ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH VERIFIED SOLUTIONS/A+ GRADE

A nurse is performing a venipuncture on an older adult client whose veins
are difficult. Which of thefollowing actions should the nurse take?
a. Apply cool compresses
b. Elevate the client’s extremity using a pillow
c. Tap the skin around the insertion site
d. Raise the angle of the catheter to 30 degrees above the insertion site
 A nurse is caring for a client in the ER following a myocardial infarction.
which of the following actionsshould the nurse anticipate if the client
develops asystole?
a. Administer atropine
b. Defibrillate with 200 joules
c. Starts a continuous lidocaine infusion
d. Begin CPR – first line of medical management is CPR and ACLS.
 A nurse is caring for a client with severe burn injury. The nurse should
recognize which of the followingclient findings as an indication of
hypovolemic shock?
a. Potassium 5.2 mEq/L
b. Capillary refill 1.5 seconds
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
c. Urine output 45 mL/hr
d. PaCO3 37 mmHg
 A critical care nurse is assessing a client who has a severe head injury. In
response to painful stimuli the client does not open her eyes, displays
decerebrate posturing, and makes incomprehensible sounds. Which of the
following Glasgow coma scale scores should the nurse assign the client?
a. 2
b. 5
c. 10
d. 13
 A nurse is teaching a client who has heart failure about self-management
techniques. Which of the following statements by the client indicates an
understanding of the teaching?
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
a. I will keep an exercise diary
b. I will take ibuprofen for mild pain
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
c. I will expect swelling in my feet and ankle
d. I will weigh myself every other day
 A nurse is providing discharge teaching for a client who has new
tracheostomy. Which of the followingstatements by the client indicates an
understanding of the teaching
a. I’ll insert the obturator after cleaning my stoma
b. I’ll cut a slit in a clean gauze pad to use as a stoma dressing
c. I’ll cleanse the cannula with half strength hydrogen peroxide
d. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma
 A nurse is caring for a client who has a sealed radiation implant which of
the following actions shouldthe nurse take?
a. Limit family member visits to 30 min per day – pg. 583
➢ Limit visitors to 30-min visits, and have visitors maintain 6 feet distance
from the source
b. Give the dosimeter badge to the oncoming nurse at the end of the shift
c. Apply second pair of gloves before touching the clients implant if it dislodges
d. Remove soiled linens from the room after each change
 A nurse is reviewing the medical record of a client who has
pneumonia. Which of the followingserum laboratory values should the
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
nurse expect?
a. WBC count 15,000/mm
b. Hematocrit 35%
c. Sodium 130 mg/dl
d. BUN 8 mg/dl
 A nurse is planning care for a client who has a newly implanted
arteriovenous graft in the right arm.Which of the following actions
should the nurse include in the plan of care?
a. Instruct the client to avoid lifting the right arm for 72 hr
b. Check blood pressure in the right arm
c. Palpate the site for thrill
d. Insert a saline lock into a site 10 cm (4in) distal to the graft
 A nurse in the emergency department is caring for a client who has a
gunshot wound to the abdomen.which of the following should the nurse take
first?
a. Check the color of the client’s skin – Assessment first
b. Prepare the client’s clothing
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
c. Remove all the clients clothing
d. Administer an opioid analgesic
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
 A nurse is assessing a client who has an arteriovenous (AV) fistula in the
left forearm. Which of thefollowing findings should the nurse identify as an
indication of a complication at the vascular access site?
a. Presence of palpable thrill
b. 2 + left radial pulse
c. Absence of bruit – pg. 367
d. Dilated appearance of the AV site
 A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate. The client reports spasms
and the nurse observes decreased urinary output. Which of the following
actions should the nurse take?
a. Decrease traction on the catheter
b. Remove the indwelling urinary catheter
c. Flush the catheter manually with 0.9% sodium chloride
d. Administer ibuprofen 400 mg for pain relief
 A nurse is caring for a client who has contusion of the brainstem and reports
thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The
nurse should anticipate a prescription for which of the following IV
medications?
a. Desmopressin – pg.500
➢ Desmopressin, which is a synthetic ADH, or aqueous vasopressin
ATI RN MED SURG PROCTORED EXAM 2019 VERSION WITH
VERIFIED SOLUTIONS/A+ GRADE
administered intranasally, orally, or parenterally. Results in
increased water absorption from kidneys and decreased urine
output.
b. Epinephrine
c. Furosemide
d. Nitroprusside
 A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of the
following routine medications to give at 0800 should thenurse withhold?
a. Valproic acid
b. Metformin – pg.530
c. Metoprolol
d. Fluticasone