TEST BANK FOR ATI PN ADULT MEDICAL SURGICAL
NURSING EDITION 12.0 ||VERIFIED
EXAM!!!||CONTENT MASTERY SERIES REVIEW
MODULE UNITS 1-14||NEWEST EXAM!!!
TEST
A nurse working the night shift is caring for an older adult
client who has dementia and is at risk for falls. Which of
the following actions should the nurse take?
a) Raise all four side rails while the client is in bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed. - Answer-B.
Apply a motion sensor mat to the client's bed.
Rationale:
The nurse should apply a motion sensor mat to the client's
bed. This will alert the nurse if the client tries to get out of
bed and will help prevent falls.
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Option A raising all four side rails while the client is in bed
is not recommended because it can be considered a
restraint and can lead to injury or death.
Option C leaving the television on in the client's room is
not recommended because it can be overstimulating and
can interfere with sleep.
Option D moving the overbed table away from the bed is
not recommended because it can increase the risk of falls.
TEST
A nurse is reinforcing teaching with a client about
increasing her intake of fiber. Which of the following foods
should the nurse encourage the client to eat?
a) Cheese
b) Pears
c) Yogurt
d) Eggs - Answer-B. Pears
Rationale:
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Only pear has fiber out of 4 choices.
TEST
A nurse is reviewing the medical record of a client who
reports his urine is red-orange. The nurse should identify
which of the following medications can cause this adverse
effect?
a) Isoniazid
b) Metoprolol
c) Furosemide
d) Rifampin - Answer-D. Rifampin
Rationale:
associated with Red Man syndrome (bodily fluids like urine
appear red-orange in color)
A nurse is collecting data from a client who is taking
metoprolol. Which of the following findings should the
nurse expect?
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Increased blood pressure
Decreased heart rate
Decreased Bronchospasm
Increased blood glucose level - Answer-Decreased heart
rate
Rationale:
Metoprolol blocks stimulation to beta1-adrenergic
receptors without usually affecting beta2-adrenergic
receptors. Decrease effects of the sympathetic nervous
system: decreases speed of conduction which slows heart
rate and decreases contraction force causing less cardiac
output and decreased BP.
TEST
A nurse is caring for a client in hospice care who is dying.
The client's partner expresses concern that the client is
sleeping more than in the previous week. Which of the
following is an appropriate response by the nurse?