ATI MED SURG NEWEST VERSION EXAM
VERIFIED ANSWERS (GRADED A+)
A nurse is planning care for a client who has a central venous
access device for intermittent infusions. Which of the following
actions should the nurse include in the plan of care?
a)Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWER-a)Flush a
catheter using a 10 mL syringe
A nurse is reviewing the medical record of a client who is to
undergo open heart surgery. Which of the following findings
should the nurse report to the provider as a contradiction to
receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ANSWER-d) Thrombocytopenia
A nurse is assessing a client who has pericarditis. In which of
the following areas of the client's chest should the nurse place
the stethoscope to best hear a pericardial friction rub?
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder - ANSWER-D) apical pulse
A nurse finds a client in bed, unresponsive and breathing.
Which of the following action should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER-c) Palpate
for the client's carotid pulse
A nurse is caring for a patient who is experiencing a
hypertensive crisis. Which of the following actions should the
nurse take?
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's - ANSWER-b) Perform
neurological assessments
A nurse is caring for a client who has a chest tube. The client
asks why the fluid in the water-seal chamber rises and falls.
Which of the following statements should the nurse make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this" - ANSWER-d) " Your
breathing pattern causes this"
A community health nurse is reviewing home care instructions
with an older adult client who has a new diagnosis of heart
failure. Which of the following is the priority topic for the nurse
to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - ANSWER-C) changes in weight
A nurse is assessing a client who has a diagnosis on colon
cancer which of the following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain - ANSWER-Hematochezia