ATI PN ADULT MED SURG PROCTORED EXAM
Complete Questions and Guide Answers
100% Verified Graded A+
1. A nurse is assisting in the care of a client who is hypovolemic shock. While
waiting for a unit of blood, the nurse should plan to administer which of the
following IV solutions?
Answer: 0.9% sodium chloride
2. A nurse is caring for a client who has advanced heart failure Which of the
following actions should the nurse take?
Answer: Enforce fluid restrictions
3. A nurse is collecting data from a client who has abdominal aortic aneurysm.
Which of the following manifestations should the nurse expect?
Answer: Lower back discom- fort
4. A nurse is contributing to the plan of care for a client who has pernicious ane-
mia.Which of the following interventions should the nurse recommend?
Answer: Initiate weekly injections of vitamin B12
,5. A nurse is reinforcing discharge teaching with a client who has a new perma-
nent pacemaker. Which of the following information should the nurse include
in the teaching?
Answer: "Avoid lifting both arms above your head when dressing."
6. A nurse is reinforcing teaching with a client who has anemia and a new
prescription for epoetin Alfa. Which of the following information should the
nurse include in the teaching?
Answer: Hypertension is a common adverse ettect of this medication
7. A nurse is caring for a client who is postoperative following vein ligation and
stripping for varicose veins. Which of the following actions should the nurse
take?
Answer: Position the client supine with his legs elevated when in bed
8. A nurse is assisting in the care of a client who has an abdominal aortic
aneurysm and is scheduled for surgery. The client's vital signs are BP 160/98,
HR 102, R-22, SpO2 95%. Which of the following actions should the nurse
take?
Answer: Administer antihypertensive medication for blood pressure
9. A nurse in a clinic is collecting data from a client who has a history of
peripheral arterial disease. Which of the following findings on the client's lower
, extremities should the nurse expect?
Answer: Cool, pale skin with minimal body hair
10. A nurse is collecting data from a client who has manifestation of aplastic
anemia. Which of the following findings should the nurse expect?
Answer: Petechiae and ecchymosis
11. A nurse is administering a loop diuretic to a client who has 3+ pitting edema
in the lower extremities. Which of the following actions should the nurse take?
Answer: Monitor the client for ototoxicity
12. A nurse is assisting in developing the plan of care for an older adult client
who is to receive a unto of packed RBCs. Which of the following action should
the nurse recommend?
Answer: Verify the information on the packed RBCs with another nurse
13. A nurse is caring for a client who has late stage heart failure and is experi-
encing fluid volume overload. Which of the following findings should the nurse
expect?
Answer: Weight gain of 1 kg (2.2 lb) in 1 day
14. A nurse is assisting in the preparation of a unit of packed RBCs for a client
who has anemia. Which of the following actions should the nurse take first?
Answer: - Witness the informed consent
Complete Questions and Guide Answers
100% Verified Graded A+
1. A nurse is assisting in the care of a client who is hypovolemic shock. While
waiting for a unit of blood, the nurse should plan to administer which of the
following IV solutions?
Answer: 0.9% sodium chloride
2. A nurse is caring for a client who has advanced heart failure Which of the
following actions should the nurse take?
Answer: Enforce fluid restrictions
3. A nurse is collecting data from a client who has abdominal aortic aneurysm.
Which of the following manifestations should the nurse expect?
Answer: Lower back discom- fort
4. A nurse is contributing to the plan of care for a client who has pernicious ane-
mia.Which of the following interventions should the nurse recommend?
Answer: Initiate weekly injections of vitamin B12
,5. A nurse is reinforcing discharge teaching with a client who has a new perma-
nent pacemaker. Which of the following information should the nurse include
in the teaching?
Answer: "Avoid lifting both arms above your head when dressing."
6. A nurse is reinforcing teaching with a client who has anemia and a new
prescription for epoetin Alfa. Which of the following information should the
nurse include in the teaching?
Answer: Hypertension is a common adverse ettect of this medication
7. A nurse is caring for a client who is postoperative following vein ligation and
stripping for varicose veins. Which of the following actions should the nurse
take?
Answer: Position the client supine with his legs elevated when in bed
8. A nurse is assisting in the care of a client who has an abdominal aortic
aneurysm and is scheduled for surgery. The client's vital signs are BP 160/98,
HR 102, R-22, SpO2 95%. Which of the following actions should the nurse
take?
Answer: Administer antihypertensive medication for blood pressure
9. A nurse in a clinic is collecting data from a client who has a history of
peripheral arterial disease. Which of the following findings on the client's lower
, extremities should the nurse expect?
Answer: Cool, pale skin with minimal body hair
10. A nurse is collecting data from a client who has manifestation of aplastic
anemia. Which of the following findings should the nurse expect?
Answer: Petechiae and ecchymosis
11. A nurse is administering a loop diuretic to a client who has 3+ pitting edema
in the lower extremities. Which of the following actions should the nurse take?
Answer: Monitor the client for ototoxicity
12. A nurse is assisting in developing the plan of care for an older adult client
who is to receive a unto of packed RBCs. Which of the following action should
the nurse recommend?
Answer: Verify the information on the packed RBCs with another nurse
13. A nurse is caring for a client who has late stage heart failure and is experi-
encing fluid volume overload. Which of the following findings should the nurse
expect?
Answer: Weight gain of 1 kg (2.2 lb) in 1 day
14. A nurse is assisting in the preparation of a unit of packed RBCs for a client
who has anemia. Which of the following actions should the nurse take first?
Answer: - Witness the informed consent
