ATI MED SURG VERSION 2 EXAM WITH LATED A+ ANSWERS
A nurse is assisting with planning an immunization clinic for
older adult clients. Which of
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following information should the nurse plan to include about
influenza? - ANSWER-The composition of the influenza vaccine
changes yearly
A nurse is caring for an older adult client who has colon cancer.
The client asks the nurse several
questions about his treatment plan. Which of the following
actions should the nurse take? - ANSWER-Help the client write
down questions to ask his provider
A nurse is caring for a client who has hemiplegia following a
stroke. The client's adult son is
distressed over his mother's crying and condition. Which of the
following responses should the
nurse make? - ANSWER-"It must be hard to see your mother so
ill and upset."
A nurse is reinforcing teaching with the family of a client who
has primary dementia. Which of the
following manifestations of dementia should the nurse include in
the teaching? - ANSWER-Forgetfulness gradually progressing to
disorientation
A nurse is contributing to the plan of care for a client who has
labyrinthitis. Which of the following
interventions should the nurse include in the olan? - ANSWERMonitor client's cardinal fields of vision.
A nurse is contributing to the plan of care for a client who is
admitted with a deep vein thrombosis
(DVT) of the left leg. Which of the following interventions should
the nurse include in the plan? - ANSWER-Monitor platelet levels
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? - ANSWER-Abdomen is distended
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? - ANSWER-Change the ostomy pouch
daily,
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? -
ANSWER-Change the nasal drip pad as needed.
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? -
ANSWER-To prevent blood clotting
A nurse is collecting data from a client who has open-angle
glaucoma. Which of the following findings
should the nurse expect? - ANSWER-Loss of peripheral vision
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? -
ANSWER-Potassium 2.5 mEq/L
A nurse is collecting data from a client who has alcohol use
disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse
expect? - ANSWER-hyperventilation
A nurse is reinforcing discharge teaching with a client following
a cataract extraction. Which of the
following should the nurse include in the teaching? - ANSWERAvoid bending at the wrist
nurse is caring for a client who has heart failure and has been
taking digoxin 0.25 mg daily. The client
refuses breakfast and reports nausea. Which of the following
actions should the nurse take first? - ANSWER-Check the
clinicals vital signs
A nurse is caring for a client who is 3 days postoperative
following a cholecystectomy. The nurse
suspects the client's wound is infected because the drainage
from the dressing is yellow and thick.
Which of the following findings should the nurse report as the
type of drainage found? - ANSWER-Purulent [Show Less]