Diagnostic results follow-up - Follow up on PCO2 level, WBC count, chest X-ray, and oxygen
saturation level.
Neurological event follow-up - Follow up on visual disturbances, tingling of the lips, hand
grasps, and expressive aphasia.
Testicular self-examination - Instruct the client to roll each testicle between the thumb and
fingers to feel for any lumps deep in the center of the testicle.
Hyperthyroidism assessment - Report blood pressure of 170/80 mm Hg to the provider as a
priority finding.
Muscle cramps and tingling sensation - Administer calcium carbonate to a client
experiencing muscle cramps and tingling sensation in the hands.
Seizure intervention - Turn the client to the side during a seizure to prevent aspiration.
Medication to withhold prior to cardioversion - Instruct the client to withhold digoxin for 48
hr prior to cardioversion.
Sildenafil and nitroglycerin - Inform the client that they cannot use sildenafil if they are
taking nitroglycerin due to the risk of significant hypotension.
Magnesium sulfate adverse effects - Monitor for respiratory paralysis as an adverse effect
of magnesium sulfate.
Erythropoietin therapy - Explain that the medication is taken to increase energy levels by
increasing hematocrit and reducing fatigue.
Chronic glomerulonephritis manifestation - Identify hyperkalemia as a manifestation of
chronic glomerulonephritis.
Feverfew interaction - Advise the client that naproxen interacts with feverfew and can
increase the risk of bleeding.
Colorectal cancer risk reduction - Recommend adding cabbage to the diet to help reduce the
risk of colorectal cancer.
Dysphagia bedside item - Place a suction machine at the client's bedside to clear the airway
as needed and reduce the risk of aspiration.
Contrast dye assessment - Further assess a client's history of asthma before a CT scan with
IV contrast agent due to the risk of a reaction to the dye.
Exophthalmos assessment - Identify image D as indicating exophthalmos in a client with
Graves' disease.
Role change risk - Recognize that a client with multiple sclerosis and progressive difficulty
ambulating is at risk for experiencing a role change.
Lactulose adverse effect - Identify hypokalemia as an adverse effect of lactulose due to
excessive stools.
DKA laboratory findings - Expect elevated BUN levels in a client with diabetic ketoacidosis.
Neurological event follow-up - Follow up on visual disturbances, tingling of the lips, hand
grasps, and expressive aphasia.
ALS and pneumonia assessment - Recognize increased respiratory secretions as the
priority finding in a client with ALS and pneumonia.
Client role change risk - Identify that a client with extensive burn injuries and
immunocompromised status is at risk for experiencing a role change.
Hepatic encephalopathy treatment - Expect excessive stools as an adverse effect of
lactulose, used to treat hepatic encephalopathy