Medical Surgical 3 Combination (All 3 forms + New Questions by ATI)
1.
4. A nurse is preparing to administer a unit of packed RBCs (Unable to read)
A. Obtain the client’s first set of vital signs 1 hr. after
B. Initiate venous access with a 21-gauge needle
C. Administer the unit of packed RBCs over 1 hr.
D. Use Y tubing with 0.9% sodium chloride when administering the
(prime line with 0.45% saline)
5. A nurse is planning care for a client who has upper gastrointestinal bleeding during (Unable to read) nurse
plan to take?
A. Insert large bore NG tube
B. Ensure that the client has 22-gauge IV line in place
C. Provide ketorolac for abdominal pain
D. Administer nitroprusside IV based on client’s weight
(Administer IV fluids)
6. A nurse is caring for a client who has intractable vomiting. The client’s ABG findings are Ph 7.8 HCO3 35
mEq Pao2 90mm Hg. The nurse should identify these findings as indicating which of the following acid base
imbalances?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic alkalosis
,7. The nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber
rises and falls. Which of the following statements should the nurse make?
A. “Your breathing pattern causes this”
B. “Suction pressure that is too high causes this”
C. “This means your lung is fully expanded”
D. “This indicates a possible leak”
9. A nurse is reviewing the laboratory result report for patient with pancreatitis, which are expected findings?
A. Decreased serum amylase (elevated)
B. Elevated serum calcium (HYPOcalcemia)
C. Decreased erythrocyte sedimentation rate (elevated)
D. Elevated blood glucose level
10. A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed
several times. Which of the following should the nurse do first?
A. Flush IV catheter
B. Reposition Client’s left arm
C. Ensure the tubing connection is secure
D. Check the IV site for redness
12. A nurse is providing teaching to a client who has left sided heart failure. Which of the following are
expected findings to include in patient teaching?
A. Neck distention
B. Anorexia
C. Ankle edema
D. Hacking cough
(had different options)
14. A nurse is administering packed RBC’s to a client. The nurse notices the patient itching all over, which of
the following actions should the nurse take first? (Patient was having a reaction)
A. Stop the infusionà SLOW the infusion (was an option)
B. Collect a urine sample
, C. Administer oxygen to the client
D. Check the client’s vital signs
15. A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the
following should the nurse include?
A. Limit visitation time for the client’s children to 40 minutes a day
B. Provide a diet of fresh fruits and vegetables for the client
C. Apply new gloves when alternating between wound care sites
D. Clean the equipment in the client’s room once per week
16.
(answer- WBC is low)
17. A nurse is teaching a adult who is immunocompromised (Unable to read) Patient has HIV which to give? (I
think)
A. Varicella
B. Herpes zoster
C. Pneumococcal
D. Measles, mumps rubella
( flu vaccine was option)
18. A nurse is assessing a client who is taking digoxin. Which of the following findings should the nurse the
nurse looks for?
A. Potassium level of 4.3 mEq/L
B. Elevated heart rate
C. Digoxin level 0.8 ng/mL
D. Appearance of halos around (unable to read)
1.
4. A nurse is preparing to administer a unit of packed RBCs (Unable to read)
A. Obtain the client’s first set of vital signs 1 hr. after
B. Initiate venous access with a 21-gauge needle
C. Administer the unit of packed RBCs over 1 hr.
D. Use Y tubing with 0.9% sodium chloride when administering the
(prime line with 0.45% saline)
5. A nurse is planning care for a client who has upper gastrointestinal bleeding during (Unable to read) nurse
plan to take?
A. Insert large bore NG tube
B. Ensure that the client has 22-gauge IV line in place
C. Provide ketorolac for abdominal pain
D. Administer nitroprusside IV based on client’s weight
(Administer IV fluids)
6. A nurse is caring for a client who has intractable vomiting. The client’s ABG findings are Ph 7.8 HCO3 35
mEq Pao2 90mm Hg. The nurse should identify these findings as indicating which of the following acid base
imbalances?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic alkalosis
,7. The nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber
rises and falls. Which of the following statements should the nurse make?
A. “Your breathing pattern causes this”
B. “Suction pressure that is too high causes this”
C. “This means your lung is fully expanded”
D. “This indicates a possible leak”
9. A nurse is reviewing the laboratory result report for patient with pancreatitis, which are expected findings?
A. Decreased serum amylase (elevated)
B. Elevated serum calcium (HYPOcalcemia)
C. Decreased erythrocyte sedimentation rate (elevated)
D. Elevated blood glucose level
10. A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed
several times. Which of the following should the nurse do first?
A. Flush IV catheter
B. Reposition Client’s left arm
C. Ensure the tubing connection is secure
D. Check the IV site for redness
12. A nurse is providing teaching to a client who has left sided heart failure. Which of the following are
expected findings to include in patient teaching?
A. Neck distention
B. Anorexia
C. Ankle edema
D. Hacking cough
(had different options)
14. A nurse is administering packed RBC’s to a client. The nurse notices the patient itching all over, which of
the following actions should the nurse take first? (Patient was having a reaction)
A. Stop the infusionà SLOW the infusion (was an option)
B. Collect a urine sample
, C. Administer oxygen to the client
D. Check the client’s vital signs
15. A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the
following should the nurse include?
A. Limit visitation time for the client’s children to 40 minutes a day
B. Provide a diet of fresh fruits and vegetables for the client
C. Apply new gloves when alternating between wound care sites
D. Clean the equipment in the client’s room once per week
16.
(answer- WBC is low)
17. A nurse is teaching a adult who is immunocompromised (Unable to read) Patient has HIV which to give? (I
think)
A. Varicella
B. Herpes zoster
C. Pneumococcal
D. Measles, mumps rubella
( flu vaccine was option)
18. A nurse is assessing a client who is taking digoxin. Which of the following findings should the nurse the
nurse looks for?
A. Potassium level of 4.3 mEq/L
B. Elevated heart rate
C. Digoxin level 0.8 ng/mL
D. Appearance of halos around (unable to read)
