{"id":116730,"date":"2023-08-25T18:35:32","date_gmt":"2023-08-25T18:35:32","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116730"},"modified":"2023-08-25T18:35:36","modified_gmt":"2023-08-25T18:35:36","slug":"ati-med-surg-proctored-exam-2019-retake-with-ngn-questions-and-answers-verified-answers-graded-a-updated-2023-brand-new-with-rationales","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/ati-med-surg-proctored-exam-2019-retake-with-ngn-questions-and-answers-verified-answers-graded-a-updated-2023-brand-new-with-rationales\/","title":{"rendered":"ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH NGN Questions and Answers (Verified Answers) GRADED A UPDATED 2023 BRAND NEW WITH RATIONALES"},"content":{"rendered":"\n<p>ATI MED SURG PROCTORED EXAM 2019 RETAKE<br>WITH NGN Questions and Answers (Verified Answers)<br>GRADED A UPDATED 2023 BRAND NEW WITH<br>RATIONALES<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the<br>following findings should the nurse report to the surgeon?<br>a. Heart rate 90\/min<br>b. Absent bowel sounds<br>c. Hgb 8.2 g\/dl<br>d. Gastric pH of 3.0<br>Rationale: Normal Hgb is 13-18M g\/dl, 12-16 g\/dl. This may indicate a possible hemorrhaging.<\/li>\n\n\n\n<li>A nurse is caring for a client who has diabetes insipidus. Which of the following medications<br>should the nurse plan toadminister?<br>a. Desmopressin<br>b. Regular insulin<br>c. Furosemide<br>d. Lithium carbonate<br>Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin\/Vasopressin increase ADH<br>and to stop patienton urinating.<\/li>\n\n\n\n<li>A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several<br>times daily for 3 years.Which of the following test should the nurse monitor?<br>a. Fasting blood glucose<br>b. Stool for occult blood &#8211; GI bleed<br>c. Urine for white blood cells<br>d. Serum calcium<br>Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed<br>(blood<br>y,tarry stools, abdominal pain).<\/li>\n\n\n\n<li>A nurse in the emergency department is assessing a client. Which of the following actions<br>should the nurse takefirst (Click on the \u201cExhibit\u201d button for additional information about the client. There are<br>three tabs that contain separate categories ofdata.)<br>a. Obtain a sputum sample for culture<br>b. Prepare the client for a chest x-ray<br>c. Initiate airborne precautions<br>d. Administer ondansetron.<br>Rationale: No idea what the Exhibit is all about; won\u2019t be able to answer it.<\/li>\n\n\n\n<li>A nurse is contacting the provider for a client who has cancer and is experiencing<br>breakthrough pain. Which ofthe following prescriptions should the nurse anticipate?<br>a. Transmucosal fentanyl<br>b. Intramuscular meperidine<br>c. Oral acetaminophen<br>d. Intravenous dexamethasone<br>Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat<br>moderate to severe pain. Ashort-acting pain medication is administered for breakthrough pain.<\/li>\n\n\n\n<li>A nurse is admitting a client who reports chest pain and has been placed on a telemetry<br>monitor. Which of thefollowing should the nurse analyze to determine whether the client is experiencing a<br>myocardial infarction?<br>a. PR interval<br>b. QRS duration<br>c. T wave<br>d. ST segment<br>Rationale: ST elevation indicates MI. ST depression indicates ischemia<\/li>\n\n\n\n<li>A nurse is teaching a client who has ovarian cancer about skin care following radiation<br>treatment. Which of thefollowing instructions should the nurse include?<br>a. Pat the skin on the radiation site to dry it<br>b. Apply OTC moisturizer to the radiation site<br>c. Cover the radiation site loosely with a gauze wrap before dressing<br>d. Use a soft washcloth to clean the area around the<br>radiation siteRationale: pg. 584. Dry the area thoroughly using<br>patting motions.<\/li>\n\n\n\n<li>A nurse is caring for a client who is receiving a blood transfusion. The nurse observes<br>that the client hasbounding peripheral pulses, hypertension, and distended jugular veins. The nurse<br>should anticipate administering which of thefollowing prescribed medications?<br>a. Diphenhydramine<br>b. Acetaminophen<br>c. Pantoprazole<br>d. Furosemide<br>Rationale: S\/S may indicate fluid retention or heart failure. It is important to administer<br>diuretics to preventcardiovascular\/respiratory distress.<\/li>\n\n\n\n<li>A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of<br>hypomagnesemia.Which of the following findings indicates effectiveness of the medication?<br>a. Lungs clear<br>b. Apical pulse 82\/min<br>c. Hyperactive bowel sounds<br>d. Blood pressure 90\/50 mm Hg<br>Rationale: pg. 278 Confirmed on answer sheet<\/li>\n\n\n\n<li>A nurse is reviewing a client\u2019s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq\/L. The<br>nurse should recognizethese findings as indication of which of the following conditions?<\/li>\n<\/ol>\n\n\n\n<p>a. Metabolic acidosis<br>b. Metabolic alkalosis<br>c. Compensated respiratory alkalosis<br>d. Uncompensated respiratory acidosis<br>Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"11\">\n<li>A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which<br>of the following labsshould the nurse expect during the first 24 hours<br>A. Decreased BUN (elevated due to fluid loss)<br>B. Hypoglycemia (High due to stress)<br>C. Hypoalbuminemia (Low due to fluid loss)<br>D. Decreased Hematocrit (Elevated due to 3rd spacing during<br>resuscitation phase)Rationale: Pg. 481 ATI. Total protein and albumin- low due to<br>fluid loss.<\/li>\n\n\n\n<li>A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the<br>following actions shouldthe nurse takes?<br>a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to<br>moderate carbs page317, chapter 49 Peptic ulcer disease med surg ATI PDF 10.0)<br>b. Provide the client with four full meals a day (Small frequent meals)<br>c. Encourage the client to drink at least 360 ml of fluids with meals (Eliminate liquids with<br>meals for 1 hr. priorand following a meal)<br>d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the<br>movement of food within the intestines)<br>Rationale: ATI pg. 318 Dumping syndromes is a term that refers to a constellation of vasomotor symptoms that<br>occurs after eating,especially following a Billroth II procedure. Early manifestations usually occur within 30<br>minutes of eating and include vertigo, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie<br>down. The nurse should instruct the client to decrease the amount of fluid taken at meals and to avoid highcarbohydrate foods, including fluids such as fruit nectars; to assume a low-Fowler&#8217;sposition during meals; to lie<br>down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics as prescribed.<\/li>\n\n\n\n<li>A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the<br>following factors shouldthe nurse include in the teaching?<br>a. Born with a high weight<br>b. Chronic infections of the middle ear<br>c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and gentamicin leads to<br>ototoxic medication<br>d. Perforation of the eardrum<br>e. Frequent exposure to low volume noise<br>Rationale: Peds ATI pg. 77<br>Exposure to loud environmental sounds. Hearing defects can be caused by a variety of conditions, including<br>anatomic malformation,maternal ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal<br>infection, chronic ear infection, and ototoxic medications.<\/li>\n\n\n\n<li>A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should<br>the nurse take?<br>a. Administer the plasma immediately after thawing<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>ATI MED SURG PROCTORED EXAM 2019 RETAKEWITH NGN Questions and Answers (Verified Answers)GRADED A UPDATED 2023 BRAND NEW WITHRATIONALES a. Metabolic acidosisb. Metabolic alkalosisc. Compensated respiratory alkalosisd. Uncompensated respiratory acidosisRationale: because the HCO3 21 trying to compensate for respiratory alkalosis.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116730","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116730"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116730\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}