ATI RN MEDICAL SURGICAL PROCTORED EXAM 2019 ALL CORRECT QUESTIONS AND ANSWERS MORE THAN 170 QUESTIONS AND ANSWERS
1. A nurse is caring for a client who
... [Show More] is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Lymphedema
2. A nurse is preparing to administer LR via continuous IV infusions 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 pump to administer?
33 gtt/min
3. 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?
I should lie down when I take this medication
4. A nurse is providing discharge teaching to an older adult client following total hop arthroplasty. Which of the following instructions should the nurse include in the teaching?
Install a raised toilet seat in your bathroom
5. A nurse is planning care for a client following cardiac catherization. Which of the following actions should the nurse take?
Maintain the client’s affected extremity in extension
6. 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 roles change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
7. 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?
Change your pet’s litter box daily
8. A nurse is caring for a client who has a contusion and reports thirst. The client’s urinary output was 4,000mL over the past 24hrs, the nurse should anticipate a prescription for which of the following IV medications?
Desmopressin
9. 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?
Sucking on a lozenge may reduce the frequency of your cough
10. 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?
Using nicotine transdermal patch
11. 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?
On his left side in Trendelenburg position
12. A nurse is completing an assessment of an older client and notes reddened areas over the bony prominences, but the clients’ skin is intact. Which of the following interventions should the nurse include in the plan of care?
Support bony prominences with pillows
13. 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?
List strategies for family coping when dealing with possible role changes
14. A nurse in the emergency department is assessing a client, which of the following actions should the nurse take first?
Take airborne precautions
15. A nurse is reviewing the medial 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?
History of Crohn’s Disease
16. A nurse is caring for a client who is scheduling 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?
I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of PRBCs to a client who is anemic. Identify the sequence of steps the nurse should follow
Obtain venous access using an 18 gauge needle Obtain the unit of PRBCs from blood bank Verify blood compatibility with another nurse Initiate transfusion of the unit of PRBCs
Remain with the client for the first 15-30 minutes
18. 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?
I should expect less than 25mL of secretions per day in the drainage devices
19. 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?
5
20. A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2g per day. Which of the following statements by the client indicates an understanding of [Show Less]