ATI RN MEDSURG PROCTORED EXAM RATIONALE TEST BANK WITH 100 QUESTIONS AND ANSWERS

35.A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the nurse expect? A.Proteinuria B.Flank pain C.Hyperalbuminemia D.Hypotension Rationale: Lewis book page 1075. Clinical manifestation of N.S.: peripheral edema, massive proteinuria, HTN, hyperlipidemia, and hypoalbuminemia. 36.A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find? a. Oliguria (Left) b. S3/S4 galloping heart sounds (Left) c. Poor skin turgor d. Pitting edema Rationale: Page 198 Chapter 32 of ATI Book. 37.A nurse is caring for a client who has newly inserted chest tube. The nurse should clarify which of the following prescriptions with the provider? A.Notify the provider when tidaling ceases. (Yes notify) B.Assisting the client out of bed three times daily. C.Vigorously strip the chest tube twice daily. (VIGOROUSLY and TWICE A DAY) D.Administer morphine 2 mg IV bolus every 3 hr PRN for pain. (Don’t need to clarify) Rationale: Page 104 chapter 18 of ATI Book it says that: “Do not strip or milk tubing; only perform when prescribed. Stripping creates a high negative pressure and can damage lung tissue.” 38.A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the following instructions should the nurse include for home management of heart failure? A,Obtain daily weight. B.Use of salt substitute. (Avoid it) C.Monitor I and O. D.Limit daily activity. Rationale: Pg 199 ATI Book. 39.A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the following statements by the client indicates an understand of the teaching? A.I need to maintain pressure over the pacemaker site with an elastic bandage. B.I need to check my pulse rate every day for a full minute. C.The pacemaker will deliver shock if I develop a dysrhythmia D.When a microwave oven is in use, I need to stay out of the room. Rationale: Chapter 29 pg 177 of ATI book. 40.A nurse in a clinic is providing preventive teaching to an older adult client during well visit. The nurse should instruct the client that which of the following immunization are recommended for healthy adults after age 60? SATA. A.Herpes Zoster B.Influenza C.HPV D.Meningococcal E.Pneumococcal Polysaccharide 41.A nurse is assessing a client who is 4hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report immediately? A.Bruising around the incision site B.Pallor in the affected extremity C.Urine output 150mL over 4hr D.Temperature of 37.9 (100.2) Rationale: Chapter 35 pg 217. 42.A nurse is caring for an older adult client who has not been eating. Which of the following findings indicates dehydration? A.Crackles auscultated bilaterally (S/sx suggestive of fluid overload) B.Capillary refill of 2 seconds (Brisk; normal)