ATI Med Surg Proctored AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is caring for a client who is receiving chemotherapy and requests informa on about
acupuncture to relieve some of the side effects. which of the following findings should the nurse
iden fy as a contraindica on to receiving this alterna ve therapy?
a. Ur caria
b. Lymphedema
c. Headaches
d. Mouth sores - ANSWER Lymphedema
A nurse is preparing to administer lactated Ringer's via con nuos IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/mL. How many g /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 prescrip on for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. "I should lie down when I take this medica on."
b. "I can keep my medica on for 1 year before replacing it."
c. "I should discon nue this medica on if I develop a headache."
,d. "I can take up to five tablets in 15 minutes before seeking medical a en on." -
ANSWER I should lie down when I take this medica on
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty.
Which of the following instruc ons should the nurse include in the teaching.
a. "You should use an incen ve spirometer every 8 hours."
b. "You can cross your legs at the ankles when si ng down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ANSWER Install a raised toilet seat in
your bathroom
A nurse is planning care for a client following a cardiac catheteriza on. which of the following
ac ons should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ANSWER Maintain the client's
affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescrip on for crutches.
which of the following client statements indicates that the client is adap ng to their role
change?
a. "I will need to have my partner take over shopping for groceries and cooking the meals for
us."
b. "I feel bad that I have to ask my partner to keep the house clean."
, c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their appointments anymore."
- 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 informa on should the nurse include in the teaching?
a. "Wash your perineal area two mes each day with an microbial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's li er box daily."
d. "Wash your toothbrush in the dishwasher once each month." - ANSWER a. "Wash your
perineal area two mes each day with an microbial soap."
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 an cipate a prescrip on for which of the
following IV medica ons? - ANSWER Desmopressin
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? - 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 iden fy as a parenteral trigger for
exacerba on of Raynaud's? - ANSWER Using nico ne transdermal patch
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is caring for a client who is receiving chemotherapy and requests informa on about
acupuncture to relieve some of the side effects. which of the following findings should the nurse
iden fy as a contraindica on to receiving this alterna ve therapy?
a. Ur caria
b. Lymphedema
c. Headaches
d. Mouth sores - ANSWER Lymphedema
A nurse is preparing to administer lactated Ringer's via con nuos IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/mL. How many g /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 prescrip on for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. "I should lie down when I take this medica on."
b. "I can keep my medica on for 1 year before replacing it."
c. "I should discon nue this medica on if I develop a headache."
,d. "I can take up to five tablets in 15 minutes before seeking medical a en on." -
ANSWER I should lie down when I take this medica on
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty.
Which of the following instruc ons should the nurse include in the teaching.
a. "You should use an incen ve spirometer every 8 hours."
b. "You can cross your legs at the ankles when si ng down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ANSWER Install a raised toilet seat in
your bathroom
A nurse is planning care for a client following a cardiac catheteriza on. which of the following
ac ons should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ANSWER Maintain the client's
affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescrip on for crutches.
which of the following client statements indicates that the client is adap ng to their role
change?
a. "I will need to have my partner take over shopping for groceries and cooking the meals for
us."
b. "I feel bad that I have to ask my partner to keep the house clean."
, c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their appointments anymore."
- 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 informa on should the nurse include in the teaching?
a. "Wash your perineal area two mes each day with an microbial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's li er box daily."
d. "Wash your toothbrush in the dishwasher once each month." - ANSWER a. "Wash your
perineal area two mes each day with an microbial soap."
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 an cipate a prescrip on for which of the
following IV medica ons? - ANSWER Desmopressin
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? - 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 iden fy as a parenteral trigger for
exacerba on of Raynaud's? - ANSWER Using nico ne transdermal patch
