ATI RN Adult Medical
Surgical Proctored
Exam 2019 with NGN
Compartment syndrome - ANSWER-Pain that
increases with passive movement in a client with a
short leg cast
Lyme disease - ANSWER-Joints ache as a
manifestation of severe stage II Lyme disease
Phenytoin - ANSWER-Oral solution 125 mg/5 mL,
nurse should administer 24 mL for 600 mg
Arterial line - ANSWER-Flush line before
administering antibiotics
Cancer pain - ANSWER-Speaking to the provider
about incorporating acupuncture into the treatment
plan is an appropriate response for a client with
cancer pain
Extubation - ANSWER-Stridor is an indication of
airway obstruction and should be reported to the
provider immediately
Myocardial infarction (MI) - ANSWER-Creatine
kinase (CK-MB) 85 mg/dL is an indication of a
myocardial infarction
Blood transfusion - ANSWER-Checking for the type
and number of units of blood to administer is the first
action before initiating a blood transfusion
Aplastic anemia - ANSWER-WBC count
2,000/mm^3 indicates a potential complication in a
client with aplastic anemia
Modified radical mastectomy - ANSWER-Flex the
affected arm when ambulating is an appropriate
instruction for a client following a modified radical
mastectomy
Atherosclerosis prevention - ANSWER-Follow a
smoking cessation program, maintain an appropriate
weight, and eat a low-fat diet are recommendations
for preventing atherosclerosis
Hemianopsia - ANSWER-Scan the environment by
turning your head from side to side to reduce the risk
of falls for a client with homonymous hemianopsia
Lung re-expansion - ANSWER-Bubbling in the water
seal chamber ceasing is an indication of lung reexpansion
Heparin administration - ANSWER-Gently
massaging the site after injecting the medication is
an appropriate action for a client self-administering
heparin
Chemotherapy - ANSWER-Report of sore throat is
the priority finding for a client receiving
chemotherapy
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