{"id":119455,"date":"2023-09-10T18:34:25","date_gmt":"2023-09-10T18:34:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119455"},"modified":"2023-09-10T18:34:26","modified_gmt":"2023-09-10T18:34:26","slug":"ati-advanced-med-surg-proctored-2023-2024form-a-and-b-with-glasgow-coma-scale-latest-actual-exam-questions-and-correct-detailed-answers-with-rationalesalready-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/10\/ati-advanced-med-surg-proctored-2023-2024form-a-and-b-with-glasgow-coma-scale-latest-actual-exam-questions-and-correct-detailed-answers-with-rationalesalready-graded-a\/","title":{"rendered":"ATI ADVANCED MED SURG PROCTORED 2023-2024FORM A AND B (WITH GLASGOW COMA SCALE) LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+"},"content":{"rendered":"\n<p>ATI ADVANCED MED SURG PROCTORED 2023-2024 VERSION B<br>LATEST ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED<br>ANSWERS WITH RATIONALES|ALREADY GRADED A+<br>Nursing interventions for status asthmaticus &#8211; ANSWER- -place in highfowler&#8217;s<br>-prepare for emergency intubation<br>-administer oxygen, epinephrine, and systemic steroid as prescribed<br>-provide emotional support<br>Chronic Obstructive Pulmonary Disease &#8211; ANSWER- encompasses<br>pulmonary emphysema and chronic bronchitis. COPD is not reversible.<br>Pulmonary emphysema &#8211; ANSWER- -destruction of alveoli, narrowing<br>of bronchioles, and trapping of air resulting in loss of lung elasticity<br>Contributing factors of pulmonary emphysema &#8211; ANSWER- -cigarette<br>smoking (main causative factor); passive smoke inhalation<br>-advanced age<br>-exposure to air pollution<br>-Alpha-antitrypsin deficiency (inability to break down pollutants)<br>-Occupational dust and chemical exposure<br>Manifestations of emphysema &#8211; ANSWER- -dyspnea with productive<br>cough<\/p>\n\n\n\n<p>-difficult exhalation, use of pursed-lip breathing<br>-wheezing, crackles<br>-barrel chest<br>-shallow, rapid respirations<br>-respiratory acidosis with hypoxia<br>-weight loss<br>-clubbed fingernails<br>-fatigue<br>Chronic bronchitis &#8211; ANSWER- inflammation and hypersecretion of<br>mucus in the bronchi and bronchioles caused by chronic exposure to<br>irritants<br>Contributing factors to chronic bronchitis &#8211; ANSWER- -cigarette<br>smoking (main causative factor)<br>-exposure to air pollution and other environmental irritatants<br>Manifestations of chronic bronchitis &#8211; ANSWER- -productive cough<br>-thick, tenacious sputum<br>-hypoxemia<br>-respiratory acidosis<br>Diagnostic procedure for COPD &#8211; ANSWER- -chest x-ray<br>-pulmonary function test: air remains trapped in lungs<\/p>\n\n\n\n<p>-pulse oximetry: often less than 90%<br>-ABGs: chronic respiratory acidosis<br>-CT-scan<br>Nursing interventions for COPD &#8211; ANSWER- -assess respiratory status<br>-assess cardiac status for signs of right-sided failure<br>-position upright and leaning forward<br>-schedule activities to allow for frequent rest periods<br>-administer oxygen therapy as prescribed<br>-use incentive spirometry<br>-encourage fluids 2 to 3 L per day unless contraindicated<br>-encourage high-calorie diet<br>-provide emotional support<br>Medications for COPD &#8211; ANSWER- -bronchodilators<br>-methylxanthines<br>-anti-inflammatory agents<br>-mucolytic agents<br>Therapeutic measures for COPD &#8211; ANSWER- -chest<br>physiotherapy\/pulmonary drainage<br>-lung reduction surgery<\/p>\n\n\n\n<p>Education and referral for COPD &#8211; ANSWER- -breathing techniques<br>-oxygen therapy<br>-medications<br>-nutrition<br>-promote smoking cessation<br>-infection prevention measures<br>-encourage immunizations for pneumonia and influenza<br>-pulmonary rehabilitation<br>-activity pacing<br>Complications of COPD &#8211; ANSWER- Cor Pulmonale: right-sided heart<br>failure caused by pulmonary disease.<br>Manifestations of Cor Pulmonale &#8211; ANSWER- -hypoxia (deficient<br>perfusion) and hypoxemia (deficient oxygen in blood)<br>-extreme dyspnea<br>-cyanotic lips<br>-JVD<br>-dependent edema<br>-hepatomegaly (enlarged liver)<br>-pulmonary hypertension<br>Nursing interventions of Cor Pulmonale &#8211; ANSWER- -monitor<br>respiratory status<\/p>\n\n\n\n<p>lOMoAR cPSD|19500986<br>ATI ADVANCED MED SURG PROCTORED 2023-<br>2024(WITH GLASGOW COMA SCALE) LATEST ACTUAL<br>EXAM 100 QUESTIONS AND CORRECT DETAILED<br>ANSWERS WITH RATIONALES|ALREADY GRADED A+<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A nurse in a burn treatment center is caring for a client who is admitted with<br>severe burnsto both lower extremities and is pending an escharotomy. The client\u2019s<br>spouse asks the nurse what the procedure entails. Which of the following<br>nursing statements is appropriate?