ATI RN MEDSURG 2019 PROCTORED EXAM 2 VERSIONS QUESTIONS $ 100% CORRECT ANSWERSWITH RATIONALES.

.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of
thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to
returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: DiabetesInsipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and keeps
pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily
for3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the
nursetake first (Click on the “Exhibit” button for additional information about the client. There are three
tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is experiencing
breakthroughpain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasoneRationale:ATI pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which
ofthe following should the nurse analyze to determine whether the client is experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment.
ATI RN MEDSURG 2019 PROCTORED EXAM 2 VERSIONS
QUESTIONS $ 100% CORRECT ANSWERSWITH RATIONALES.
Whichof the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
ATI RN MEDSURG 2019 PROCTORED EXAM 2 VERSIONS
QUESTIONS $ 100% CORRECT ANSWERSWITH RATIONALES.
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the
radiationsite Rationale: pg. 584. Dry the area thoroughly using patting
motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client
has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
anticipateadministering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
preventcardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowelsounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic ileus. So
effectiveness would indicate opposite of this
10. A nurse isreviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
ofthe following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia (High due to stress)
C. Hypoalbuminemia (Low due to fluid loss)
D. Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation phase)
(Page 481 ch 75 med surge ati pdf 10.0)
12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the following
actions should the nurse take ?
a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to
moderatecarbs page 317, chapter 49 Peptic ulcer disease med surge ati pdf 10.0)
b. Provide the client with four full meals a day (Small frequent meals)
c. Encourage the client to to drink at least 360 ml of fluids with meals (Eliminate liquids with meals for 1
hr prior and following a meal)
d. Have the client lie down for 30 minutes after meals (Lying down after a mealslows the movementof
food within the intestines)