ATI Med-Surg (2022) LATEST UPDATE WITH 100% GUARANTEED SOLUTIONS
DOWNLOAD TO SCORE A
A nurse is caring for a client who has a lower extremity
... [Show More] fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change?
a. "I feel bad that I have to ask my partner to keep the house clean.
"b. "It's going to be difficult to tell my parents I can't take them to their appointments anymore."
c. "I will need to have my partner take over shopping for groceries and cooking the meals for us."
d. "These crutches will make it impossible to care for my child." =ANS c. "I will need to have my partner take over shopping for groceries and cooking the meals for us."
A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take?
a. Keep the client on bed rest for 24hr
b. Maintain the client's affected extremity in extension
c. Change the client's dressing every 8hr
d. Limit the client's fluid intake to 1L per day =ANS b. Maintain the client's affected extremity in extension
A nurse is caring for a client following a below-the-knee amputation. The client states, "My life isover." Which of the following responses should the nurse make?
a. "Why do you think your life is over?"
b. "Most people can adjust following the surgery."
c. "Would you like to meet with another client who is an amputee?"
d. "You are upset. We can talk about this later." =ANS a. "Why do you think your life is over?"
A nurse in a PACU is assessing a client who is postoperative following general anesthesia. Which of the following findings is the priority to address?
a. Decreased body temperature
b. Vomiting upon arousal
c. Indistinct, rambling speech
d. Piloerection of the skin =ANS c. Indistinct, rambling speech
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000mL over the past 24hr. the nurse should anticipate a prescription for which of the following IV medication?
a. Furosemide
b. Nitroprusside
c. Epinephrine
d. Desmopressin =ANS d. Desmopressin
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?
a. Instill 0.9% sodium chloride solution into the affected eye
b. Collect information about the irritant that caused the injury
c. Administer proparacaine eyedrops into the affected eye
d. Place a strip of pH paper onto the cul-de-sac of the affected eye =ANS a. Instill 0.9% sodium chloride solution into the affected eye
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?
a. "You will need to take an antiviral medication for 6 months."
b. "You will need to be monitored for 15 minutes after receiving each medication dose."
c. "You will need three follow-up blood tests within a 24-month period."
d. "You will need cryotherapy for 1 to 2 months." =ANS b. "You will need to be monitored for 15 minutes after receiving each medication dose."
A nurse is reviewing ABG results for a client who has COPD. Which of the following findings should the nurse expect?
a. HCO3-25 mEq/L
b. PaO2 85mmHg
c. pH 7.38
d. PaCO2 48mmH =ANS d. PaCO2 48mmH
A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following finding as increasing the client's risk?
a. Age 46 years
b. Diet high in fiber
c. History of Crohn's disease
d. BMI of 24 =ANS d. BMI of 24
A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal?
a. "Place your storage container in a recycle bin when it is full."
b. "You can discard needles in an empty bleach bottle with a lid."
c. "Remove the needle from the syringe before you place it in the trash."
d. "Secure the cap tightly over the needle before you discard it." =ANS b. "You can discard needles in an empty bleach bottle with a lid."
A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings indicates that the client is experiencing hypoglycemia?
a. Fruity odor to breath
b. Abdominal cramping
c. Increased perspiration
d. Dehydration =ANS c. Increased perspiration
A nurse is planning care for a client who is 8 hr postoperative following a coronary artery bypass grafting. Which of the following assessments should the nurse plan to perform first?
a. Palpate pulses distal to the graft donor site
b. Measure the client's core body temperature
c. Auscultate breath sounds
d. Examine the surgical incision for drainage =ANS c. Auscultate breath sounds
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?
a. "I will eat a high-fiber diet."
b. "I will take a laxative when I'm constipated."
c. "I will empty my bag when it is full."
d. "I will expect my stools to be loose." =ANS d. "I will expect my stools to be loose."
A nurse is caring for an adolescent client who has an acute kidney injury. Which of the following laboratory findings should the nurse anticipate?
a. Creatinine 0.4mg/dL
b. BUN 8mg/dL
c. Potassium 6.8mEq/L
d. Hgb 20g/dL =ANS c. Potassium 6.8mEq/L
A nurse is assessing a client who has an arteriovenous (AV) graft in the left forearm. Which of the following findings should indicate to the nurse a complication of vascular access?
a. Presence of a palpable thrill
b. Dilated appearance of the AV site
c. Absence of a bruit
d. 2+ left radial pulse =ANS c. Absence of a bruit
A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?
a. "What is meant by the saying, 'Don't beat around the bush?"
b. "What do you understand about your condition?"
c. "Can you count backwards from 10 in intervals of 7?"
d. "Can you tell me the state where you were born?" =ANS a. "What is meant by the saying, 'Don't beat around the bush?"
