ATI Med-Surg proctored Exam review Questions and
Answers already graded A.Latest update 2024
A nurse is contributing to the plan of care for an older adult client who is postoperative following
a righthip arthroplasty. Which of the following interventions should the nurse include in the plan?
- Maintain abduction of the right hip.
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actionsshould the nurse take first? - Feel for a carotid pulse.
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is
no longercertain he wants to have the procedure. Which of the following responses should the
nurse make? - "Bypass surgery must be very frightening for you."
A nurse is caring for a client who is postoperative following foot surgery and is not to bear
weight on theoperative foot. The nurse enters the room to discover the client hopped on one foot
to the bathroom, using an IV pole for support. Which of the following actions should the nurse
take? - Tell the client to remain in the bathroom after toileting and obtain a wheelchair.
A nurse is assisting with the care of a client who is postoperative and has a closed-wound
drainage system in place. Which of the following actions should the nurse take? - Fully
recollapse the reservoirafter emptying it.
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the
followingstatements by the client indicates an understanding of the teaching? - "I will abstain
from sexual intercourse."
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client
diagnosed with emphysema. Which of the following instructions should be included in the
teaching? - Breathe inthrough her nose and out through pursed lips.
A nurse is caring for a client who is postoperative and has a history Addison's disease. For
which of thefollowing manifestations should the nurse monitor? - Hypotension
,A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to
take hydroxyzine preoperatively. Which of the following effects of the medication should the
nurse include inthe teaching? (Select all that apply.) -
✔Decreasing anxiety
✔Controlling emesis
✔Reducing the amount of narcotics needed for pain relief
A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The
nurse should reinforce to the client to take which of the following dietary supplements with this
medication? -Iron
A nurse is caring for a client after a radical neck dissection. To which of the following should
the nursegive priority in the immediate postoperative period? - Ineffective airway clearance
related to thick, copious secretion
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8
who is admitted for comprehensive rehabilitation. Which of the following long-term goals is
appropriate withregard to the client's mobility? - Propel a wheelchair equipped with knobs on
the wheels.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the
following risk factors should the nurse identify as the leading cause of non-melanoma skin
cancer? - Sun exposure.
Based on a client's recent history, a nurse suspects that a client is beginning menopause.
Which of thefollowing questions should the nurse ask the client to help confirm the client is
experiencing manifestations of menopause? - "Do you sleep well at night?"
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the
importance of foods high in antioxidants. Which of the following foods should the nurse
include in theteaching? - Fresh berries
A nurse is assisting with caring for a client who has a new concussion following a motor-
vehicle crash. The nurse should monitor the client for which of the following manifestations of
increased intracranialpressure? - Lethargy
, A nurse is reinforcing teaching about a tonometry examination with a client who has
manifestations of glaucoma. Which of the following statements should the nurse include in the
teaching? - "This test willmeasure the intraocular pressure of the eye."
A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a
kidney transplant. Which of the following laboratory findings should the nurse identify as the
most important toreport to the provider? - Increase in serum creatinine
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis.
Which ofthe following findings should the nurse expect? - Drop in systolic BP more than 10 mm
Hg on inspiration
A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client
entering the room of another client, who becomes upset and frightened. Which of the
following actions should thenurse take? - Attempt to determine what the client was looking for.
A nurse is caring for a client immediately following a cardiac catheterization with a femoral
artery approach. Which of the following actions should the nurse take? - Check pedal pulses
every 15 min.
A nurse is assisting with planning an immunization clinic for older adult clients. Which of the
following information should the nurse plan to include about influenza? - The composition of the
influenza vaccinechanges yearly.
A nurse is caring for an older adult client who has colon cancer. The client asks the nurse
several questions about his treatment plan. Which of the following actions should the nurse
take? - Help theclient write down questions to ask his provider.
A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is
distressedover his mother's crying and condition. Which of the following responses should the
nurse make? - "Itmust be hard to see your mother so ill and upset."
