ATI RN Medical Surgical Proctored Exam With NGN Actual
Questions And Correct Detailed Answers
A nurs eaching a client who asks Avoid taking glucosamine if youhave a shellfish
abr cakinc cosamine allergy.
SL tor osteoarthritis.Which
iniv should the nurse include in the Rationale: The client should avoid taking
teaching? glucosamine if they have a shellfish allergy
because this medication is made from the
exoskeletons of shellfish, such as shrimp.
A nurse is caring for a client who has Count steps to the bathroom with the client.
visual loss. Which of the following
actions should the nurse implement? Rationale: The nurse should orient the client to the
room by counting the steps to the bathroom to
reduce the risk for falls.
A nurse is discussing activity Place a pillow between your legs when lying in
modification with a client who had a bed.
right total hip arthroplasty. Which of
the following statements should the Rationale: The nurse should teach the client to
nurse include in the info? place an abductor pillow between the legs when
lying in bed to prevent adduction of the hip and
possible dislocation.
,A nurse is teaching a newly licensed Ensure the urinary catheter tubing is not kinked.
nurse about preventing a catheter-
associated urinary tract infection for a client Rationale: The nurse should instruct the newly licensed nurse
who has an indwelling urinary catheter. to make certain the catheter tubing is free of kinks, which could
Which of the cause a blockage of urinary flow and result in a urinary tract
following instructions should the infection.
nurse include?
A nurse is planning wound Measure the depth of the wound with a cotton-
management for a client who has a tipped applicator.
stage 3 pressure injury. Which of the
following interventions should the Rationale: The nurse should plan to reapply new
nurse include in the plan? dressings after checking the depth of the wound
for tunneling using a cotton-tipped applicator.
A nurse is planning care for four A client who has peptic ulcer disease and a rigid
clients following change of shift abdomen.
report. Which of the following clients
is the nurses priority? Rationale: When using the stable vs. unstable
approach to client care, the nurse should assess
this client first. A client who has peptic ulcer
disease and a rigid abdomen is unstable. A rigid
abdomen is a manifestation of a perforated peptic
ulcer and could lead to septicemia and shock.
A nurse is planning care for four A client who has a pacemaker and has a persistent hiccupping.
clients following change of shift
report. Which of the following clients Rationale: When using the urgent vs. nonurgent
is the nurse to see first? approach to client care, the nurse determines that
the priority client to see is the client who has a pacemaker
and has persistent hiccupping.
Hiccupping is a manifestation of a dislocation of
the pacemaker lead and could lead to bradycardia
and decreased cardiac output.
, A nurse is reviewing the lab data of a Platelet count 100,000/mm3
client who is taking the herbal
supplement feverfew to reduce the Rationale: Feverfew can lead to platelet
frequency of migraine headaches. dysfunction by suppressing platelet aggregation. A
The nurse should identify that which client who has a decreased platelet count should
of the following indicates a potential not take feverfew because this can increase the risk
contraindication to taking this herbal of bleeding. Clients should monitor for bleeding
supplement? and impaired coagulation while taking feverfew.
A nurse is providing dietary teaching I will use homemade vinegar and oil dressings on
to a client who has heart failure. The my salads.
nurse should identify which of the
following client statements an Rationale: A client who has heart failure should
understanding of the teaching? make foods at home to maintain a low-sodium diet.
The client should use homemade vinegar and oil
dressings in place of bottled salad dressing to
reduce sodium intake.
Diet: low sodium or no added salt
A nurse is caring for a client who is Shiny area on the clients ankles and feet.
post operative ad has a history of
heart failure. The client reports slight Rationale:Edema,fluid leaking into interstitial
dyspnea when ambulating.Which of spaces, is an expected finding for a client who has
the following findings should the a history of heart failure and is experiencing slight
nurse expect when performing a skin dyspnea with exertion. Edematous skin appears
assessment?
taut and shiny, and can also look swollen and
blanched.
A hospice nurse is planning end of Position the client on their side to improve
life care for a client. Which of the breathing.
following interventions should the
nurse include in the plan? Rationale:The nurse should include to position the
client laterally to improve breathing and promote
comfort.
