RN Adult Medical Surgical Nursing Edition- ATI
Questions
Save
Terms in this set (296) Hide definitions
A nurse is caring for a client who was "I wish we lived closer to the big medical centers in
just informed of a new diagnosis of the city."
breast cancer. The nurse evaluates
the client's response. Which of the
following statements by the client
represents the SDOH of health and
health care?
A nurse is caring for a client who has 1. Ask the dietitian to assist with meal planning
a new diagnosis of type 2 diabetes 2. Provide educational materials for home use
mellitus and reports difficulty 3. Contact the clients support system
following the diet and remembering 4. Encourage the use of daily medication dispenser
to take the prescribed medication.
Which of the following actions
should the nurse take to promote
client adherence? Select all that
apply
,A nurse in the ED is preparing to 1. Client who has a pressure injury and a blood
care for a group of clients. Which of glucose of 200 mg/dL
the following clients should the 2. Client who reports urinary frequency and fever
nurse classify as urgent when using
the three-level system of triage?
Select all that apply
A nurse encounters an unresponsive Head-tilt, chin-lift
client during a walk. The client's
partner states, "He was pulling
weeds in the yard and slumped to
the ground." Which of the following
techniques should the nurse use to
open the client's airway?
A nurse in the ED is caring for a client 1. Remove wet clothing
who has been exposed to freezing 2. Apply warm blankets
temperatures for several hours and is 3. Infuse warm IV fluids
alert and talking. Which of the
following actions should the nurse
take? Select all that apply
A nurse in the ED is caring for a client 1. Administer naloxone
who is suspected of having opioid 2. Obtain AED
poisoning. During the interview, the 3. Begin performing CPR
nurse notes that the client suddenly
becomes unresponsive, respirations
and pulse are absent. Which of the
following actions should the nurse
take? Select all that apply
,A nurse in the ED is caring for a client 1. perform initial round of CPR
who suddenly becomes 2. administer epinephrine
unresponsive and notes ventricular 3. analyze heart rhythm with AED
asystole on their monitor. Place the 4. identify cause
actions the nurse should take in their
correct order
A nurse is teaching a client who is "I will feel warm after that dye is injected."
scheduled for a cerebral
angiography. Which of the following
statements by the client indicates
understanding?
A nurse is caring for a client who is Ensure the client is not wearing any metal objects
scheduled for a cerebral computed prior to procedure.
tomography scan with contrast.
Which of the following actions
should the nurse take?
A nurse is providing education to a "You should wash your hair prior to the procedure."
client who is scheduled for an
electroencephalogram (EEG) the
next day. Which of the following
statements should the nurse make?
A nurse is caring for a client 1. administer analgesic for pain
immediately following a lumbar 2. encourage increased fluid intake
puncture. Which of the following 3. monitor puncture site for drainage
actions should the nurse take?
Select all that apply.
, A nurse is caring for a client who Where is your pain?
came into the emergency
department after an injury to the
right arm. The nurse is assessing the
client's pain. Which question should
the nurse ask first?
A nurse is caring for a client who 1. confusion
reports pain at 10 on a 0 to 10 scale. 2. constipation
The nurse plans to administer 3. bradypnea
morphine. Which of the following
adverse effects should the nurse
monitor for in the client?
Select all that apply.
A nurse is assessing a client who has 1. headache
meningitis. Which of the following 2. nuchal rigidity
findings should the nurse expect? 3. photophobia
Select all the apply. 4. seizures
A nurse is assessing for the presence 1. place client in supine position
of Brudzinski's sign in a client who 2. place hands behind the clients neck
has suspected meningitis. Which of 3. bend clients head toward chest
the following actions should the
nurse take when performing this
technique?
Select all that apply.
A nurse is caring for a newly isolate the client (droplet precautions)
admitted client. The client has been
identified as having bacterial
meningitis. Which of the following is
the priority action for the nurse to
take?
Questions
Save
Terms in this set (296) Hide definitions
A nurse is caring for a client who was "I wish we lived closer to the big medical centers in
just informed of a new diagnosis of the city."
breast cancer. The nurse evaluates
the client's response. Which of the
following statements by the client
represents the SDOH of health and
health care?
A nurse is caring for a client who has 1. Ask the dietitian to assist with meal planning
a new diagnosis of type 2 diabetes 2. Provide educational materials for home use
mellitus and reports difficulty 3. Contact the clients support system
following the diet and remembering 4. Encourage the use of daily medication dispenser
to take the prescribed medication.
Which of the following actions
should the nurse take to promote
client adherence? Select all that
apply
,A nurse in the ED is preparing to 1. Client who has a pressure injury and a blood
care for a group of clients. Which of glucose of 200 mg/dL
the following clients should the 2. Client who reports urinary frequency and fever
nurse classify as urgent when using
the three-level system of triage?
Select all that apply
A nurse encounters an unresponsive Head-tilt, chin-lift
client during a walk. The client's
partner states, "He was pulling
weeds in the yard and slumped to
the ground." Which of the following
techniques should the nurse use to
open the client's airway?
A nurse in the ED is caring for a client 1. Remove wet clothing
who has been exposed to freezing 2. Apply warm blankets
temperatures for several hours and is 3. Infuse warm IV fluids
alert and talking. Which of the
following actions should the nurse
take? Select all that apply
A nurse in the ED is caring for a client 1. Administer naloxone
who is suspected of having opioid 2. Obtain AED
poisoning. During the interview, the 3. Begin performing CPR
nurse notes that the client suddenly
becomes unresponsive, respirations
and pulse are absent. Which of the
following actions should the nurse
take? Select all that apply
,A nurse in the ED is caring for a client 1. perform initial round of CPR
who suddenly becomes 2. administer epinephrine
unresponsive and notes ventricular 3. analyze heart rhythm with AED
asystole on their monitor. Place the 4. identify cause
actions the nurse should take in their
correct order
A nurse is teaching a client who is "I will feel warm after that dye is injected."
scheduled for a cerebral
angiography. Which of the following
statements by the client indicates
understanding?
A nurse is caring for a client who is Ensure the client is not wearing any metal objects
scheduled for a cerebral computed prior to procedure.
tomography scan with contrast.
Which of the following actions
should the nurse take?
A nurse is providing education to a "You should wash your hair prior to the procedure."
client who is scheduled for an
electroencephalogram (EEG) the
next day. Which of the following
statements should the nurse make?
A nurse is caring for a client 1. administer analgesic for pain
immediately following a lumbar 2. encourage increased fluid intake
puncture. Which of the following 3. monitor puncture site for drainage
actions should the nurse take?
Select all that apply.
, A nurse is caring for a client who Where is your pain?
came into the emergency
department after an injury to the
right arm. The nurse is assessing the
client's pain. Which question should
the nurse ask first?
A nurse is caring for a client who 1. confusion
reports pain at 10 on a 0 to 10 scale. 2. constipation
The nurse plans to administer 3. bradypnea
morphine. Which of the following
adverse effects should the nurse
monitor for in the client?
Select all that apply.
A nurse is assessing a client who has 1. headache
meningitis. Which of the following 2. nuchal rigidity
findings should the nurse expect? 3. photophobia
Select all the apply. 4. seizures
A nurse is assessing for the presence 1. place client in supine position
of Brudzinski's sign in a client who 2. place hands behind the clients neck
has suspected meningitis. Which of 3. bend clients head toward chest
the following actions should the
nurse take when performing this
technique?
Select all that apply.
A nurse is caring for a newly isolate the client (droplet precautions)
admitted client. The client has been
identified as having bacterial
meningitis. Which of the following is
the priority action for the nurse to
take?
