ATI Capstone Med Surg Exam Bank

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1. a nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see 2. a pt is experiencing SOB, fatigue, JVD, the nurse auscultate... s a third heart sound (S3), what should the nurse anticipate as the cause of these s/s 3. a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer per dose? 4. a nurse is caring for a pt in the ED who was just admitted with chest pain, possible acute coronary syndrome. what should the nurse do first? 5. a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at the bedside. what electrical intervention should be used to correct this dysrhythmia? 6. a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following interventions should the nurse take? (lack of protein increases the risk for a delay in wound healing and infection) 7. a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included? 8. a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate for a reading over 200mg/dL before the client's breakfast, what action is the nurse's priority? 9. a nurse is planning care for a pt who has a new diagnosis of DI, which of the following interventions should the nurse include in the plan of care? 10. a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to a newly prescribed medication, what medication should be administered first? 11. a nurse is caring for a female client in the ED who reports SOB and pain in the lung area, she states that she started taking BC pills 3 weeks ago and that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the priority of nursing interventions 12. a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the pt is experiencing compartment syndrome? 13. a nurse is administering a tap water enema to a pt who is constipated, during the administration of the enema, the client states he is having abdominal cramps, what action should the nurse take to relieve the client's comfort 14. a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the nurse take? 15. a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this complication is developing? 16. a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding should the nurse expect 17. a nurse is providing teaching for a client who has experienced an acute episode of gastritis, what instruction should the nurse include in the teaching? 18. a nurse at an outpt surgery center is providing discharge teaching to a pt an his spouse following surgical removal of a cataract, what should the nurse include? 19. a nurse is assessing a pt who has a puncture wound on his foot, what is a manifestation of acute osteomylitis? 20. a nurse is monitoring a pt who had a cerebral aneurysm rupture, what finding should the nurse identify as a manifestation of increased intracranial pressure [Show More]

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