Science Medicine Nursing
ATI Med Surge 2023 Practice Test B
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A nurse is caring for a client who is 4 hr postop following ANSWER:
a total vaginal hysterectomy. Perineal pad saturated with blood, large clots present, blood pressure trend,
2000: Client reports pain as 3 of 0 to 10. Breath sounds and heart rate of 102/min are correct. The client has manifestations of vaginal
clear and present throughout. Three abdominal bandages hemorrhage, including vaginal bleeding, blood clots, reduced blood pressure,
to abdomen, dry and intact with no drainage noted. and tachycardia. The nurse should report these findings to the provider.
Client voided 90 mL of clear-yellow urine into bedpan. Client sleeping, arouses to verbal stimuli, respiratory rate 14/min, oxygen
Perineal pad with small amount of blood, no clots; saturation 95% on room air, breath sounds clear, and reports pain as 2 on scale
perineal pad changed at this time. BP: 128/78, Resp: 16, of 0 to 10 are incorrect. These are expected findings. Therefore, the nurse does
Temp: 98.6°, HR 88, O2: 97% RA not need to report these findings to the provider.
2400: Client sleeping, arouses to verbal stimuli. Reports
pain as 2 on a scale of 0 to 10 with repositioning. Client
voided 125 mL of blood-tinged urine into bedpan.
Perineal pad saturated with blood, large clots present.
BP: 106/56, Resp: 14, Temp: 98.6, HR: 102 O2: 95% RA
Click to highlight the findings the nurse should report to
the provider immediately.
Client sleeping, arouses to verbal stimuli
Respiratory rate 14/min
Oxygen saturation 95% on room air, breath sounds clear
,A nurse at a provider's office is caring for a client who is 2 ANSWER: B, C D, F,
weeks postoperative following a gastrectomy. A) Eat five servings of fresh fruit per day is incorrect. The client should limit
Since discharge, client reports several episodes of intake to three servings of unsweetened cooked or canned fruit per day.
dizziness, "fast" heartbeat, and abdominal cramping. B) Eat several small meals per day is correct. The nurse should instruct the client
Client states, "I am afraid to eat." to eat several small, frequent meals instead of three large meals per day.
1200: Temp: 97.6°F, HR: 88, Resp: 16 BP: 146/76, O2: 96% C) Avoid highly seasoned foods is correct. The nurse should instruct the client to
RA avoid excessive amounts of spices and salt.
Cyanocobalamin 100 mcg subcutaneous once a month D) Avoid drinking fluids with meals is correct. The nurse should instruct the client
Ferrous sulfate 65 mg PO every 8 hr to drink fluids 30 min before or after meals.
A nurse is providing teaching for the client. Which of the E) Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires
following instructions should the nurse include? a low carbohydrate diet because of reactive hypoglycemia.
A) Eat five servings of fresh fruit per day. F) Consume high-protein snacks is correct. The client should eat snacks that are
B) Eat several small meals per day. high in protein and low in carbohydrates to prevent the gastric food boluses and
C) Avoid highly seasoned foods. reactive hypoglycemia in dumping syndrome.
D) Avoid drinking fluids with meals.
E) Maintain a high carbohydrate intake.
F) Consume high-protein snacks.
A nurse is caring for a client who is scheduled for a right ANSWERS: A, B, D
knee arthroplasty. A) "I will need to do the breathing exercises every 1 to 2 hours after the
0600:Client is admitted for surgery this a.m. Client reports surgery" is correct. The client should cough and deep breathe and use the
understanding of surgery and has no further questions incentive spirometer every 1 to 2 hr to reduce the risk of postoperative
for provider. complications, such as pneumonia.