A nurse is teaching a client who has Grave's disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
a. Lethargy
b. Increased temperature
c. Hypotension
d. Decreased heart rate =ANS b. Increased temperature
A nurse is caring for a female client who is receiving total parenteral nutrition without fat embolism. Which of the following findings should the nurse report?
a. Triglyceride 110/mg/dL
b. Crackles in the bilateral lung bases
c. Weight gain of 1.3kg (3lb) over the past 7 days
d. Bowel sounds absent in lower quadrant =ANS b. Crackles in the bilateral lung bases
A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the following interventions should the nurse include?
a. Clean the equipment in the client's room once per week
b. Apply new gloves when alternating between wound care sites
c. Limit visitation for the client's children to 40min per day
d. Provide a diet of fresh fruits and vegetables for the client =ANS b. Apply new gloves when alternating between wound care sites
A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200mL/hr. The IV tubing has a drop factor of 10gtt/mL. How many gtt/min should the nurse set the IV pump to
administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do
not use a trailing zero.) =ANS gtt/min
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the
medication?
a. BUN 18mg/dL
b. Potassium 3.2mEq/L
c. Sodium 136mEq/L
d. Creatinine 0.8mg/dL =ANS b. Potassium 3.2mEq/L
A nurse is assessing a client who has bacterial pneumonia. Which of the following findings should the nurse expect? (Select all that apply)
a. WBC count 8,200/mm3
b. Frequent productive cough
c. Temperature 38.9 c (102F)
d. Decreased peripheral pulses
e. Restlessness =ANS b. Frequent productive cough
A nurse is caring for a client who is 6hr postoperative following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of the following electrolyte imbalance?
a. Hypernatremia
b. Hypocalcemia
c. Hypokalemia
d. Hypermagnesemia =ANS b. Hypocalcemia
A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?
a. Turn the client to the lateral position during seizure activity
b. Administer phenytoin IV bolus to the client
c. Administer diazepam intravenously to the client
d. Provide the client oxygen at 6L/min using a nasal cannula =ANS a. Turn the client to the lateral position during seizure activity
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
a. Decrease carbohydrate intake
b. Increase phosphorus intake
c. Increase potassium intake
d. Decrease protein intake =ANS d. Decrease protein intake
A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. Administer IV therapy
c. Insert a large-bore IV catheter
d. Monitor urine output =ANS c. Insert a large-bore IV catheter
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. Cleanse the site with povidone-iodine
b. Change the dressing every 24hr
c. Flush the catheter using a 10mL syringe
d. Use clean technique when changing the dressing =ANS c. Flush the catheter using a 10mL syringe
A nurse is caring for a client who has a central venous catheter. Which of the following actions should the nurse take?
a. Clean the hub for 15-30seconds with chlorhexidine
b. Use a 3mL syringe to flush the catheter
c. Use clean technique for dressing changes
d. Place the client in protective isolation =ANS a. Clean the hub for 15-30seconds with chlorhexidine
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
a. "I have difficulty swallowing food."
b. "I would rather be in a wheelchair than use a walker to get around."
c. "I've been having problems with bladder control."
d. "I have a hard time with brushing my hair." =ANS d. "I have a hard time with brushing my hair."
A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take?
a. Slow the transfusion rate if the client reports itching
b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2hr
d. Administer through a 22-gauge IV catheter =ANS d. Administer through a 22-gauge IV catheter
A nurse is planning care for a client who has osteoarthritis of the knees. Which of the following interventions should the nurse include in the plan?
a. Place a large pillow under the client's knees when resting
b. Avoid using a topical salicylate cream
c. Administer acetaminophen for pain management
d. Apply an ice pack directly to the client's knees =ANS a. Place a large pillow under the client's knees when resting
A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?
a. "Eat a light meal 1 hour before bedtime."
b. "Increase your caloric intake by 250 calories per day."
c. "Sleep with the head of your bed elevated 6 inches."
d. "Lie down for 30mins after each meal." =ANS c. "Sleep with the head of your bed elevated 6 inches."
A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of
care?
a. Apply compression stockings to the lower extremities
b. Discourage leg exercises while in bed
c. Avoid use of anticoagulants
d. Place pillows under the client's knees =ANS a. Apply compression stockings to the lower extremities
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is
appropriate?
a. "Your cough should go away in time."
b. "Your cough may require that you stop or change your medication."
c. "Sucking on a lozenge may reduce the frequency of your cough."
d. "Increasing your daily fluid intake may eliminate your cough." =ANS b. "Your cough may require that you stop or change your medication."
A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take? [Show Less]