ATI MEDICAL SURGICAL REAL EXAM MEDICAL SURGICAL ATI PROCTORED
EXAM Graded A+
A client is admitted to the emergency department with deep
... [Show More] partial-thickness burns of the arms and chest sustained in a house fire. The nurse notes that the client is very restless and anxious. Which action should the nurse take FIRST? - Listen to breath sounds
The nurse talks with an upset patient on the psychiatric unit. The patient's anger appears to be escalating. Which action should the nurse take? - Tell the patient that aggressive behavior will not be tolerated
The nurse on a unit of the state hospital plans psychoeducational classes for chronic schizophrenics. Most of the patients have been hospitalized for 20 years. Which classes should be planned FIRST by the nurse? - Hygiene, communication skills, nutrition.
The postpartum nurse cares for a woman who is breastfeeding her first child. The client complains
of strong afterbirth pains while she nurses. Which statement, if made by the client to the nurse,
indicates that the client understands the cause of this discomfort? - "These pains show that my let
down reflex is working.
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. The nurse cares for the client after a fall from a ladder. While the client is waiting to be seen by the
physician, the nurse observes the client's spouse using a cloth to wipe clear fluid draining from the
left ear. Which statement, if made by the nurse to the spouse, is BEST? - "It is not a good idea to
wipe the ear, but let me know if you see it draining again.
A college student is brought to the emergency department after taking 200 mg of methylphenidate (Ritalin). After gastric lavage is completed, it is MOST important for the nurse to take which of the following actions? - Ask the patient to hold his breath as the tube is removed.
The clinic nurse evaluates a client for tendonitis of the elbow. Which statement, if made by the client, indicates to the nurse a predisposition to this condition? - "I recently changed jobs and now work as an apprentice carpenter."
The clinic nurse recommends a high-fiber diet for the older client reporting constipation. The client
asks the nurse how this will help. Which statement by the nurse is best? - "Fiber increases the
water content of your stool."
A newborn receives an Apgar score of 3 at 1 minute after birth. The nurse knows that a score of 3
indicates which of the following? - The newborn has a life-threatening anomaly
A young adult is brought to the emergency department for ingestion of 40 5-grain tablets of acetaminophen (Tylenol). The patient's roommate reports that the patient took the pills 2 days ago after a break up with a significant other, but the patient refused to go to the hospital at that time. Today the roommate found the patient in bed, confused and gripping the upper abdominal area. The nurse expects to see which of the following tests given the HIGHEST priority? - AST (SGOT) and ALT (SGPT)
A client with a history of liver disease is brought to the hospital by her family. The family is frightened because the client has become increasingly drowsy, gets disoriented and agitated, and sleeps during the day and is awake at night. The nurse expects the physician to order which of the following? - Lactulose (Chronulac) 200 g retention enema q 6 h
The nurse supervises care provided by a nursing assistant to a client who is demonstrating aggressive behavior. The nurse should intervene if which of the following behaviors is observed? - The nursing assistant demonstrates a friendly and conciliatory attitude. [Show Less]