0700: Client performed surgical preparation with B) "I will probably be going home with a walker" is correct. It can take 6 weeks
chlorhexidine at home this a.m. Client states they have for complete recovery from knee arthroplasty. Clients are often discharged with
had no oral intake since midnight except sips to take the use of a walker and will advance to a cane or crutch 4 to 6 weeks following
antihypertensive medication. Client states they have not surgery.
taken NSAIDs for 10 days. IV catheter inserted to right C) Well, I guess there's no changing my mind about having surgery now" is
arm with lactated Ringer's infusing at 10 mL/hr. incorrect. The nurse and the client reviewed the consents; therefore, the nurse
0800:Preoperative teaching provided. Discussed the has instructed the client that they have the right to refuse surgery at any time.
following topics with the client: The importance of D) "I will be sure to ask for pain medication before my knee starts to hurt too
turning, coughing, and deep breathing following bad" is correct. For optimal control of postoperative pain, the client should
anesthesia; explained use of incentive spirometer. The request analgesic medication before the pain becomes severe.
need to get out of bed and ambulate as soon as possible E) "My physical therapy will start after I leave the hospital" is incorrect. Early
following the surgery; ambulation will be managed by a
ambulation leads to improved postoperative outcomes and reduces the risk of
physical therapist with the use of a walker or crutches
complications of immobility, such as pneumonia and atelectasis. The client should
Control of pain following su
be informed that physical therapy will begin the day of, or the day following,
surgery.
A nurse is teaching a client who has cardiac dysrhythmia ANSWER: C "This identifies if the pacemaker cells of my heart are working
about the purpose of undergoing continuous telemetry properly."
monitoring. Which of the following statements by the Telemetry detects the ability of cardiac cells to generate a spontaneous and
clients reflects an understanding of the teaching? repetitive electrical impulse through the heart muscle.
A) "This measures how much blood my heart is pumping."
B) "This identifies if I have a defective heart valve."
C) "This identifies if the pacemaker cells of my heart are
working properly."
D) "This measures the blood circulating to my heart
muscle."
, A nurse is preparing to administer Phenytoin 600mg PO ANSWER: 24Ml
daily to a client. The amount available is oral solution Follow these steps for the Ratio and Proportion method of calculation:
125mg/5 mL. How many mL should the nurse administer? Step 1: What is the unit of measurement the nurse should calculate? mL
( Round to nearest whole number) Step 2: What is the dose the nurse should administer? Dose to administer =
Desired 600 mg
Step 3: What is the dose available? Dose available = Have 125 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 5 mL
Step 6: Set up an equation and solve for X.
HaveDesired = QuantityX
125 mg600 mg = 5 mLX mL
X mL = 24 mL
Step 7: Round if necessary.
Step 8: Determine whether the amount to administer makes sense. If there are 125
mg/5 mL and the prescription reads 600 mg, it makes sense to administer 24 mL.
The nurse should administer phenytoin oral solution 24 mL PO.
A nurse is providing discharge teaching to a client who ANSWER: A Try to walk at least three times per week for exercise.
has heart failure and a new prescription of potassium- The development of a regular exercise routine can improve outcomes in clients
Sparing Diuretic. which of the following information who have heart failure.
should the nurse include in the teaching?
A) Try to walk at least three times per week for exercise. -Salt substitutes contain an increased amount of potassium, which can place the
B) To increase stamina, walk for 5 min after fatigue begins. client at an increased risk for hyperkalemia.
C) Take over-the-counter cough medicine for persistent
cough.
D) Use a salt substitute to reduce sodium intake.
A nurse in an ICU is assessing a client who has a ANSWER: D Bradycardia
Traumatic Brain Injury. Which of the following findings A client who has increased intracranial pressure from a traumatic brain injury can
should the nurse identify as a component of Cushing's develop bradycardia, which is one component of Cushing's triad. The other
Triad? components of Cushing's triad are severe hypertension and a widened pulse
A) Hypotension pressure.
B) Tachypnea
C) Nuchal rigidity
D) Bradycardia
A nurse and an AP are caring for a client who has ANSWER: A Wear a mask.
bacterial meningitis. The nurse should give the AP which Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
of the following instructions? should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after
A) Wear a mask. the client has begun receiving antibiotic therapy.
B) Wear a gown.
C) Keep the client's room well-lit. -A gown is necessary when caring for clients who require contact precautions.
D) Maintain the head of the bed at a 45° elevation. Bacterial meningitis does not spread via direct contact.
