ATI Med Surge Assessment Exam | 2023/
2024 Questions and Verified Answers|
Update
- A nurse is reinforcing teaching with a client about how to use a patient-con- trolled analgesia
(PCA) pump. Which of the following statements should the nurse include in the teaching?
Answer: use the pain scale to determine if you should push the medication self administration
button - A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of
hypoxia. Which of the following findings should the nurse include in the teaching?
Answer: agitation - A nurse is collecting data from a client who has meningitis. When passively flexing the client’s
neck, the nurse notes an involuntary flexion of both legs. Which of the follow- ing conditions is
the client displaying?
Answer: Brudzinski sign - A nurse is preparing a client who has hypotension for gastric lavage using a large-bore
nasogastric (NG) tube. In which of the following positions should the nurse place the client?
Answer: left lateral - A nurse is caring for a client who is postoperative following a colon resection. For which of
the following findings should the nurse monitor to identify a pulmonary embo- lus?
Answer: sudden shortness of breath - A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who
has diabetes mellitus. Which of the following statements by the client indicates an understanding
of the teaching?
Answer: I will be more thirsty than usual - A nurse at a community center is assisting with a presentation about sun protection to a group
of residents. Which of the following responses by the residents indicates an understanding of
the teaching?
Answer: I should apply sunscreen with an SPF of 30 - A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses.
Which of the following information should the nurse reinforce in the teach- ing?
Answer: Change gloves between tasks on the same client - A nurse is discussing the nurse’s role in obtaining informed consent with a group of
coworkers.
Which of the following statements should the nurse include?
Answer: The nurse sign the form as confirmation that a client appears competent - A nurse is assigned a group of postoperative clients. Which of the following client findings
should the nurse identify as the priority?
Answer: Sa02 88% - A nurse is reinforcing teaching about self-care techniques with a client who has rheumatoid
arthritis. Which of the following strategies should the nurse include to illus- trate the concept of
joint protection?
Answer: Turn doorknobs in a counterclockwise motion to open them - A nurse is reviewing data for a client who has chronic kidney disease. Which of the following
data should the nurse identify as the best indicator of fluid volume status?
Answer: –
daily weight - A nurse is monitoring a client who has dehydration and is receiving iv fluid replacement.
Which
of the following findings should the nurse identify as effectiveness of the treatment?
Answer: urine output 200 ml/4hr - A nurse is reviewing the plan of care for a client who has cellulitis of the leg which of the
following interventions should the nurse recommend?
Answer: Wash daily with antibac- terial soap - A nurse is collecting data from a client who has a score of 8 using the
Glasgow coma scale.
Which of the following findings should the nurse expect?
Answer: the client requires total nursing care - A nurse is planning care for a client who has a deep-vein thrombosis (DVT)
in the right leg.
Which of the following interventions should be included in the plan of care?-
Answer: Apply compression stockings - A home health nurse is planning care for a client who has COPD which of the following
interventions should the nurse include in the plan of care?