ATI MED SURG PROCTORED
A nurse is caring for a client who is receiving
chemotherapy and requests information about
acupuncture to relieve some of the
... [Show More] side effects.
which of the following findings should the nurse
identify as a contraindication to receiving this
alternative therapy? - CORRECT ANSWER-
Lymphedema
A nurse is preparing to administer lactated Ringer's
via continuos IV infusion at 200 ml/hr. The IV tubing
has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? -
CORRECT ANSWER-33
A nurse is providing discharge teaching to a client
who has a new prescription for sublingual
nitroglycerin. Which of the following client
statements indicates an understanding of the
teaching? - CORRECT ANSWER-I should lie down
when I take this medication
A nurse is providing discharge teaching to an older
adult client following total hip arthroplasty. Which of
the following instructions should the nurse include in
the teaching. - CORRECT ANSWER-Install a raised
toilet seat in your bathroom
A nurse is planning care for a client following a
cardiac catheterization. which of the following
actions should the nurse take. - CORRECT
ANSWER-Maintain the client's affected extremity in
extension
A nurse is caring for a client who has a lower
extremity fracture and a prescription for crutches.
which of the following client statements indicates
that the client is adapting to their role change? -
CORRECT ANSWER-I will need to have my partner
take over shopping for groceries and cooking the
meals for us
A nurse is providing teaching to a client who has an
impaired immune system due to chemotherapy.
which of the following information should the nurse
include in the teaching? - CORRECT ANSWER-
Change your pet's litter box daily
a nurse is caring for a client who has a contusion
and reports thirst. The client's urinary output was
4,000 ml over past 24 hr. the nurse should anticipate
a prescription for which of the following IV
medications? - CORRECT ANSWER-Desmopressin
A nurse in a clinic receives a phone call from a client
who recently started therapy with an ACE inhibitor
and reports nagging dry cough. Which of the
following responses by the
nurse is appropriate? - CORRECT ANSWER-
Sucking on a lozenge may reduce the frequency of
your cough
A nurse is taking an admission history from a client
who reports Raynaud's disease. Which of the
following assessment findings should the nurse
identify as a parenteral trigger for exacerbation of
Raynaud's? - CORRECT ANSWER-Using nicotine
transdermal patch
A nurse is caring for a client who has a central
venous device and notes the tubing has become
disconnected. the client develops dyspnea and
tachycardia. Which of the following actions should
the nurse take first? - CORRECT ANSWER-
A nurse is completing an assessment of an older
client and notes reddened areas over the bony
prominences, but the client's skin is intact. which of
the following interventions should the nurse include
in the plan of care? - CORRECT ANSWER-Support
bony prominences with pillows
A home health nurse is making an initial visit to a
client who has multiple sclerosis. Which of the
following actions is the priority for the nurse to take?
- CORRECT ANSWER-
A nurse in the emergency department is assessing a
client. which of the following actions should the
nurse take first? (click on rhe "exhibit" button for
additional information about the client - CORRECT
ANSWER-Initiate airborne precautions
A nurse is reviewing the medical record of a client to
identify factors for colorectal cancer. The nurse
should identify which of the following findings as
increasing the client's risk? - CORRECT ANSWER-
Historyof Crohn's disease
A nurse is caring for a client who is scheduled for a
mastectomy. The client tells the nurse, "I'm not sure
I want to have a mastectomy." Which of the following
statements should the nurse make? - CORRECT
ANSWER-I can give you additional information
about the procedure
A nurse is preparing to administer a unit of packed
RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow. -
CORRECT ANSWER-1. obtain venous access using
a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood
bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30
minutes
A nurse is providing discharge teaching to a client
following a modified left radical mastectomy with
breast expander. Which of the following statements
by the client indicates an understanding of the
teaching. - CORRECT ANSWER-I should expect
less than 25 ml of secretions per day in the drainage
devices
A critical care nurse is assessing a client who has a
severe head injury. In response to painful stimuli, the
client does not open her eyes, displays decerebrate
posturing and makes incomprehensible sounds.
which of the following glasgow Coma scale scores
should the nurse assign the client? - CORRECT
ANSWER-5
A nurse is providing discharge teaching to a client
who has heart failure and instructs him to limit
sodium intake to 2 g per day. Which of the following
statements by the client indicates an understanding
of the teaching? - CORRECT ANSWER-I can have a
frozen fruit juice bar for dessert
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? - CORRECT ANSWER-instill 0.9% sodium
chloride solution into the affected eye
A nurse is assessing a client following extubation
from a ventilator.for which of the following findings
should the nurse intervene immediately? -
CORRECT ANSWER-Stridor
A nurse is reviewing the laboratory reports of a client
who has acute pancreatitis. Which of the following
findings should the nurse expec [Show Less]