ATI Med Surge 2023 Practice Test B
Save
Students also studied
PN Adult Medical Surgical Online Pr... PN Adult Medical Surgical Online Pr... RN Adult Medical Surgical Online Pr... ATI Me
90 terms 90 terms 90 terms Teacher
kgoblish8 Preview NicJean13 Preview Quandria01 Preview aew
A nurse is caring for a client who is 4 hr postop following ANSWER:
a total vaginal hysterectomy. Perineal pad saturated with blood, large clots present, blood pressure trend,
2000: Client reports pain as 3 of 0 to 10. Breath sounds and heart rate of 102/min are correct. The client has manifestations of vaginal
clear and present throughout. Three abdominal bandages hemorrhage, including vaginal bleeding, blood clots, reduced blood pressure,
to abdomen, dry and intact with no drainage noted. and tachycardia. The nurse should report these findings to the provider.
Client voided 90 mL of clear-yellow urine into bedpan. Client sleeping, arouses to verbal stimuli, respiratory rate 14/min, oxygen
Perineal pad with small amount of blood, no clots; saturation 95% on room air, breath sounds clear, and reports pain as 2 on scale
perineal pad changed at this time. BP: 128/78, Resp: 16, of 0 to 10 are incorrect. These are expected findings. Therefore, the nurse does
Temp: 98.6°, HR 88, O2: 97% RA not need to report these findings to the provider.
2400: Client sleeping, arouses to verbal stimuli. Reports
pain as 2 on a scale of 0 to 10 with repositioning. Client
voided 125 mL of blood-tinged urine into bedpan.
Perineal pad saturated with blood, large clots present.
BP: 106/56, Resp: 14, Temp: 98.6, HR: 102 O2: 95% RA
Click to highlight the findings the nurse should report to
the provider immediately.
Client sleeping, arouses to verbal stimuli
Respiratory rate 14/min
Oxygen saturation 95% on room air, breath sounds clear
,A nurse at a provider's office is caring for a client who is 2 ANSWER: B, C D, F,
weeks postoperative following a gastrectomy. A) Eat five servings of fresh fruit per day is incorrect. The client should limit
Since discharge, client reports several episodes of intake to three servings of unsweetened cooked or canned fruit per day.
dizziness, "fast" heartbeat, and abdominal cramping. B) Eat several small meals per day is correct. The nurse should instruct the client
Client states, "I am afraid to eat." to eat several small, frequent meals instead of three large meals per day.
1200: Temp: 97.6°F, HR: 88, Resp: 16 BP: 146/76, O2: 96% C) Avoid highly seasoned foods is correct. The nurse should instruct the client to
RA avoid excessive amounts of spices and salt.
Cyanocobalamin 100 mcg subcutaneous once a month D) Avoid drinking fluids with meals is correct. The nurse should instruct the client
Ferrous sulfate 65 mg PO every 8 hr to drink fluids 30 min before or after meals.
A nurse is providing teaching for the client. Which of the E) Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires
following instructions should the nurse include? a low carbohydrate diet because of reactive hypoglycemia.
A) Eat five servings of fresh fruit per day. F) Consume high-protein snacks is correct. The client should eat snacks that are
B) Eat several small meals per day. high in protein and low in carbohydrates to prevent the gastric food boluses and
C) Avoid highly seasoned foods. reactive hypoglycemia in dumping syndrome.
D) Avoid drinking fluids with meals.
E) Maintain a high carbohydrate intake.
F) Consume high-protein snacks.
A nurse is caring for a client who is scheduled for a right ANSWERS: A, B, D
knee arthroplasty. A) "I will need to do the breathing exercises every 1 to 2 hours after the
0600:Client is admitted for surgery this a.m. Client reports surgery" is correct. The client should cough and deep breathe and use the
understanding of surgery and has no further questions incentive spirometer every 1 to 2 hr to reduce the risk of postoperative
for provider. complications, such as pneumonia.
