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ATI Med Surg Proctored
Exam 2023
A nurse is caring for a client who 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?
ANSWER – Lymphedema
A nurse is preparing to administer lactated Ringer’s via continuos IV infusion 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 ump to administer?
ANSWER – 33
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?
ANSWER – I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include on the
teaching.
ANSWER – Install a raised toilet seat on your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the
following actions should the nurse take.
ANSWER – Maintain the client’s affected extremity on extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
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for crutches. which of the following client statements indicates that the client is
adapting to their role change?
ANSWER – I will need to have my partner take over shopping for groceries and
cooking the meals for us
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 on
the teaching?
ANSWER – Change your pet’s litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The client’s
urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a
prescription for which of the following IV medications?
ANSWER – Desmopressin
A nurse on 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?
ANSWER – Sucking on a lozenge may reduce the frequency of your cough
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?
ANSWER – Using nicotine transdermal patch
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?
ANSWER –
A nurse is completing an assessment of an older client and notes reddened areas
over the bony prominences, but the client’s skin is intact. which of the following
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interventions should the nurse include on the plan of care?
ANSWER – Support bony prominences with pillows
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?
ANSWER –
A nurse on the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on rhe “exhibit” button for additional
information about the client
ANSWER – Initiate airborne precautions
A nurse is reviewing the medical 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?
ANSWER – Historyof Crohn’s disease
A nurse is caring for a client who is scheduled 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?
ANSWER – I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow.
ANSWER – 1. obtain venous access using a 19-gauge needle
- Obtain the unit of a packed RBCs from blood bank
- verify blood compatibility with another nurse
- Initiate traensfuntion of the unit of packed RBCs
- Remain with the client for the first 15 to 30 minutes
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.