University of California: NURSING 496A/ATI Medsurg Questions and Answers Latest 2021/2022,100% CORRECT

University of California: NURSING 496A/ATI Medsurg Questions and Answers Latest 2021/2022 1) A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Nonresponsive Commands 2) A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest 3) A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first? - A client who has diabetes mellitus with diaphoretic 4) A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which of the following instructions should the nurse include? - Examine your testicles after a warm shower 5) A nurse is collecting data from a client who has tuberculosis and started combination therapy 2months ago. Which of the following diagnostic results indicates that the client is adhering to the medication regimen. - A negative sputum culture 6) A nurse is collecting data from a client who has bacterial meningitis. Which of the following findings should the nurse expect? - Severe Headache 7) A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by the client indicated an understanding of the teaching - I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize 8) A nurse is reinforcing teaching with a male client who has right sided hemiparesis about preforming ADL’s. Which of the following instructions should the nurse include in the teaching - Comb your hair with the unaffected arm 9) A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of dyspnea. Which of the following instructions should the nurse include? - Used the pursed lip breathing technique 10) A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity. Which of the following instructions should the nurse include in the teaching - Apply elastic support hoes before getting out of bed in the morning 11) A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The client has a prescription for partial weight bearing. Which of the following actions should the nurse take - Flex at the hip and knees before transferring the client 12) A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove pleural fluid. Which of the following information should the nurse include in the teaching - You will lean forward on the over bed table for this procedure 13) A nurse is reinforcing teaching with a newly licensed nurse about promoting sleep in older adult clients who have Alzheimer’s disease. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching - I will provide the client with a light snack of cheese and crackers at bed time 14) A nurse is reinforcing teaching with a client who is in early stage stages of COPD and wants to use nicotine chewing gum to help him stop smoking. Which of the following recommendations should the nurse make - Do not eat or drink anything 15min before or after chewing the gum 15) A nurse is reinforcing teaching about foot care with a client who has a new diagnosis of diabetes mellitus, which of the following statements by the client indicates an understanding of the instructions - I’ll prop my feet up while im watching television 16) A nurse is contributing to the plan of care for a client who has a neurogenic bladder following a spinal cord injury. Which of the following interventions should the nurse include in the plan to develop bladder control - Stroke the inner thigh 17) A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect - Joint pain 18) A nurse is reinforcing dietary teaching with a client who has a new diagnosis of GERD about foods to avoid because they worsen the manifestations of GERD. Which of the following foods should the nurse instruct the clients to avoid - Peppermint 19) A nurse is planning care for a client who is receiving bolus enteral feedings and is prescribed digoxin and furosemide. Which of the following actions should the nurse take - Flush the tube with water before and after each medication 20) A nurse is reinforcing teaching about the use of an Oxygen concentrator in the home for a client who has end stage emphysema. Which of the following instructions should the nurse include to promote client safety - Maintain an electrical back up system 21) A nurse is caring for a client who has type 1 diabetes mellitus and reports hunger and weakness. The clients blood glucose is 50gm/dL. Which of the following actions should the nurse take -Have the client drink a glass of milk 22) A nurse is assisting a client who has hypertension in making healthy dietary selections regarding sodium intake. Which of the following foods should the nurse instruct the client to avoid? - Pretzels 23) A nurse is collecting data from a client who has a new diagnosis of pheochromocytoma. Which of the following findings should the nurse expect - Hypertension 24) A nurse is reinforcing teaching with a client who has gastric bleeding and is to have a gastric lavage by closed system irrigation. Which of the following statements should the nurse include? - You should expect to be positioned in a semi-upright position 25) A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect - Peripheral Edema - Hepatomegaly - Abdominal Distension 26) A nurse is reinforcing teaching with a client who is experiencing neutropenia as a result of chemotherapy. Which of the following information should the nurse include - Bathe with antimicrobial soap daily - Take temperature daily - Avoid gardening 27) A nurse is reinforcing teaching about home care with the caregiver of a client who is in the early stages of Alzheimer’s disease. Which of the following information should the nurse include - Put labels on the kitchen cabinets and drawers 28) A nurse is collecting data from a nurse who has sodium level of 128mEq/L. Which of the following findings should the nurse expect - Mental Confusion 29) A nurse is reinforcing teaching with a client who has prescription for clopidogrel following a thrombotic stroke. Which of the following information should the nurse include in the teaching - The medication prevents Clot formation 30) A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready