ATI PROCTORED EXAM MEDICAL SURGICAL FORM A 100 CORRECT QUESTIONS AND ANSWERS

ATI PROCTORED EXAM MEDICAL SURGICAL FORM A

100 CORRECT QUESTIONS AND ANSWERS

1.  A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action?

-Start the therapy within 8 hrs. (within 6 hrs.)

-Insert an indwelling urinary catheter after therapy begins

-Monitor blood pressure every 30 minutes during infusion.

-Elevate the head of the bed between 25 and 30 degrees (to reduce ICP & promote venous drainage, ATI page 89)

2.  A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

-Place hands on the upper abdomen during inhalation.

-Exhale slowly through pursed lips.

-Hold breath about 3 to 5 seconds before exhaling. (ATI page 138)

-Position the mouthpiece 2.5 cm (1 in) from the mouth.