ATI Med - Surg part B (2019) – Chamberlain College
of Nursing
MED-SURG PART B
1. A nurse is reinforcing teaching with an older adult client
who has
... [Show More] osteoporosis. Which of the following instructions
should the nurse in the teaching?
a) "Place throw rugs on wooden floors at home."
b) "Supplement your diet with vitamin E."
c) "Swim laps for 20 minutes twice per week."
d) "Take calcium supplements with meals." (The nurse should
instruct the client to take calcium carbonate supplements with
or following meals to increase absorption and effectiveness.)
2. A nurse is reviewing the medication record of a client who
is taking digoxin. Which of the following medications
should the nurse identify as increasing the risk for the
client to develop digoxin toxicity?
a) Potassium chloride
b) Famotidine
c) Levothyroxine
d) Furosemide (The nurse should identify that loop diuretics, such
as furosemide, increase the urinary excretion of potassium,which can lead to hypokalemia. Hypokalemia increases the risk
for the development of digoxin toxicity.)
3. A nurse is reinforcing teaching about insulin injections with
an adult client who weighs 45.4 kg (100 lb.). Which of the
following statements by the client indicates an
understanding of the teaching?
a) "I should insert the needle at a 90-degree angle."
b) "I should give my shot in my belly tissue." (Clients who have
low body weights can have very little subcutaneous tissue.
Therefore, the nurse should instruct the client to administer
the medication in the upper abdomen for proper absorption.)
c) "I will pull back on the syringe plunger to look for blood before
I push the medication in."
d) "I will use the side of my hand to pull my skin to the side prior
to administering the insulin."
4. A nurse is reinforcing discharge teaching for a client who
had a mechanical mitral valve replacement. Which of the
following statements by the client indicates an
understanding of the teaching?
a) "I will notify my dentist about this procedure." (The nurse
should instruct the client to notify his dentist about the
mechanical mitral valve replacement before any procedures so
antibiotic therapy can be initiated to reduce the risk of
endocardial infection.)
b) "I will take an enteric-coated aspirin daily."
c) "I will use a firm-bristled toothbrush."
d) "I will weigh myself once a week."5. A nurse is reviewing the medical record for an older adult
client who is experiencing nausea and vomiting. Based on
the client data, which of the following actions should the
nurse take? (Click on the “Exhibit” button for additional
client information. There are three tabs that contain
separate categories of data.)
View the Exhibit
Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results
Sodium 142 mEq/
Potassium 4.2 mEq/L
BUN 36 mg/dL
Creatinine 1.4 mg/dL
Nurses’ Notes
1200: Alert and
oriented x3
Lungs clear to
auscultation
Decreased skin turgor
Dry mucous
membranes
Graphic Record
Temperature
0800: 37.7° C (99.9°
F)
1200: 37.2° C (99.0°
F)
Pulse
0800: 96/min
1200:105/min
Respiratory rate
0800: 18/min
1200: 20/min
Blood pressure
0800; 118/62 mmHg
1200: 104/65 mm Hg
a) Encourage the client to ambulate.
b) Administer an antipyretic medication.c) Notify the charge nurse of the client's BUN level (The client's
BUN level is above the expected reference range of 10 to 20
mg/dL, which indicates dehydration and impaired renal
function. The nurse should notify the charge nurse of this
finding and anticipate interventions to restore the client's fluid
volume.)
d) Keep the temperature in the client's room warm.
6. A nurse is providing information regarding transmissionbased precautions for a client who has Clostridium difficile
to an assistive personnel (AP). Which of the following
instructions should the nurse include? (Select all that
apply).
a) "Provide the client with disposable utensils and dishes for
meals." (Clients who have C. difficile require contact
precautions, which include using disposable utensils and dishes
during meals to prevent exposure to contaminants by others.)
b) "Leave blood pressure equipment in the client's room." (When
using contact precautions, the health care staff should dedicate
equipment to single-client use to prevent transmission of the
pathogen.)
c) "Clean contaminated surfaces with a bleach solution." (The
health care staff should use a bleach solution to clean
equipment to prevent transmission of the pathogen.)
d) "Use an alcohol-based hand sanitizer after client care."
e) "Wear a face mask when in the client's room."7. A nurse is admitting a client who is suspected having active
tuberculosis (TB). Which of the following actions should the
nurse take first? (chap. 20)
a) Administer antituberculosis medication.
b) Institute airborne precautions. (The greatest risk from this
client is transmitting TB to staff and other clients. Therefore,
the first action the nurse should take is to implement airborne
precautions.)
c) Obtain sputum cultures.
d) Auscultate breath sounds.
8. A nurse is caring for a client who is postoperative and has a
Jackson-Pratt drain. Which of the following actions should
the nurse take?
a) Fill the bulb reservoir with 0.9% sodium chloride.
b) Allow the Jackson-Pratt drain to hang freely.
c) Cut a slit in a gauze sponge and apply it around the tubing
insertion site.
d) Compress the bulb reservoir and then close the drainage valve.
(The nurse should fully compress the bulb reservoir and then
replace the valve plug using aseptic technique to establish
suction after emptying or activating a Jackson-Pratt drain.)
9. A nurse is reinforcing teaching with the parent of a toddler
who has type I diabetes mellitus and whose prescription has
been changed from regular insulin to lispro insulin. Which
of the following information should the nurse include in the
teaching?
a) Lispro is given once a day [Show Less]
