MED SURG PROCTORED ATI EXAMS (ANSWERED) WITH COMPLETE SOLUTIONS |GRADED A+

MED SURG PROCTORED ATI EXAMS (ANSWERED) WITH COMPLETE SOLUTIONS |GRADED A+

A nurse is caring for a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing? {{Answers:- A. Urine output 25 ml/hr

RATIONALE: Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay wound healing.

A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? {{Answers:- A. IV fluids

RATIONALE: After establishing that the client's airway is secure and administering oxygen, evidence-based practice indicates that the nurse should prepare to administer IV fluids to provide circulatory support.

A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? {{Answers:- A. Dysphagia

RATIONALE: Dysphagia indicates that this client is at greatest risk for aspiration due to impaired sensation and function within the oral cavity. Therefore, the nurse should place priority on this finding

A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which of the following actions should the nurse take first after hearing the following sound? (Click on the audio button to listen to the clip.) {{Answers:- A. Listen with the client on their left side

RATIONALE: When providing nursing care, the nurse should first use the least invasive intervention. Therefore, after auscultating a murmur, the first action the nurse should take is to place the client on their left side and listen to the heart again so that the murmur can be heard more clearly.

A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? {{Answers:- A. Call for help.

RATIONALE: Evidence-based practice indicates that the nurse should first stay with the client and call for assistance. The client will require emergency surgery and is at risk for shock; therefore, the nurse should obtain immediate assistance.

A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? {{Answers:- A. Turn the client to the side.

RATIONALE: The greatest risk to this client is hypoxia from an impaired airway. Therefore, the priority intervention the nurse should take is to place the client in a side-lying position to prevent aspiration.

A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) {{Answers:- The client should first place their body weight on the crutches. Next, they should advance the unaffected leg onto the stair. Third, they should shift their weight from the crutches to the unaffected leg. Last, they should bring the crutches and the affected leg up to the stair.

A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? {{Answers:- A. Monitor the client's temperature every 4 hr.

RATIONALE: The nurse should monitor the temperature of a client who has neutropenia every 4 hr because the client's reduced amount of leukocytes greatly increases the client's risk for infection.

A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? {{Answers:- A. A client who has multiple sclerosis and is experiencing progressive difficulty ambulating

RATIONALE: The nurse should identify that progression of a neurologic disease such as multiple sclerosis can lead to a role change as the client becomes less independent.

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? {{Answers:- Administer dextrose 10% in water until the new bag arrives.

A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? {{Answers:- A. Add cabbage to the diet.

RATIONALE: To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and broccoli, are high in fiber