ATI ADVANCED MED SURG PROCTORED 2023-2024 VERSION B
LATEST ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
Nursing interventions for status asthmaticus – ANSWER- -place in highfowler’s
-prepare for emergency intubation
-administer oxygen, epinephrine, and systemic steroid as prescribed
-provide emotional support
Chronic Obstructive Pulmonary Disease – ANSWER- encompasses
pulmonary emphysema and chronic bronchitis. COPD is not reversible.
Pulmonary emphysema – ANSWER- -destruction of alveoli, narrowing
of bronchioles, and trapping of air resulting in loss of lung elasticity
Contributing factors of pulmonary emphysema – ANSWER- -cigarette
smoking (main causative factor); passive smoke inhalation
-advanced age
-exposure to air pollution
-Alpha-antitrypsin deficiency (inability to break down pollutants)
-Occupational dust and chemical exposure
Manifestations of emphysema – ANSWER- -dyspnea with productive
cough
-difficult exhalation, use of pursed-lip breathing
-wheezing, crackles
-barrel chest
-shallow, rapid respirations
-respiratory acidosis with hypoxia
-weight loss
-clubbed fingernails
-fatigue
Chronic bronchitis – ANSWER- inflammation and hypersecretion of
mucus in the bronchi and bronchioles caused by chronic exposure to
irritants
Contributing factors to chronic bronchitis – ANSWER- -cigarette
smoking (main causative factor)
-exposure to air pollution and other environmental irritatants
Manifestations of chronic bronchitis – ANSWER- -productive cough
-thick, tenacious sputum
-hypoxemia
-respiratory acidosis
Diagnostic procedure for COPD – ANSWER- -chest x-ray
-pulmonary function test: air remains trapped in lungs
-pulse oximetry: often less than 90%
-ABGs: chronic respiratory acidosis
-CT-scan
Nursing interventions for COPD – ANSWER- -assess respiratory status
-assess cardiac status for signs of right-sided failure
-position upright and leaning forward
-schedule activities to allow for frequent rest periods
-administer oxygen therapy as prescribed
-use incentive spirometry
-encourage fluids 2 to 3 L per day unless contraindicated
-encourage high-calorie diet
-provide emotional support
Medications for COPD – ANSWER- -bronchodilators
-methylxanthines
-anti-inflammatory agents
-mucolytic agents
Therapeutic measures for COPD – ANSWER- -chest
physiotherapy/pulmonary drainage
-lung reduction surgery
Education and referral for COPD – ANSWER- -breathing techniques
-oxygen therapy
-medications
-nutrition
-promote smoking cessation
-infection prevention measures
-encourage immunizations for pneumonia and influenza
-pulmonary rehabilitation
-activity pacing
Complications of COPD – ANSWER- Cor Pulmonale: right-sided heart
failure caused by pulmonary disease.
Manifestations of Cor Pulmonale – ANSWER- -hypoxia (deficient
perfusion) and hypoxemia (deficient oxygen in blood)
-extreme dyspnea
-cyanotic lips
-JVD
-dependent edema
-hepatomegaly (enlarged liver)
-pulmonary hypertension
Nursing interventions of Cor Pulmonale – ANSWER- -monitor
respiratory status
lOMoAR cPSD|19500986
ATI ADVANCED MED SURG PROCTORED 2023-
2024(WITH GLASGOW COMA SCALE) LATEST ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
- A nurse in a burn treatment center is caring for a client who is admitted with
severe burnsto both lower extremities and is pending an escharotomy. The client’s
spouse asks the nurse what the procedure entails. Which of the following
nursing statements is appropriate?
a.“large incisions will be made in the eschar to improve circulation”
b. “ I can call the doctor back here if you want me to”
c. “a piece of skin will be removed and grafted over the burned area”
d. “dead tissue will be surgically removed” - A nurse is monitoring the fluid replacement of a client who has sustained burns.
Which of the following fluids is used in the first 24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers - A nurse is caring for a client who has full-thickness burns all over 75% of his
body. Which of the following methods is appropriate to accurately monitor the
cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure - A nurse is assessing the depth and extent of a client who has severe burns to the
face, neck, and upper extremities. Which of the following factors isthe first priority
when assessing the severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn - A client arrives at the emergency dept following an explosion at the chemical
plant. He has deep partial and full-thickness chemical burns over more than 25 %
of his body surface area. What is the nurse’s priority intervention?
a. Initiate fluid resuscitation
lOMoAR cPSD|19500986
b. Medication for pain
c. Administer antibiotics
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d. Maintain a patent airway
- A nurse is caring for a client who came the emergency dept reporting chest pain.
The provider suspects a myocardial infarction. While waiting for the laboratory to
report the client’s troponin levels, the client asks what this blood test will show.
The nurse should explain that troponin is
a. An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
d. A protein that helps transport oxygen throughout the body - A nurse is assessing a client who has disseminated intravascular coagulation
(DIC). Which of the following should the nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors - A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slowsthe response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation - A nurse in a cardiac care unit is caring for a client with acute heart failure. Which
of the following findings should the nurse expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output - A client comes into the ED reporting nausea and vomiting that worsens when
lying down and without relief from antacids. The provider suspects acute
pancreatitis. Which of the following lab test results should the nurse expect to see if
the client has acute pancreatitis?
a. Decreased WBC