ATI RN MED SURG PROCTORED NEWEST
2024 TEST BANK WITH UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
A nurse is assessing a client who is at risk for the development of
pernicious anemia resulting from peptic ulcer disease. Which of
the following
images depicts a condition caused by pernicious anemia? -
ANSWER-glossitis, which can indicate pernicious anemia.
Glossitis, a smooth red tongue, is also a manifestation of
deficiencies in vitamin B6, zinc, niacin, or folic acid.
A PACU nurse is assessing a client who is postoperative following
a right nephrectomy. The client's initial vital signs were heart rate
80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature
36° C (96.8° F). Which of the following vital sign changes should
alert the nurse
that the client might be hemorrhaging? - ANSWER-Heart rate
110/min.
One of the first signs of hemorrhage is an increase in the heart
rate from the client's baseline, which occurs to compensate for
blood loss.
A nurse is caring for a client who is 4 hr postoperative following a
total
vaginal hysterectomy.
2 | P a g e
Click to highlight the findings the nurse should report to the
provider
immediately. - ANSWER-Perineal pad saturated with blood, large
clots present
Change of blood pressure, heart rate of 102/min
A nurse is caring for a client who has HIV. Which of the following
findings indicates a positive response to the prescribed HIV
treatment? - ANSWER-Decreased viral load
Viral load testing measures the presence of HIV viral genetic
material. Therefore, a decreased viral load indicates a positive
response to the prescribed HIV treatment.
A nurse is providing discharge teaching to a client who has heart
failure and a new prescription for a potassium-sparing diuretic.
Which of the
following information should the nurse include in the teaching? -
ANSWER-Try to walk at least three times per week for exercise.
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should
identify that which
of the following findings requires further assessment? - ANSWERHistory of asthma
A client who has a history of asthma has a greater risk of reacting
to the contrast dye used during the procedure. Other conditions
that can result in a reaction to contrast media include allergies to
foods, such as shellfish, eggs, milk, and chocolate.
A nurse is planning teaching for a client who has bladder cancer
and is to undergo a cutaneous diversion procedure to establish a
ureterostomy.
3 | P a g e
Which of the following statements should the nurse include in the
teaching? - ANSWER-"You should cut the opening of the skin
barrier one-eighth inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8-
in) wider than the stoma to minimize irritation of the skin from
exposure to urine.
A nurse is assessing a client who has peripheral arterial disease.
Which of the following findings should the nurse expect? -
ANSWER-Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal
cancer and is to undergo radiation therapy. Which of the following
statements should the nurse identify as an indication that the
client understands the teaching? - ANSWER-"I will use my hands
rather than a washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks
postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the following
instructions should the nurse include?
Select all that apply. - ANSWER-Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
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