ATI Med-Surg proctored Exam review
2023
A nurse is contributing to the plan of care for an older adult client who is postoperative following a
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hip arthroplasty. Which of the following interventions should the nurse include in the plan? - Maintain
abduction of the right hip.
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions
should the nurse take first? - Feel for a carotid pulse.
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer
certain he wants to have the procedure. Which of the following responses should the nurse make? -
"Bypass surgery must be very frightening for you."
A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the
operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom,
using an IV pole for support. Which of the following actions should the nurse take? - Tell the client to
remain in the bathroom after toileting and obtain a wheelchair.
A nurse is assisting with the care of a client who is postoperative and has a closed-wound drainage
system in place. Which of the following actions should the nurse take? - Fully recollapse the reservoir
after emptying it.
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following
statements by the client indicates an understanding of the teaching? - "I will abstain from sexual
intercourse."
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed
with emphysema. Which of the following instructions should be included in the teaching? - Breathe in
through her nose and out through pursed lips.
A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the
following manifestations should the nurse monitor? - Hypotension
A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take
hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in
the teaching? (Select all that apply.) -
✔Decreasing anxiety
✔Controlling emesis
✔Reducing the amount of narcotics needed for pain relief
A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse
should reinforce to the client to take which of the following dietary supplements with this medication? -
Iron
A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse
give priority in the immediate postoperative period? - Ineffective airway clearance related to thick,
copious secretion
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is
admitted for comprehensive rehabilitation. Which of the following long-term goals is appropriate with
regard to the client's mobility? - Propel a wheelchair equipped with knobs on the wheels.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following
risk factors should the nurse identify as the leading cause of non-melanoma skin cancer? - Sun exposure.
Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the
following questions should the nurse ask the client to help confirm the client is experiencing
manifestations of menopause? - "Do you sleep well at night?"
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the
importance of foods high in antioxidants. Which of the following foods should the nurse include in the
teaching? - Fresh berries
A nurse is assisting with caring for a client who has a new concussion following a motor-vehicle crash.
The nurse should monitor the client for which of the following manifestations of increased intracranial
pressure? - Lethargy
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of
glaucoma. Which of the following statements should the nurse include in the teaching? - "This test will
measure the intraocular pressure of the eye." [Show Less]