ATI Med Surg 2023 A
A nurse is assessing a group of clients for indications of role changes. The nurse should
identify that which of the following clients is at risk for experiencing a role change? -
ANSWER...-A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider? - ANSWER...-Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging
from the choices below to specify what condition the client is most likely experiencing,
two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress. - ANSWER...-- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine
output. The nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ANSWER...-"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not indicated. -
ANSWER...-Indicated:
, - Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANSWER...-Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take? - ANSWER...-Place a pillow
between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - ANSWER...-
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open
cholecystectomy. Which of the following actions should the nurse take? - ANSWER...-
Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction
in which of the following common manifestations of advanced cancer? - ANSWER...-
Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia? -
ANSWER...-The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client
finding to fill in each blank in the following sentence. - ANSWER...-The client is
experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE AND
LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of
the following findings is the nurse's priority? - ANSWER...-Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a
productive cough. Which of the following actions should the nurse take first? -
ANSWER...-Initiate airborne precautions.
A nurse is assessing a group of clients for indications of role changes. The nurse should
identify that which of the following clients is at risk for experiencing a role change? -
ANSWER...-A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider? - ANSWER...-Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging
from the choices below to specify what condition the client is most likely experiencing,
two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress. - ANSWER...-- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine
output. The nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ANSWER...-"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not indicated. -
ANSWER...-Indicated:
, - Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANSWER...-Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take? - ANSWER...-Place a pillow
between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - ANSWER...-
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open
cholecystectomy. Which of the following actions should the nurse take? - ANSWER...-
Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction
in which of the following common manifestations of advanced cancer? - ANSWER...-
Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia? -
ANSWER...-The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client
finding to fill in each blank in the following sentence. - ANSWER...-The client is
experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE AND
LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of
the following findings is the nurse's priority? - ANSWER...-Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a
productive cough. Which of the following actions should the nurse take first? -
ANSWER...-Initiate airborne precautions.
