EXAM 1 –
ATI ADULT HEALTH MED SURG EXAM 1 FINAL ( VERSIONS 1-6) STUDY GUIDE 2021/2022
AH1
EXAM 1– AH1
A nurse obtains the health history of a client who is recently diagnosed with lung cancer
and identifies that the client has a 60–pack-year smoking history. Which action is most
important for the nurse to take when interviewing this client?
a Tell the client that he needs to quit smoking to stop further cancer
. development.
b Encourage the client to be completely honest about both tobacco and
. marijuana use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel
guilty.
d Avoid giving the client false hope regarding cancer treatment and
. prognosis.
A nurse prepares a client for coronary artery bypass graft surgery. The client states, “I am
afraid I might die.” How should the nurse respond?
a. “This is a routine surgery and the risk of death is
very low.”
b. “Would you like to speak with a chaplain prior to
surgery?”
c. “Tell me more about your concerns about the
surgery.”
d. “What support systems do you have to assist you?”
An emergency room nurse obtains the health history of a client. Which statement by the
client should alert the nurse to the occurrence of heart failure?
a. “I get short of breath when I
climb stairs.”
b. “I see halos floating around my
head.”
c. “I have trouble remembering
things.”
d. “I have lost weight over the past
month.”
A student is practicing suctioning a tracheostomy in the skills laboratory. What action by
the student demonstrates that more teaching is needed?
a. Applying suction while inserting the
catheter
b. Preoxygenating the client prior to
suctioning
c. Suctioning for a total of three times if
needed
d. Suctioning for only 10 to 15 seconds
each time
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which
assessment finding requires immediate intervention?
,a Urinary output less than
. intake
b Bruising at the insertion
. site
,c. Slurred speech and
confusion
d Discomfort in the left leg
.
A nurse obtains the health history of a client who is newly admitted to the medical unit.
Which statement by the client should alert the nurse to the presence of edema?
a. “I wake up to go to the bathroom at
night.”
b. “My shoes fit tighter by the end of the
day.”
c. “I seem to be feeling more anxious
lately.”
d. “I drink at least eight glasses of water a
day.”
While assessing a client who has facial trauma, the nurse auscultates stridor. The client is
anxious and restless. Which action should the nurse take first?
a Contact the provider and prepare for
. intubation.
b Administer prescribed albuterol nebulizer
. therapy.
c. Place the client in high-Fowler’s position.
d Ask the client to perform deep-breathing
. exercises.
A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is
the priority?
a Administer prescribed anxiolytic
. medication.
b Ensure informed consent is on the
. chart.
c. Reinforce any teaching done
previously.
d Start the preoperative antibiotic
. infusion.
A nurse is caring for a client using oxygen while in the hospital. What assessment finding
indicates that goals for a priority diagnosis are being met?
a 100% of meals being eaten by the
. client
b Intact skin behind the ears
.
c. The client understanding the need for
oxygen
d Unchanged weight for the past 3 days
.
,
ATI ADULT HEALTH MED SURG EXAM 1 FINAL ( VERSIONS 1-6) STUDY GUIDE 2021/2022
AH1
EXAM 1– AH1
A nurse obtains the health history of a client who is recently diagnosed with lung cancer
and identifies that the client has a 60–pack-year smoking history. Which action is most
important for the nurse to take when interviewing this client?
a Tell the client that he needs to quit smoking to stop further cancer
. development.
b Encourage the client to be completely honest about both tobacco and
. marijuana use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel
guilty.
d Avoid giving the client false hope regarding cancer treatment and
. prognosis.
A nurse prepares a client for coronary artery bypass graft surgery. The client states, “I am
afraid I might die.” How should the nurse respond?
a. “This is a routine surgery and the risk of death is
very low.”
b. “Would you like to speak with a chaplain prior to
surgery?”
c. “Tell me more about your concerns about the
surgery.”
d. “What support systems do you have to assist you?”
An emergency room nurse obtains the health history of a client. Which statement by the
client should alert the nurse to the occurrence of heart failure?
a. “I get short of breath when I
climb stairs.”
b. “I see halos floating around my
head.”
c. “I have trouble remembering
things.”
d. “I have lost weight over the past
month.”
A student is practicing suctioning a tracheostomy in the skills laboratory. What action by
the student demonstrates that more teaching is needed?
a. Applying suction while inserting the
catheter
b. Preoxygenating the client prior to
suctioning
c. Suctioning for a total of three times if
needed
d. Suctioning for only 10 to 15 seconds
each time
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which
assessment finding requires immediate intervention?
,a Urinary output less than
. intake
b Bruising at the insertion
. site
,c. Slurred speech and
confusion
d Discomfort in the left leg
.
A nurse obtains the health history of a client who is newly admitted to the medical unit.
Which statement by the client should alert the nurse to the presence of edema?
a. “I wake up to go to the bathroom at
night.”
b. “My shoes fit tighter by the end of the
day.”
c. “I seem to be feeling more anxious
lately.”
d. “I drink at least eight glasses of water a
day.”
While assessing a client who has facial trauma, the nurse auscultates stridor. The client is
anxious and restless. Which action should the nurse take first?
a Contact the provider and prepare for
. intubation.
b Administer prescribed albuterol nebulizer
. therapy.
c. Place the client in high-Fowler’s position.
d Ask the client to perform deep-breathing
. exercises.
A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is
the priority?
a Administer prescribed anxiolytic
. medication.
b Ensure informed consent is on the
. chart.
c. Reinforce any teaching done
previously.
d Start the preoperative antibiotic
. infusion.
A nurse is caring for a client using oxygen while in the hospital. What assessment finding
indicates that goals for a priority diagnosis are being met?
a 100% of meals being eaten by the
. client
b Intact skin behind the ears
.
c. The client understanding the need for
oxygen
d Unchanged weight for the past 3 days
.
,