0700: Client performed surgical preparation with B) "I will probably be going home with a walker" is correct. It can take 6 weeks
chlorhexidine at home this a.m. Client states they have for complete recovery from knee arthroplasty. Clients are often discharged with
had no oral intake since midnight except sips to take the use of a walker and will advance to a cane or crutch 4 to 6 weeks following
antihypertensive medication. Client states they have not surgery.
taken NSAIDs for 10 days. IV catheter inserted to right C) Well, I guess there's no changing my mind about having surgery now" is
arm with lactated Ringer's infusing at 10 mL/hr. incorrect. The nurse and the client reviewed the consents; therefore, the nurse
0800:Preoperative teaching provided. Discussed the has instructed the client that they have the right to refuse surgery at any time.
following topics with the client: The importance of D) "I will be sure to ask for pain medication before my knee starts to hurt too
turning, coughing, and deep breathing following bad" is correct. For optimal control of postoperative pain, the client should
anesthesia; explained use of incentive spirometer. The request analgesic medication before the pain becomes severe.
need to get out of bed and ambulate as soon as possible E) "My physical therapy will start after I leave the hospital" is incorrect. Early
following the surgery; ambulation will be managed by a
ambulation leads to improved postoperative outcomes and reduces the risk of
physical therapist with the use of a walker or crutches
complications of immobility, such as pneumonia and atelectasis. The client should
Control of pain following su
be informed that physical therapy will begin the day of, or the day following,
surgery.
A nurse is teaching a client who has cardiac dysrhythmia ANSWER: C "This identifies if the pacemaker cells of my heart are working
about the purpose of undergoing continuous telemetry properly."
monitoring. Which of the following statements by the Telemetry detects the ability of cardiac cells to generate a spontaneous and
clients reflects an understanding of the teaching? repetitive electrical impulse through the heart muscle.
A) "This measures how much blood my heart is pumping."
B) "This identifies if I have a defective heart valve."
C) "This identifies if the pacemaker cells of my heart are
working properly."
D) "This measures the blood circulating to my heart
muscle."
, A nurse is preparing to administer Phenytoin 600mg PO ANSWER: 24Ml
daily to a client. The amount available is oral solution Follow these steps for the Ratio and Proportion method of calculation:
125mg/5 mL. How many mL should the nurse administer? Step 1: What is the unit of measurement the nurse should calculate? mL
( Round to nearest whole number) Step 2: What is the dose the nurse should administer? Dose to administer =
Desired 600 mg
Step 3: What is the dose available? Dose available = Have 125 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 5 mL
Step 6: Set up an equation and solve for X.
HaveDesired = QuantityX
125 mg600 mg = 5 mLX mL
X mL = 24 mL
Step 7: Round if necessary.
Step 8: Determine whether the amount to administer makes sense. If there are 125
mg/5 mL and the prescription reads 600 mg, it makes sense to administer 24 mL.
The nurse should administer phenytoin oral solution 24 mL PO.
A nurse is providing discharge teaching to a client who ANSWER: A Try to walk at least three times per week for exercise.
has heart failure and a new prescription of potassium- The development of a regular exercise routine can improve outcomes in clients
Sparing Diuretic. which of the following information who have heart failure.
should the nurse include in the teaching?
A) Try to walk at least three times per week for exercise. -Salt substitutes contain an increased amount of potassium, which can place the
B) To increase stamina, walk for 5 min after fatigue begins. client at an increased risk for hyperkalemia.
C) Take over-the-counter cough medicine for persistent
cough.
D) Use a salt substitute to reduce sodium intake.
A nurse in an ICU is assessing a client who has a ANSWER: D Bradycardia
Traumatic Brain Injury. Which of the following findings A client who has increased intracranial pressure from a traumatic brain injury can
should the nurse identify as a component of Cushing's develop bradycardia, which is one component of Cushing's triad. The other
Triad? components of Cushing's triad are severe hypertension and a widened pulse
A) Hypotension pressure.
B) Tachypnea
C) Nuchal rigidity
D) Bradycardia
A nurse and an AP are caring for a client who has ANSWER: A Wear a mask.
bacterial meningitis. The nurse should give the AP which Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
of the following instructions? should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after
A) Wear a mask. the client has begun receiving antibiotic therapy.
B) Wear a gown.
C) Keep the client's room well-lit. -A gown is necessary when caring for clients who require contact precautions.
D) Maintain the head of the bed at a 45° elevation. Bacterial meningitis does not spread via direct contact.
