ATI MED-SURG EXAM 2022
133 Questions and answers
ATI MED-SURG EXAM 2022
1. A nurse is collecting data from a client who has emphysema. Which of the
... [Show More] following findings
should the nurse expect? (Select all that apply.)
A. Dyspnea
B. Barrel chest
C. Clubbing of the fingers
D. Shallow respirations
E. Bradycardia
2. A nurse is caring for a client who sustained a basal skull fracture. When performing morning
hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's
right nostril. Which of the following actions should the nurse take first?
A. Take the client's temperature.
B. Place a dressing under the client's nose.
C. Notify the charge nurse.
D. Test the drainage for glucose.
3. A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize
that the client is at risk for autonomic dysreflexia. Which of the following interventions should
the nurse take to prevent autonomic dysreflexia?
A. Monitor for elevated blood pressure.
B. Provide analgesia for headaches.
C. Prevent bladder distention.
D. Elevate the client's head.
4. A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the
following findings should the nurse expect the client to report?
A. Hot flashes
B. Recurrent urinary tract infections
Mentor 2000
C. Blood in the stool
D. Abnormal vaginal bleeding
5. A nurse is caring for a client following an open reduction and internal fixation of a fractured
femur. Which of the following findings is the nurse's priority?
A. Altered level of consciousness
B. Oral temperature of 37.7° C (100° C)
C. Muscle spasms
D. Headache
6. A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge
resection of the left lung and has a chest tube to suction. Which of the following is the priority
finding the nurse should report to the provider?
A. Abdomen is distended
B. Chest tube drainage of 70 mL in the last hour
C. Subcutaneous emphysema is noted to the left chest wall
D. Pain level of 6 on a 0 to 10 scale
7. A nurse is reinforcing discharge teaching with a client about how to care for a newly created
ileal conduit. Which of the following instructions should the nurse include in the teaching?
A. Change the ostomy pouch daily.
B. Empty the ostomy pouch when it is 2/3 full.
C. Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.
D. Apply lotion to the peristomal skin when changing the ostomy pouch.
8. A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland.
Which of the following actions should the nurse include in the plan?
A. Position the client supine while in bed.
B. Change the nasal drip pad as needed.
C. Encourage frequent brushing of teeth.
Mentor 2000
D. Encourage the client to cough every 2 hrs. following surgery.
9. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily
following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed
for clients who have coronary artery disease for which of the following effects?
A. To provide analgesia
B. To reduce inflammation
C. To prevent blood clotting
D. To prevent fever
10. A nurse is collecting data from a client who has open-angle glaucoma. Which of the
following findings should the nurse expect?
A. Loss of peripheral vision
B. Headache
C. Halos around lights
D. Discomfort in the eyes
11. A nurse is collecting data from a client who has acute gastroenteritis. Which of the following
data collection findings should the nurse identify as the priority?
A. Weight loss of 3% of total body weight.
B. Blood glucose 150 mg/dL.
C. Potassium 2.5 mEq/L
D. Urine specific gravity 1.035
12. A nurse is reinforcing teaching with a client who has HIV and is being discharged to home.
Which of the following instructions should the nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
D. Wash dishes in warm water. [Show Less]