ATI Med-Surg Proctored Exam Review
Respiratory Alkalosis S/S - lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for
Osteoporosis. Which intervention should the nurse include to prevent bone loss? -
Encourage weight bearing exercises (such as walking because it can help maintain
bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following
personal protective equipment should the nurse use? - Mask (this disease requires
droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What
information should the nurse include in the teaching? - This type of insulin should be
given at the same time everyday. (It is released over a 24hr period)
A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. What statement by the client indicates that they are
adhering to the nurse's instructions? - "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus
(MRSA) infections in a surgical wound. What information should the nurse plan to share
with visitors? - Visitors must don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription
for hydrochlorothiazide. What should the client report to the provider? - Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What
action should the nurse take when communicating with the client? - Rephrase client
instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty.
The client is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should
recognize these findings as what complication? - Pulmonary Embolism
, A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture. What finding should the nurse recognize as abnormal? -
Lack of sensation between the first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE)
and is to begin taking methylprednisolone orally. What should the nurse include in the
teaching? - Limit contact with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery &
has an NG tube. What action should the nurse plan to take to decrease the risk of
postoperative complications? - Encourage the client to use an incentive spirometer
every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia. What finding should the nurse expect related to hyperkalemia? -
Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What
provider prescriptions should the nurse implement first? - Initiate oxygen at 4 L/min via
nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." What response should the nurse make? - "Tell me
more about the way you are feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the
nurse identify as the priority? - Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the
nurse perform to reduce skin breakdown? - Keep the skin dry and free of perspiration
A nurse is contributing to the plan of care for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infections and is on contract isolation precautions.
What action should the nurse take? - Have a designated stethoscope in the client's
room
A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15
min ago by the RN. The client reports dyspnea and urticaria. What action should the
nurse perform first? - Stop the infusion
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical
bowel obstruction in the descending colon. When listening in the left upper quadrant,
the nurse should identify this sound as what? - Hyperactive bowel sounds
Respiratory Alkalosis S/S - lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for
Osteoporosis. Which intervention should the nurse include to prevent bone loss? -
Encourage weight bearing exercises (such as walking because it can help maintain
bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following
personal protective equipment should the nurse use? - Mask (this disease requires
droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What
information should the nurse include in the teaching? - This type of insulin should be
given at the same time everyday. (It is released over a 24hr period)
A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. What statement by the client indicates that they are
adhering to the nurse's instructions? - "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus
(MRSA) infections in a surgical wound. What information should the nurse plan to share
with visitors? - Visitors must don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription
for hydrochlorothiazide. What should the client report to the provider? - Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What
action should the nurse take when communicating with the client? - Rephrase client
instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty.
The client is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should
recognize these findings as what complication? - Pulmonary Embolism
, A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture. What finding should the nurse recognize as abnormal? -
Lack of sensation between the first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE)
and is to begin taking methylprednisolone orally. What should the nurse include in the
teaching? - Limit contact with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery &
has an NG tube. What action should the nurse plan to take to decrease the risk of
postoperative complications? - Encourage the client to use an incentive spirometer
every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia. What finding should the nurse expect related to hyperkalemia? -
Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What
provider prescriptions should the nurse implement first? - Initiate oxygen at 4 L/min via
nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." What response should the nurse make? - "Tell me
more about the way you are feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the
nurse identify as the priority? - Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the
nurse perform to reduce skin breakdown? - Keep the skin dry and free of perspiration
A nurse is contributing to the plan of care for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infections and is on contract isolation precautions.
What action should the nurse take? - Have a designated stethoscope in the client's
room
A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15
min ago by the RN. The client reports dyspnea and urticaria. What action should the
nurse perform first? - Stop the infusion
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical
bowel obstruction in the descending colon. When listening in the left upper quadrant,
the nurse should identify this sound as what? - Hyperactive bowel sounds
