1
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? - -Correct 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? - -Correct 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. - -Correct 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,
1
, 2
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? - -Correct 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. - -Correct 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? - -
Correct answer-Dysphagia
2
, 3
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? - -Correct 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? - -Correct 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? - -Correct 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? - -Correct 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? - -Correct 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
3
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? - -Correct 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? - -Correct 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. - -Correct 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,
1
, 2
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? - -Correct 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. - -Correct 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? - -
Correct answer-Dysphagia
2
, 3
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? - -Correct 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? - -Correct 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? - -Correct 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? - -Correct 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? - -Correct 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
3