A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of
the following manifestations of dementia should the nurse include in the teaching? -
Forgetfulness graduallyprogressing to disorientation
Answers already graded A.Latest update 2024
A nurse is contributing to the plan of care for an older adult client who is postoperative following
a righthip arthroplasty. Which of the following interventions should the nurse include in the plan?
- Maintain abduction of the right hip.
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actionsshould the nurse take first? - Feel for a carotid pulse.
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is
no longercertain he wants to have the procedure. Which of the following responses should the
nurse make? - "Bypass surgery must be very frightening for you."
A nurse is caring for a client who is postoperative following foot surgery and is not to bear
weight on theoperative foot. The nurse enters the room to discover the client hopped on one foot
to the bathroom, using an IV pole for support. Which of the following actions should the nurse
take? - Tell the client to remain in the bathroom after toileting and obtain a wheelchair.
A nurse is assisting with the care of a client who is postoperative and has a closed-wound
drainage system in place. Which of the following actions should the nurse take? - Fully
recollapse the reservoirafter emptying it.
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the
followingstatements by the client indicates an understanding of the teaching? - "I will abstain
from sexual intercourse."
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client
diagnosed with emphysema. Which of the following instructions should be included in the
teaching? - Breathe inthrough her nose and out through pursed lips.
A nurse is caring for a client who is postoperative and has a history Addison's disease. For
which of thefollowing manifestations should the nurse monitor? - Hypotension
,A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to
take hydroxyzine preoperatively. Which of the following effects of the medication should the
nurse include inthe teaching? (Select all that apply.) -
✔Decreasing anxiety
✔Controlling emesis
✔Reducing the amount of narcotics needed for pain relief
A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The
nurse should reinforce to the client to take which of the following dietary supplements with this
medication? -Iron
A nurse is caring for a client after a radical neck dissection. To which of the following should
the nursegive priority in the immediate postoperative period? - Ineffective airway clearance
related to thick, copious secretion
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8
who is admitted for comprehensive rehabilitation. Which of the following long-term goals is
appropriate withregard to the client's mobility? - Propel a wheelchair equipped with knobs on
the wheels.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the
following risk factors should the nurse identify as the leading cause of non-melanoma skin
cancer? - Sun exposure.
Based on a client's recent history, a nurse suspects that a client is beginning menopause.
Which of thefollowing questions should the nurse ask the client to help confirm the client is
experiencing manifestations of menopause? - "Do you sleep well at night?"
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the
importance of foods high in antioxidants. Which of the following foods should the nurse
include in theteaching? - Fresh berries
A nurse is assisting with caring for a client who has a new concussion following a motor-
vehicle crash. The nurse should monitor the client for which of the following manifestations of
increased intracranialpressure? - Lethargy
, A nurse is reinforcing teaching about a tonometry examination with a client who has
manifestations of glaucoma. Which of the following statements should the nurse include in the
teaching? - "This test willmeasure the intraocular pressure of the eye."
A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a
kidney transplant. Which of the following laboratory findings should the nurse identify as the
most important toreport to the provider? - Increase in serum creatinine
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis.
Which ofthe following findings should the nurse expect? - Drop in systolic BP more than 10 mm
Hg on inspiration
A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client
entering the room of another client, who becomes upset and frightened. Which of the
following actions should thenurse take? - Attempt to determine what the client was looking for.
A nurse is caring for a client immediately following a cardiac catheterization with a femoral
artery approach. Which of the following actions should the nurse take? - Check pedal pulses
every 15 min.
A nurse is assisting with planning an immunization clinic for older adult clients. Which of the
following information should the nurse plan to include about influenza? - The composition of the
influenza vaccinechanges yearly.
A nurse is caring for an older adult client who has colon cancer. The client asks the nurse
several questions about his treatment plan. Which of the following actions should the nurse
take? - Help theclient write down questions to ask his provider.
A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is
distressedover his mother's crying and condition. Which of the following responses should the
nurse make? - "Itmust be hard to see your mother so ill and upset."
A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of
the following manifestations of dementia should the nurse include in the teaching? -
Forgetfulness graduallyprogressing to disorientation
