ATI RN Medical-Surgical Proctored Exam 2019
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty.
Which of the following instructions should the nurse include in the teaching?
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates that the client is adapting to theirrole
change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the teaching?
Change your pet’s litter box daily
A nurse is caring for a client who has a contusion and reports thirst. The client's urinary output
was 4,000 ml over past 24 hr. the nurse should anticipate a prescription for which ofthe
following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the nurse is
appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which ofthe
, following assessment findings should the nurse identify as a parenteral trigger for exacerbation
of Raynaud's?
Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing has
become disconnected. The client develops dyspnea and tachycardia. Which of the following
actions should the nurse take first?
Clamp the catheter
A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. Which of the following interventions shouldthe
nurse include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of
the following actions is the priority for the nurse to take?
Provide coping strategies for client and family
A nurse in the emergency department is assessing a client. Which of the following actions should
the nurse take first? (click on the "exhibit" button for additional information about theclient.)
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The
nurse should identify which of the following findings as increasing the client's risk?
History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the
nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identifythe
sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty.
Which of the following instructions should the nurse include in the teaching?
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates that the client is adapting to theirrole
change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the teaching?
Change your pet’s litter box daily
A nurse is caring for a client who has a contusion and reports thirst. The client's urinary output
was 4,000 ml over past 24 hr. the nurse should anticipate a prescription for which ofthe
following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the nurse is
appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which ofthe
, following assessment findings should the nurse identify as a parenteral trigger for exacerbation
of Raynaud's?
Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing has
become disconnected. The client develops dyspnea and tachycardia. Which of the following
actions should the nurse take first?
Clamp the catheter
A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. Which of the following interventions shouldthe
nurse include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of
the following actions is the priority for the nurse to take?
Provide coping strategies for client and family
A nurse in the emergency department is assessing a client. Which of the following actions should
the nurse take first? (click on the "exhibit" button for additional information about theclient.)
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The
nurse should identify which of the following findings as increasing the client's risk?
History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the
nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identifythe
sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