<br>a.\u201clarge incisions will be made in the eschar to improve circulation\u201d<br>b. \u201c I can call the doctor back here if you want me to\u201d<br>c. \u201ca piece of skin will be removed and grafted over the burned area\u201d<br>d. \u201cdead tissue will be surgically removed\u201d<\/li>\n\n\n\n<li>A nurse is monitoring the fluid replacement of a client who has sustained burns.<br>Which of the following fluids is used in the first 24 hours following a burn injury?<br>a. 5% dextrose in water<br>b. 5% dextrose in normal saline<br>c. normal saline<br>d. lactated ringers<\/li>\n\n\n\n<li>A nurse is caring for a client who has full-thickness burns all over 75% of his<br>body. Which of the following methods is appropriate to accurately monitor the<br>cardiovascular system?<br>a. auscultate cuff blood pressure<br>b. palpate pulse pressure<br>c. obtain a central venous pressure<br>d. monitor the pulmonary artery pressure<\/li>\n\n\n\n<li>A nurse is assessing the depth and extent of a client who has severe burns to the<br>face, neck, and upper extremities. Which of the following factors isthe first priority<br>when assessing the severity of the burn?<br>a. Age of the client<br>b. Associated medical history<br>c. Location of the burn<br>d. Cause of the burn<\/li>\n\n\n\n<li>A client arrives at the emergency dept following an explosion at the chemical<br>plant. He has deep partial and full-thickness chemical burns over more than 25 %<br>of his body surface area. What is the nurse\u2019s priority intervention?<br>a. Initiate fluid resuscitation<\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>b. Medication for pain<br>c. Administer antibiotics<\/p>\n\n\n\n<p>lOMoAR cPSD|19500986<br>d. Maintain a patent airway<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>A nurse is caring for a client who came the emergency dept reporting chest pain.<br>The provider suspects a myocardial infarction. While waiting for the laboratory to<br>report the client\u2019s troponin levels, the client asks what this blood test will show.<br>The nurse should explain that troponin is<br>a. An enzyme that indicates damage to brain, heart, and skeletal muscle<br>tissues<br>b. A protein whose levels reflect the risk for coronary artery disease<br>c. A heart muscle protein that appears in the bloodstream when there is<br>damage to the heart<br>d. A protein that helps transport oxygen throughout the body<\/li>\n\n\n\n<li>A nurse is assessing a client who has disseminated intravascular coagulation<br>(DIC). Which of the following should the nurse expect in the findings?<br>a. Excessive thrombosis and bleeding<br>b. Progressive increase in platelet production<br>c. Immediate sodium and fluid retention<br>d. Increased clotting factors<\/li>\n\n\n\n<li>A nurse is about to administer warfarin (Coumadin) to a client who has atrial<br>fibrillation. When the client asks what his medication will do, which of the<br>following is an appropriate nursing response?<br>a. It helps convert atrial fibrillation to sinus rhythm<br>b. Is dissolves clots in the bloodstream<br>c. It slowsthe response of the ventricles to the fast atrial impulses<br>d. It prevents strokes in clients who have atrial fibrillation<\/li>\n\n\n\n<li>A nurse in a cardiac care unit is caring for a client with acute heart failure. Which<br>of the following findings should the nurse expect?<br>a. Decreased brain natriuretic peptide (BNP)<br>b. Elevated central venous pressure (CVP)<br>c. Decreased pulmonary pressure<br>d. Increases urinary output<\/li>\n\n\n\n<li>A client comes into the ED reporting nausea and vomiting that worsens when<br>lying down and without relief from antacids. The provider suspects acute<br>pancreatitis. Which of the following lab test results should the nurse expect to see if<br>the client has acute pancreatitis?<br>a. Decreased WBC<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>ATI ADVANCED MED SURG PROCTORED 2023-2024 VERSION BLATEST ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILEDANSWERS WITH RATIONALES|ALREADY GRADED A+Nursing interventions for status asthmaticus &#8211; ANSWER- -place in highfowler&#8217;s-prepare for emergency intubation-administer oxygen, epinephrine, and systemic steroid as prescribed-provide emotional supportChronic Obstructive Pulmonary Disease &#8211; ANSWER- encompassespulmonary emphysema and chronic bronchitis. COPD is not reversible.Pulmonary emphysema [&hellip;]<\/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-119455","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119455","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=119455"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119455\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}