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1. A nurse is assisting with the care of a client who has a femur fracture and is
in skeletal traction. Which of the following actions should the nurse take: Ensure
the client's weights are hanging freely from the bed.
2. A nurse in a provider's office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which of
the following instructions should the nurse include?: Take this medication between meals.
3. A nurse is preparing a plan of care for a client who is postoperative following
a modified radical mastectomy. Which of the following invasive devices should
the nurse expect this client to have?: jackson-pratt drain
4. A nurse is caring for a client who had a left lower lobectomy to treat lung
cancer. Which of the following factors will have a significant impact on the plan
of care for this client?: lung cancer usually has metastasized before the client presents with symptoms
5. A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?: Wash daily
with an antibacterial soap.
6. A nurse is reinforcing teaching with a client who is postoperative after
having an ileostomy established. Which of the following instructions should
the nurse include in the teaching?: Avoid medications in capsule or enteric form.
7. A nurse is caring for a client with severe burns to both lower extremities. The
client is scheduled for an escharotomy and wants to know what the procedure
involves. Which of the following statements is appropriate for the nurse to
make?: "Large incisions will be made in the burned tissue to improve circulation."
8. A nurse is collecting data from a client who has a possible cataract. Which
of the following manifestations should the nurse expect the client to report?-
: Decreased color perception
9. A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous gastrointestinal decompression using
a nasogastric tube. Which of the following interventions should the nurse
include in the plan of care?: Maintain the client in Fowler's position.
, ATI MED-SURG CMS PROCTORED EXAM UPDATE VERIFIED QUESTIONS AND
ANSWERS WITH 100% CORRECT ANSWERS GRADED A+ GUARANTEED
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10. A nurse is caring for a client who has Cushing's syndrome. Which of the
following clinical manifestations should the nurse expect to observe? (Select
all that apply.): 1) Buttalo hump 2) Purple striations 3) Moon face
11. A nurse is caring for a client who is in the oliguric phase of acute kidney
injury. Which of the following actions should the nurse take?: Monitor intake and
output hourly
12. A nurse is reinforcing teaching about an esophagogastroduodenoscopy
with a client who has upper gastric pain. Which of the following statements
should the nurse include in the teaching?: "You will remain NPO for 8 hours before the
procedure."
13. A nurse is caring for a client who is difficult to arouse and very sleepy
for several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this finding
in the medical record?: Postictal phase
14. A nurse is reinforcing teaching with a client who reports right shoulder pain
following a laparoscopic cholecystectomy. Which of the following statements
should the nurse make?: "The pain will dissipate if you ambulate frequently."
15. A nurse is checking the suction control chamber of a client's chest tube and
notes that there is no bubbling in the suction control chamber. Which of the
following actions should the nurse take?: Verify that the suction regulator is on.
16. A nurse is assisting with the care of a client immediately following a lumbar
puncture. Which of the following actions should the nurse take? (Select all that
apply.): Encourage fluid intake. 2) Monitor the puncture site for hematoma.
17. A nurse is assisting with the care of a client who is postoperative following
surgical repair of a fractured mandible. The client's jaw is wired shut to repair
and stabilize the fracture. The nurse should recognize which of the following
is the priority action?: Prevent aspiration.
18. A nurse is collecting data from a client who has scleroderma. Which of the
following findings should the nurse expect?: Hardened skin
, ATI MED-SURG CMS PROCTORED EXAM UPDATE VERIFIED QUESTIONS AND
ANSWERS WITH 100% CORRECT ANSWERS GRADED A+ GUARANTEED
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19. A nurse is caring for an older adult client who has dysphagia and left-sided
weakness following a stroke. Which of the following actions should the nurse
take?: Add thickener to fluids.
20. A nurse is caring for a client who has partial-thickness and full-thickness
burns of his head, neck, and chest. The nurse should recognize which of the
following is the priority risk to the client?: Airway obstruction
21. A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the following
instructions should the nurse include in the teaching?: 1) Take the medication 45 minutes
before eating.
22. A nurse is caring for a client who is 12 hours postoperative following
a transurethral resection of the prostate (TURP) and has a 3-way urinary
catheter with continuous irrigation. The nurse notes there has not been any
urinary output in the last hour. Which of the following actions should the nurse
perform first?: Notify the provider.. Determine the patency of the tubing.
23. A nurse is caring for a client scheduled for a bone marrow biopsy. The
client expresses fear about the procedure and asks the nurse if the biopsy
will hurt. Which of the following responses should the nurse make?: "The biopsy
can be uncomfortable, but we will try to keep you as comfortable as possible."
24. A nurse is assisting with planning care for a client who is recovering from a
left-hemispheric stroke. Which of the following interventions should the nurse
include in the plan?: Re-establish communication.
25. A nurse is assisting with the care of a client who has diabetes insipidus. The
nurse should monitor the client for which of the following manifestations?: -
Hypotension
26. A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the nurse
include in the teaching?: Take temperature once a day
27. A nurse is caring for a client who is postoperative following a tracheosto-
my, and has copious and tenacious secretions. Which of the following is an
, ATI MED-SURG CMS PROCTORED EXAM UPDATE VERIFIED QUESTIONS AND
ANSWERS WITH 100% CORRECT ANSWERS GRADED A+ GUARANTEED
SUCCESS
acceptable method for the nurse to use to thin this client's secretions?: Provide
humidified oxygen.
28. Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client's comfort?: Obtain a pair of slipper socks for the client.
29. A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is the
priority finding for the nurse report to the provider?: Thick, red-colored urine
30. A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and
has a prescription for a hypothermia blanket. The nurse should monitor the
client for which of the following adverse effects of the hypothermia blanket?-
: Shivering
31. A nurse is reinforcing teaching about exercise with a client who has type 1
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching?: "I will not exercise if my urine is positive for ketones."
32. A nurse notes a small section of bowel protruding from the abdominal
incision of a client who is postoperative. After calling for assistance, which of
the following actions should the nurse take first?: Cover the client's wound with a moist,
sterile dressing.
33. A nurse is collecting data from a client who has alcohol use disorder and
is experiencing metabolic acidosis. Which of the following manifestations
should the nurse expect?: Hyperventilation
34. A nurse is reinforcing discharge teaching with a client following a cataract
extraction. Which of the following should the nurse include in the teaching?-
: Avoid bending at the waist
35. A nurse is caring for a client who has heart failure and has been taking
digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which
of the following actions should the nurse take first?: Check the client's vital signs.
36. A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected because