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Actual ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2023-2025 with NGN – 100 Screenshot Questions & 100% Verified Answers # Ace Your 2025 RN ATI Med-Surg Proctored Exam Seizures and Epilepsy: Seizure precautions - --ANSWER---During a seizure: Position client on the floor and provide a patent airway, turn client to side and loosen restrictive clothing Cancer treatment options: Protective Isolation (999) - --ANSWER---If WBC drops below 1,000, place the client in a private room and initiate neutropenic precautions. - Have client remain in his room unless be needs to leave for a diagnostic procedure, in case of transport place a mask on him - Protect from possible sources of infection (plants, change water in equipment daily) - Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors - Avoid invasive procedures (rectal temps, injections) - Administer (neupogen, neulasta) to stimulate WBC production
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Seizures and Epilepsy: Seizure precautions - --ANSWER---During a seizure: Position client on the floor and provide a patent airway, turn client to side and loosen restrictive clothing Cancer treatment options: Protective Isolation (999) - --ANSWER---If WBC drops below 1,000, place the client in a private room and initiate neutropenic precautions.
Airborne:
Cardiovascular Diagnostic and Therapeutic Procedures: PICC care - --ANSWER---- Apply an initial dressing of gauze and replace with transparent dressing within 24 hours
Hypercarbia (increased PaO2, greater than 45) Respiratory acidosis, metabolic alkalosis compensation Hematologic Diagnostic Procedures: Laboratory findings to report - --ANSWER---RBC: 4.2-5.4 and 4.7-6. WBC: 5-10, Platelets: 150-400, Hgb: 12-16 and 14- 18 Hct: 37-47% and 42-52% PT: 11-12.5 sec aPPT: 1.5-2 times normal range of 30- 40 INR: 2-3 on warfarin Acid base imbalance: Interpreting ABG results - --ANSWER---1) Look at pH <7.35 acidosis
7.45 Alkalosis
Respiratory Diagnostic Procedures: Client positioning for thoracentesis - --ANSWER--- Position the client sitting upright with his arms and shoulders raised and supported on pillows and/or on an overbed table and with his feet and legs well supported Hepatitis and Cirrhosis: Client positioning following a biopsy - --ANSWER---Assist the client into a supine position with the upper right quadrant of the abdomen exposed Cushing Disease/ Syndrome: Priority Actions - --ANSWER---Daily weights Monitor I&O assess for hypervolemia monitor for skin breakdown Fractures and Immobilization devices: Assessing for complications (795) - --ANSWER--- Fat embolism: Dyspnea, chest pain and decreased oxygen saturation Decreased mental acuity Respiratory distress Tachycardia Tachypnea Fever Osteomyelitis: Constant bone pain Edema Fever Possible elevated sedimentation rate Gastrointestinal Therapeutic Procedures: Ostomy complications - --ANSWER--- Necrosis: pale pink or bluish/purple in color intestinal obstruction: abdominal pain, absent bowel sounds, distention, n/v Burns: Priority action during resuscitation phase - --ANSWER---Maintain airway and ventilation rapid fluid resuscitation (0.9% NaCl or LR's) Inflammatory Disorders: Assessing a client who has a friction rub - --ANSWER---Assess lung sounds in all fields Friction rub occurs from
Dry Macular Degeneration: Smokers HTN Female Short body stature Family History Diet lacking carotene and Vitamin A
Hemodynamic Shock: Priority intervention for hypovolemic shock - --ANSWER--- Continuously monitor airway and vital signs Administer fluids (0.9% NaCl or Lactated Ringers) Have resuscitation equipment available Hypertension: Action for hypertensive crisis - --ANSWER---Administer IV anti- hypertensives therapies, such as nitroprusside, nicardipine and labetaolol Monitor BP every 5-15 minutes Assess neurological status Monitor Cardiac status Emergency Nursing principles and management: Emergency Illness management (9) - -
understanding of the teaching? - --ANSWER---I will monitor my blood pressure while taking this medication. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? - --ANSWER---Regular insulin 20 units IV bolus A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction(MI)? - --ANSWER---Troponin I 8 ng/mL A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - --ANSWER---Remain with the client for the first 15 min of the infusion. A nurse is assessing a client who had extracorporeal shock wave lithotripsy(ESWL) 6 hr ago. Which of the following findings should the nurse expect? - --ANSWER---Stone fragments in the urine A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - --ANSWER---Ibuprofen can cause gastrointestinal bleeding in older adult clients. A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? - --ANSWER---Loosen restrictive clothing A nurse is assessing a client who has Cushing's disease. Which of the following findings should the nurse expect? - --ANSWER---muscle atrophy A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure ulcer. Which of the following actions should the nurse take? - --ANSWER--- Use a 30mL syringe A nurse is reviewing the laboratory results of a client who had a recent exposure to hepatitis C virus. Which of the following tests should the nurse identify as indicating the presence of hepatitis C antibodies? - --ANSWER---Enzyme immunoassay (EIA) A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the nurse expect the client to report? - --ANSWER---It's like a curtain closed over my eye. A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify which of the following sounds the nurse should document in the client's medical record by listening to audio clip. (Click on the audio button to listen to the clip.) Murmur
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) Disease process Laboratory findings Current medications Family history - --ANSWER---Current medications A nurse is assessing a client who is receiving morphine via a PCA pump. Which of the following findings indicates an adverse effect of the medication? - --ANSWER---Urinary retention A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - -- ANSWER---Bradycardia A nurse is providing teaching for a female client who has recurrent urinary tract infections. Which of the following information should the nurse include in the teaching? - --ANSWER---Void before and after intercourse A nurse is providing education to a client who has tuberculosis (TB) and his family. Which of the following information should the nurse include in the teaching? - -- ANSWER---Family members in the household should undergo TB testing A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - -- ANSWER---Apply firm pressure to the insertion site A nurse is caring for a client who has cirrhosis of the liver with esophageal varies. Which of the following activities should the nurse instruct the client to avoid? - -- ANSWER---Straining to have bowel movements A nurse is developing a teaching plan for a client who has gout. Which of the following recommendations should the nurse include? - --ANSWER---Decrease intake of purine meats A nurse is providing dietary teaching to a client who has celiac disease. Which of the following food choices should the nurse identify as an indication that the client understands the teaching? - --ANSWER---Grilled chicken breast A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - --ANSWER---Increase fluid intake
A nurse in an emergency department is caring for a client who reports chest pain of 8 on a pain scale of 0 to 10. Which of the following actions should the nurse take first? - -- ANSWER---Administer morphine A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? - --ANSWER---Low urine specific gravity A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Which of the following findings is an indication of lung re-expansion. - -- ANSWER---Bubbling in the water-seal chamber has ceased. A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIB treatment? - --ANSWER---Decreased viral load A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following assessment findings should the nurse report to the provider? - --ANSWER---Extremity cool upon palpation A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric cerebrovascular accident(CVA). Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.) Expressive aphasia Visual spatial deficitis Left hemianopsia Right hemiplegia One-sided neglect - --ANSWER---Visual spatial deficits Left hemianopsia One-sided neglect A nurse in an ICU is planning care for a client who is in cariogenic shock. The nurse should prepare to administer which of the following medications to increase cardiac output? - --ANSWER---Dopamine A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - --ANSWER---Nonrebreather mask A client who has emphysema is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - --ANSWER---Instruct the client to allow the machine to breathe for him.