ATI Med Surg Proctored Exam Question Bank / Practice Questions (New, 2021) (SATISFACTION GUARANTEED)

Document Content and Description Below

Med-Surg: A nurse is caring for a client who have a lower extremity fracture and a prescription for crutches. Which of the following client statements indicate that client is adapting to the role of... change? -I will need my partner to take over shopping for groceries A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following findings should the nurse expect? a) hematochezia b) weight gain C) elevated hemoglobin D) Steatorrhea A nurse is caring for a client who is receiving TPN. The prime infusion is almost complete and the new solution is not available. Which of the following actions should the nurse take? Infuse dextrose 10% in water A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect? A saw tooth pattern A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be the greatest concern to the nurse? Glasgow coma scale score changes from 14 to 9 A nurse is completing an assessment of an older adult client and notes redness 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? Support bony prominences with pillows A nurse is caring for a client who is receiving a blood transfusion. The nurse observes the client had bounding peripheral pulses, hypertension, and distended jugular vein. The nurse should anticipate administering which of the following prescribed medications? Furosemide A nurse is caring for a patient who has a sealed radiation implant. Which of the following actions should the nurse take? Limit family member visits to 30 mins/day A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching? I should expect my lesions to heal in 6 weeks A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? Blood glucose Blood pressure I think? Urinary output Motor responses *wrong answer* A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication for receiving heparin? Thrombocytopenia A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room? A client who reports having fever, night sweats, and cough for 2 days A nurse is planning to teach a client whose provider has prescribed a low purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet. SATA -sardines -apricots -nuts -liver -scallops A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? Diminished breath sounds A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status? Prealbumin A nurse is caring for a client in diabetic ketoacidosis. Which of the following is the priority intervention by the nurse? Check potassium levels A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication? Potassium 3.2 A nurse in the emergency department is preparing a client for emergency surgery. The client’s alcohol level is 180. Which of the following action is the nurse priority? Insert an NG Tube A nurse is caring for a client who has bladder cancer and a WBC of 900. Which of the following action should the nurse take? Use Contact isolation while providing care A nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the meter to the zero baseline, what is the sequence of steps the nurse should instruct the client to take? (Use all steps) *this is the correct steps… I found the correct sequence. * “Stand upright.”1 “Fill your lungs with a deep breath.”3 “Seal your lips around the mouthpiece.”2 “Exhale forcefully and quickly.”4 “Record the highest of three consecutive readings.”5 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? Collect information about the irritant that caused injury *I think this is correct* Administer proparacaine eyedrop into the infected eye Place a strip of ph paper onto the colder sac of the infected eye Instill 0.9% sodium chloride into the affected eye *do not choose this* A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? I rest in my recliner with my feet elevated for about an hour every afternoon A nurse is caring for older client with dementia, which of the following finding questions should the nurse ask to assess the clients abstract thinking? Can you tell me the state where you were born? Can you count backwards? Do not choose this answer… got it wrong “what do a dog and cat have in common” ask what two traits are similar but not identical A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions? Ask client to empty his bladder prior to the procedure A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? Reverse Trendelenburg * Side Lying High Fowlers Feet elevated A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross reactivity to which of the following substance? latex A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory result should the nurse monitor to determine long term diabetes? A1C glycated hemoglobin A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include? “Wear cotton rather than nylon sock” A nurse is assessing a client who has pericarditis, in which of the following areas of the client’s chest should the nurse place the stethoscope to pleural friction rub? This will be an image….. choose Erb’s Point (3rd Intercostal, Central) A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication? Generalized abdominal pain Cloudy effluent Fever Increased heart rate A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medication places the client at an increased risk for developing diabetes insipidus? (according to google… drugs include lithium, amphotericin, cidofovir, demeclocycline, didanosine, foscarnet, ofloxacin, orlistat) Ranitidine Atorvastatin do not choose… got it wrong ??didn’t give the answer choice ??didn’t give the answer choice A nurse is planning a staff education session about hepatitis A. Which of the following information should the nurse include? Immunization for hep A is recommended prior to travel A nurse is administering potassium chloride via IV infusion to a client who has sever hypokalemia. Which of the following actions should the nurse take? Monitor the client for adequate urine output A nurse is assessing a client who has a new diagnosis of diverticulitis and report that he uses multiple complementary and alternative healing therapies. Which of the following complimentary therapies should the nurse identify as a contraindication for the client? Acupuncture A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing? Dark red granulation tissue A nurse is assessing a client who has cirrhosis. Which of the following finding is a priority for the nurse to report? Platelet 70,000 A nurse is planning care for a client who has status epilepticus. Which of the following intervention is the nurse priority to include? Turn the client to the lateral position during seizure A nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse’s priority? Obtain a blood specimen for culture and sensitivity testing Dosage calc- a nurse is preparing to administer piperacillin 3.375g by intermittent iv every 6 hours. available is 3.375g in water 100ml to infuse over 30min. the nurse should set the pump at how many ml/hr = I got 200… A nurse is providing discharge 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? Wash your perineal area two times each day with antimicrobial soap Dosage calc ….. don’t have the question. A nurse is caring for a client who has a chest tube. The client asks why does the fluid and the water seal chamber rises and falls. Which of the following statement should the nurse make? Your breathing pattern causes this A nurse is caring for a client who has Meniere’s disease. Which of the following intervention should the nurse include in the plan? Encourage the client to change position slowly 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 25 ml of secretions per day in the drainage devices” A nurse on an oncology unit is caring for a client receiving enternal radiation therapy, which of [Show More]

Last updated: 1 year ago

Preview 1 out of 235 pages