Questions And Correct Detailed Answers
A nurs eaching a client who asks Avoid taking glucosamine if youhave a shellfish
abr cakinc cosamine allergy.
SL tor osteoarthritis.Which
iniv should the nurse include in the Rationale: The client should avoid taking
teaching? glucosamine if they have a shellfish allergy
because this medication is made from the
exoskeletons of shellfish, such as shrimp.
A nurse is caring for a client who has Count steps to the bathroom with the client.
visual loss. Which of the following
actions should the nurse implement? Rationale: The nurse should orient the client to the
room by counting the steps to the bathroom to
reduce the risk for falls.
A nurse is discussing activity Place a pillow between your legs when lying in
modification with a client who had a bed.
right total hip arthroplasty. Which of
the following statements should the Rationale: The nurse should teach the client to
nurse include in the info? place an abductor pillow between the legs when
lying in bed to prevent adduction of the hip and
possible dislocation.
,A nurse is teaching a newly licensed Ensure the urinary catheter tubing is not kinked.
nurse about preventing a catheter-
associated urinary tract infection for a client Rationale: The nurse should instruct the newly licensed nurse
who has an indwelling urinary catheter. to make certain the catheter tubing is free of kinks, which could
Which of the cause a blockage of urinary flow and result in a urinary tract
following instructions should the infection.
nurse include?
A nurse is planning wound Measure the depth of the wound with a cotton-
management for a client who has a tipped applicator.
stage 3 pressure injury. Which of the
following interventions should the Rationale: The nurse should plan to reapply new
nurse include in the plan? dressings after checking the depth of the wound
for tunneling using a cotton-tipped applicator.
A nurse is planning care for four A client who has peptic ulcer disease and a rigid
clients following change of shift abdomen.
report. Which of the following clients
is the nurses priority? Rationale: When using the stable vs. unstable
approach to client care, the nurse should assess
this client first. A client who has peptic ulcer
disease and a rigid abdomen is unstable. A rigid
abdomen is a manifestation of a perforated peptic
ulcer and could lead to septicemia and shock.
A nurse is planning care for four A client who has a pacemaker and has a persistent hiccupping.
clients following change of shift
report. Which of the following clients Rationale: When using the urgent vs. nonurgent
is the nurse to see first? approach to client care, the nurse determines that
the priority client to see is the client who has a pacemaker
and has persistent hiccupping.
Hiccupping is a manifestation of a dislocation of
the pacemaker lead and could lead to bradycardia
and decreased cardiac output.
, A nurse is reviewing the lab data of a Platelet count 100,000/mm3
client who is taking the herbal
supplement feverfew to reduce the Rationale: Feverfew can lead to platelet
frequency of migraine headaches. dysfunction by suppressing platelet aggregation. A
The nurse should identify that which client who has a decreased platelet count should
of the following indicates a potential not take feverfew because this can increase the risk
contraindication to taking this herbal of bleeding. Clients should monitor for bleeding
supplement? and impaired coagulation while taking feverfew.
A nurse is providing dietary teaching I will use homemade vinegar and oil dressings on
to a client who has heart failure. The my salads.
nurse should identify which of the
following client statements an Rationale: A client who has heart failure should
understanding of the teaching? make foods at home to maintain a low-sodium diet.
The client should use homemade vinegar and oil
dressings in place of bottled salad dressing to
reduce sodium intake.
Diet: low sodium or no added salt
A nurse is caring for a client who is Shiny area on the clients ankles and feet.
post operative ad has a history of
heart failure. The client reports slight Rationale:Edema,fluid leaking into interstitial
dyspnea when ambulating.Which of spaces, is an expected finding for a client who has
the following findings should the a history of heart failure and is experiencing slight
nurse expect when performing a skin dyspnea with exertion. Edematous skin appears
assessment?
taut and shiny, and can also look swollen and
blanched.
A hospice nurse is planning end of Position the client on their side to improve
life care for a client. Which of the breathing.
following interventions should the
nurse include in the plan? Rationale:The nurse should include to position the
client laterally to improve breathing and promote
comfort.
