ATI nsg232 med surg proctored exam Practice Questions

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hours.

At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag.

At what time should the nurse administer the next bag of IV solution?.

A nurse on a telemetry unit is caring for a client who has a history of premature ventricular contractions (PVCs). The client reports feeling lightheaded and feeling heartbeats in their chest.
In a client having PVCs, which of the following findings would the nurse expect when auscultating the client's apical pulse?

A clinic nurse is caring for a large number of clients diagnosed with the common cold.
The nurse should recognize that which factor contributes to the high communicability of the common cold?

A nurse is caring for a client diagnosed with HIV and receiving antiretroviral therapy.
The nurse should assess for which potential adverse effects of long-term antiretroviral therapy?

A nurse is administering an intravenous antineoplastic drug to a client with cancer and recognizes that an extravasation is developing.
Which of the following actions should the nurse initiate first?

A nurse suspects impending respiratory failure in a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should recognize that which assessment finding supports the presence of hypoxemia?

A nurse is caring for a client diagnosed with valvular heart disease and is at risk for developing left-sided heart failure.
Which of the following manifestations should alert the nurse that the client is developing left-sided heart failure?

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice and swollen lips and tongue.
In which order should the nurse take the following actions?

The nurse manager is negotiating a conflict between the staff nurses and nursing assistants. The nurse manager talked to everyone involved and created a list of the main issues.
Which step in the negotiation process does this best describe?

A nurse is providing discharge instructions to a client who is severely immunocompromised by HIV.
Which of the following should the nurse include in the discharge instructions? (Select all that apply.)

A nurse is planning care for a client who has malnutrition due to cancer.
Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

A nurse is reviewing the EKG strip of a client who has End Stage Renal Disease (ESRD) and has missed hemodialysis.
Which of the following abnormalities on the client’s EKG should the nurse interpret as a sign of hyperkalemia?

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure.
Which of the following findings should the nurse report to the provider?

A nurse is caring for a client with acute coronary syndrome.

The client is ordered weight based heparin.

The order reads, "Give Heparin bolus 60 units/kg IV push now.”. The nurse notes the client's weight is 231 pounds.

How many units of heparin will the nurse give for the bolus?

The nurse is caring for a client with 45% total body surface area (TBSA) thermal burns.
During the emergent, initial phases of burn shock, the nurse should closely monitor for which abnormal laboratory result?

A nurse is caring for a client involved in a motor vehicle accident 4 hours ago and states, "I just can't breathe.”. The nurse assesses that the client is restless, tachycardic, and has an elevated blood pressure.
The nurse should anticipate that the client may be experiencing which condition?

A nurse is caring for a client who was transported to the emergency department (ED) with a major burn injury >30% from hot oil.
After assessing the airway, breathing, and circulation (ABC), what is the nurse's next priority action during the emergent phase of care?

A client with heart failure has a stat dose of Lasix (Furosemide) ordered.

Ordered is Lasix 100 mg IV push now.

Available is Lasix (Furosemide) 40 mg for 4 mL. How many mL should the nurse give?.

A nurse is providing dietary teaching to a client diagnosed with chronic renal disease.
The nurse recognizes that the teaching was effective when the client selects which of the following dietary choices?

A nurse is caring for a client with reported nausea, exhaustion, and unplanned weight loss of 24 pounds over 3 months. The client's lab results from 8 months ago indicate negative HIV and hepatitis status.
The nurse should anticipate which of the following healthcare provider orders?