ATI RN Adult Medical Surgical Online Practice 2019 B
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
- Pain that increases with passive movement
results from a decrease in blood flow in the extremity caused by a decrease in the
muscle compartment size due to a cast that is too tight.
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an
understanding of the teaching?
- My joints ache because I have Lyme disease
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amount available is oral solution 125 mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.) - 24
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
- place a pressure bag around the flush solution
because the pressure from an artery is greater than that of the line.
A nurse is updating the plan of care for a client who is receiving chemotherapy.
Which of the following findings should the nurse identify as the priority?
- Report of sore throat
which could be a manifestation of an infection. The client is at risk for neutropenia
due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurse expect?
- Facial butterfly rash
, A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as the
priority?
- Place tach tray at the bedside
in case of airway obstruction
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
- Low urine specific gravity
Decreased water reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to the hormone.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
- You will need to stay still in the bed during each treatment session.
limited movement because excessive movement can cause the radioactive source
to become dislodged.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of
the following interventions should the nurse include in the plan?
- Encourage the client to take deep breaths after the procedure
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
- Slow the infusion rate
circulatory overload. The nurse should slow or stop the infusion to improve the
client's ability to breathe, place the client in an upright position, and notify the
provider. The provider might prescribe a diuretic to alleviate the fluid overload.
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the
nurse provide?
- Hemodialys is something required following surgery
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
- Pain that increases with passive movement
results from a decrease in blood flow in the extremity caused by a decrease in the
muscle compartment size due to a cast that is too tight.
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an
understanding of the teaching?
- My joints ache because I have Lyme disease
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amount available is oral solution 125 mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.) - 24
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
- place a pressure bag around the flush solution
because the pressure from an artery is greater than that of the line.
A nurse is updating the plan of care for a client who is receiving chemotherapy.
Which of the following findings should the nurse identify as the priority?
- Report of sore throat
which could be a manifestation of an infection. The client is at risk for neutropenia
due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurse expect?
- Facial butterfly rash
, A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as the
priority?
- Place tach tray at the bedside
in case of airway obstruction
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
- Low urine specific gravity
Decreased water reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to the hormone.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
- You will need to stay still in the bed during each treatment session.
limited movement because excessive movement can cause the radioactive source
to become dislodged.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of
the following interventions should the nurse include in the plan?
- Encourage the client to take deep breaths after the procedure
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
- Slow the infusion rate
circulatory overload. The nurse should slow or stop the infusion to improve the
client's ability to breathe, place the client in an upright position, and notify the
provider. The provider might prescribe a diuretic to alleviate the fluid overload.
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the
nurse provide?
- Hemodialys is something required following surgery
