PN ADULT MEDICAL SURGICAL NURSING 2024 ACTUAL EXAM /ATI PN ADULT MEDICAL SURGICAL 2024 EX, Exams of Nursing

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PN ADULT MEDICAL SURGICAL NURSING 2024

ACTUAL EXAM /ATI PN ADULT MEDICAL

SURGICAL 202 4 EXAM REAL EXAM QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES|ALREADY GRADED A+

A nurse is caring for a client who has a new diagnosis of type 2 diabetes Mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? (Select all that apply) A. Recommend a referral to the dietitian to assist with meal planning B. Contact the clients support system. C. Collect data regarding age related cognitive awareness D. encourage the use of daily medication dispenser, E. review provided educational materials for home use - ANSWER>>A, B, D, E. A nurse is assisting with the evaluation of the level of wellness for clients using the illness-wellness continuum tool. The nurse should identify which of the following clients as being at the center of the continuum? A. A college student who has influenza B. An older adult who has a new diagnosis of type 2 diabetes mellitus C. A new mother who has a urinary tract infection D. A young male client who has a long history of well controlled rheumatoid arthritis - ANSWER>>D. young male client who has a long history of well controlled rheumatoid arthritis A nurse is assisting with the evaluation of clients at a health fair for modifiable variables affecting health and wellness. The nurse should identify which of the following variables as modifiable? (Select all that apply) A. Smoking on social occasions B. BMI of 28 C. Alopecia D. Trisomy 21

E. History of reflux - ANSWER>>A, B, E. Smoking on social occasions, BMI of 28, history of reflux A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. Which of the following statements by the client reflects a lack of understanding of an illness perspective? A. "I have no family history of breast cancer B. I need a second opinion. There is no lump. C. I am glad we live in the city near several large hospitals. D. I will schedule surgery next week, over the holidays. - ANSWER>>B. "I need a second opinion. There is no lump." ABCDE - ANSWER>>Airway, breathing, circulation, disability, exposure Hypoxia - ANSWER>>lack of oxygen, brain injury or death occurs in 3-5 min If a client is not breathing or is breathing inadequately - ANSWER>>manual ventilation should be performed by a bag valve mask with supplemental oxygen or mouth-to-mask ventilation until bag valve mask can be obtained Shock is... - ANSWER>>The body's response to inadequate tissue perfusion and oxygenation. Increased heart rate, hypotension, results in tissue ischemia and necrosis AVPU mnemonic - ANSWER>>A-alert V- responsive to voice, P- responsive to pain, U- unresponsive Glasgow Coma Scale - ANSWER>>eyes, verbal, motor Max- 15 pts, 3= totally unresponsive Victims are at risk for... - ANSWER>>Hypothermia (35c 95F or less) Hypothermia leads to - ANSWER>>Coma, hypoxemia, acidosis Heat stroke - ANSWER>>Temp 104 (40 c) no sweat, tachycardia... give oxygen, ensure large-gauge iv catheter, maybe indwelling catheter, cold wet towels etc Frost bite: - ANSWER>>Superficial, partial thickness, or full thickness (3 and 4 degree) put in bath, administer tetanus toxoid IM vaccine Poisoning... - ANSWER>>Exposure to toxic agent. Medical emergency. Rapid management therapy .antivenin for snakes. Reverse heroin/ other opiate toxicity with.. - ANSWER>>Naloxone SBAR stands for - ANSWER>>Situation, Background, Assessment, Recommendation A nurse on a medical-surgical unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? A. Client who has a pressure injury and blood glucose is 300 mg/dL

B. Client who develops an irregular heart beat and decreased loss of consciousness. C. Client who reports a sore throat after an endoscopy. D. Client who reports increased pain from kidney stone. - ANSWER>>B. Irregular heart beat, loss of consciousness A nurse is caring for a client who has ingested a toxic agent. Which of the following actions should the nurse plan to take? (Select all that apply) A. Induce vomiting. B. Instill activated charcoal C. Perform a gastric lavage with aspiration D. Administer syrup of ipecac E. Administer a cathartic - ANSWER>>B, C, E A nurse in a clinic is caring for a client who has been exposed to freezing temperatures for several hours and is alert and talking. Which of the following actions should the nurse take? (Select all that apply) A. Remove wet clothing. B. Ensure the room temperature is 23.9 c (75F) C. Apply warm blankets D. Arrange for transport to an emergency department E. Check the clients temperature - ANSWER>>A, C, D, E A nurse encounters an unresponsive client during a walk. The clients partner states, "he was pulling weeds in the yard and slumped to the ground." Which of the following techniques should the nurse use to open the clients airways? A. Head-tilt, chin-lift B. Modified jaw thrust C. Hyperextension of the head D. Flexion of the head - ANSWER>>A. Head-tilt, chin-lift A nurse witnesses a visitor fall to the ground. The visitor appears unresponsive. After calling for help and ensuring the visitor has a patent airway, which of the following actions should the nurse take next following ABCDE principles? - ANSWER>>A. Attempt to palpate a carotid pulse B. Look to see if the chest rises and falls C. Scan the body for visible injury

D. Check pupillary reaction A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply) A. Use the Glasgow coma scale when collecting data on the client B. Assist the client to a supine position C. Administer an opioid medication D. Encourage the client to increase fluid intake E. Instruct the client to perform deep breathing and coughing exercises - ANSWER>>B, C, D A nurse is assisting with the care of a client who has increased ICP. Which of the following findings should the nurse expect? A. Dilated pupils B. Hypotension C. Tachycardia D. Hyperventilation - ANSWER>>A. Dilated pupils A nurse is collecting data a client for changes in the level of consciousness using the Glasgow coma scale. (GCS). The client opens their eyes when spoken to, speaks incoherently, and moves their extremities when pain is applied. Which of the following GCS scores should the nurse document? (I know this doesn't make sense, it's how it's written) A. E2 + V3 + M5 = 10 B. E3 + V4 + M4= 11 C. E4 + V5 + M6 = 15 D. E2 + V2 + M4 = 8 - ANSWER>>B. E3 + V4 + M4 = 11 A nurse is contributing to the plan of care for a client who is scheduled for cerebral angiography with contrast media. Which of the following statements by the client should the nurse report to the provider? (Select all that apply) A. "I think I might be pregnant." B. "I take warfarin" C. "I take anti hypertensive medication" D. "I am allergic to shrimp"

E. "I ate a light breakfast this morning" - ANSWER>>A, B, D, E A nurse is reinforcing teaching to a client who is to undergo an electroencephalogram (EEG) the next day. Which of the following information should the nurse include in the teaching? A. "Do not wash your hair the morning of the procedure" B. "Try to stay awake most of the night prior to the procedure" C. "The procedure will take approximately 15 minutes" D. "You will need to lie flat for 4 hours after the procedure" - ANSWER>>B. "Try to stay awake most of the night prior to the procedure"