ATI Med Surg Proctored Exam
A nurse is caring for a client who is receiving chemotherapy and requests information
about acupuncture to relieve some of the side effects. which of the following findings
should the nurse identify as a contraindication to receiving this alternative therapy?
Correct answer- Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the
nurse set the IV ump to administer? Correct answer- 33
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? Correct answer- 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. Correct answer- 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. Correct answer- 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
their role change? Correct answer- 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? Correct answer- 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
of the following IV medications? Correct answer- 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? Correct answer- 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 of the following assessment findings should the nurse identify as a parenteral
trigger for exacerbation of Raynaud's? Correct answer- 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? Correct answer-
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
should the nurse include in the plan of care? Correct answer- 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? Correct answer-
A nurse in the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on rhe "exhibit" button for additional
information about the client Correct answer- 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? Correct answer- Historyof 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? Correct answer- 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.
Identify the sequence of steps the nurse should follow. Correct answer- 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 traensfuntion 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 following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching. Correct answer- I should expect less than
25 ml of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In response to
painful stimuli, the client does not open her eyes, displays decerebrate posturing and
A nurse is caring for a client who is receiving chemotherapy and requests information
about acupuncture to relieve some of the side effects. which of the following findings
should the nurse identify as a contraindication to receiving this alternative therapy?
Correct answer- Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the
nurse set the IV ump to administer? Correct answer- 33
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? Correct answer- 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. Correct answer- 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. Correct answer- 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
their role change? Correct answer- 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? Correct answer- 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
of the following IV medications? Correct answer- 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? Correct answer- 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 of the following assessment findings should the nurse identify as a parenteral
trigger for exacerbation of Raynaud's? Correct answer- 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? Correct answer-
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
should the nurse include in the plan of care? Correct answer- 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? Correct answer-
A nurse in the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on rhe "exhibit" button for additional
information about the client Correct answer- 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? Correct answer- Historyof 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? Correct answer- 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.
Identify the sequence of steps the nurse should follow. Correct answer- 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 traensfuntion 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 following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching. Correct answer- I should expect less than
25 ml of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In response to
painful stimuli, the client does not open her eyes, displays decerebrate posturing and
