MED SURG- PROCTORED ATI
QUESTIONS WITH CORRECT ANSWERS!!
,An older adult is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? - ANSWER Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. To help reduce the risk for migraine headaches,
which of the following foods should the nurse recommend the client avoid? - ANSWER
Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine
headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - ANSWER "You should cut the
opening of the skin barrier one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma
to minimize irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? - ANSWER Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere with the metabolism of a
number of medications, including levothyroxine. The nurse should instruct the client to
avoid taking calcium within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with
an IV contrast agent. The nurse should identify that which of the following findings
requires further assessment? - ANSWER History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye
used during the procedure. Other conditions that can result in a reaction to contrast
media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
, A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the expect? - ANSWER Administer an opioid analgesic to the
client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? (Click on the "Exhibit" button for additional information about the
client). - ANSWER Current medications
The nurse should review the client's medication record and identify medications,
including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
such as prednisone, that can alter the allergy skin test results. These medications can
diminish the client's reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription for
enoxaparin subcutaneous. Which of the following actions should the nurse take? -
ANSWER Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal
wall to enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the following
findings contribute to delayed wound healing? - ANSWER Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate dehydration,
which can delay wound healing.
A nurse is caring for a client who has a new prescription for total parenteral nutrition
(TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The
IV pump should be set at how many mL/hr? (Rounding to the nearest whole number.) -
ANSWER 167 mL/hr
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANSWER Add cabbage to the diet.
QUESTIONS WITH CORRECT ANSWERS!!
,An older adult is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? - ANSWER Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. To help reduce the risk for migraine headaches,
which of the following foods should the nurse recommend the client avoid? - ANSWER
Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine
headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - ANSWER "You should cut the
opening of the skin barrier one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma
to minimize irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? - ANSWER Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere with the metabolism of a
number of medications, including levothyroxine. The nurse should instruct the client to
avoid taking calcium within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with
an IV contrast agent. The nurse should identify that which of the following findings
requires further assessment? - ANSWER History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye
used during the procedure. Other conditions that can result in a reaction to contrast
media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
, A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the expect? - ANSWER Administer an opioid analgesic to the
client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? (Click on the "Exhibit" button for additional information about the
client). - ANSWER Current medications
The nurse should review the client's medication record and identify medications,
including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
such as prednisone, that can alter the allergy skin test results. These medications can
diminish the client's reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription for
enoxaparin subcutaneous. Which of the following actions should the nurse take? -
ANSWER Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal
wall to enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the following
findings contribute to delayed wound healing? - ANSWER Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate dehydration,
which can delay wound healing.
A nurse is caring for a client who has a new prescription for total parenteral nutrition
(TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The
IV pump should be set at how many mL/hr? (Rounding to the nearest whole number.) -
ANSWER 167 mL/hr
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANSWER Add cabbage to the diet.