to resume eating solid foods. Which of the following food items should the nurse recommend? - Yogurt 31) A nurse is reinforcing teaching about foods high in calcium with a client who has hypocalcemia. Which of the following foods should the nurse recommend as containing the most calcium - 3oz canned salmon 32) A nurse is reinforcing teaching with the caregiver of a client who has a visual impairment due to macular degeneration. Which of the following comments by the client’s caregiver indicates an understanding of the teaching - I will close the blinds to manage glare 33) A nurse is preparing to perform a closed irrigation of an indwelling urinary catheter for a client who had abdominal surgery. Which of the following actions should the nurse plan to take - Stop the irrigation if resistance is felt during fluid instillation 34) A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest drainage system connected to low suction. For which of the following findings should the nurse notify the charge nurse - Persistent bubbling in the water-seal chamber 35) A nurse in a long term facility is delegating client care tasks to staff members. Which of the following tasks should the nurse assign to an assistive personnel (AP)? - Document a client’s output for the shift 36) A nurse is caring for a client who has heart failure and a new prescription for furosemide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication. - Tinnitus 37) A nurse is collecting data from a client who has acute cholecystitis. Which of the following manifestations should the nurse expect - Pain radiating to the right shoulder 38) A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect? - Fruity breath odor 39) A nurse is caring for a client who is preoperative and does not speak the same language as the nurse. Which of the following actions should the nurse take - Incorporate the use of the following actions should the nurse take 40) A nurse is caring for a client who is scheduled for a right total hip arthroplasty. Which of the following actions should the nurse take prior to the procedure? - Collect data from the client about any allergies - Ask the client to state her first and last name - Verify the client has signed the consent form is correct 41) A nurse is reinforcing teaching with a client who has hypertension and a prescription for Lisinopril. Which of the following information should the nurse include in the teaching - Report a persistent cough 42) A nurse is caring for a client who is receiving peripheral IV therapy. The nurse notes that the IV site is red, warm, and painful to the touch. Which of the following actions should the nurse take? - Discontinue the IV and apply a warm, moist compress to the site 43) A nurse is caring for a client who has type1 diabetes mellitus and has undergone a below the knee amputation. Which of the following is the highest priority findings - Skin flap of the residual limb is cool to the touch 44) A nurse is reinforcing teaching before preforming a 12 leafd ECG for a client who has angina pectoris. Which of the following instructions should the nurse include in the teaching - Lie still and relax for the procedure 45) A nurse is reinforcing teaching about mammograms with an adult client who is postmenopausal. Which of the following statements indicates to the nurse that the client understands the teaching? - I should have a mammogram every 1-2 years 46) A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of the following interventions should the nurse include - Keep the clients body centered in the bed 47) A nurse is collecting data from a client who reports amenorrhea and insomnia. Which of the following data should the nurse report to the provider. Click on exhibit - T4 48) A nurse is assisting a client who is on bed rest to preform isometric exercises. Which of the following actions should the nurse take - Instruct the client to tighten and then relax muscles repeatedly 49) A nurse is reinforcing teaching with a client who has a new prescription for Simvastin. Which of the following adverse effects should the nurse include in the teaching - Myalgia 50) A nurse is reinforcing teaching about the prevention of STI’s with a client who is sexually active. Which of the following information should the nurse include in the teaching - Inserting polyurethane female condom is effectivefor prevention of STI’s 51) A nurse is assisting with the admission of a client who has pertussis. Which of the following isolation precautions should the nurse implement - Droplet 52) A nurse is reinforcing teaching with a client who is scheduled for an EEG. Which of the following information should the nurse include in the teaching - Shampoo your hair the night before 53) A nurse is assisting a client to move from a bed to a wheelchair. The client had a total knee arthroplasty 2 days ago and reports generalized weakness. Which of the following is an appropriate action by the nurse - Lock the wheels of the bed and the wheelchair 54) A nurse is reinforcing postoperative teaching with a client who is scheduled for a cataract surgery on his right eye. Which of the following instructions should the nurse include - Wear protective eye shield while sleeping 55) A nurse is reinforcing teaching with a client who has chronic renal failure and is prescribed epoetin alfa. Which of the following information should the nurse include in the teaching. - Epoetin Alfa can reduce your need for a blood transfusion 56) A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see - A client who has chest tubes and an oxygen Sat of 90% 57) A nurse is monitoring a client who has a new prescription for furosemide for peripheral edema. For which of the following adverse effects should the nurse monitor - Muscle Weakness 58) A nurse is preparing to assist with a client who is scheduled for a bronchoscopy. Which of the following actions should the nurse take - Administer supplemental oxygen 59) A registered nurse in an acute care facility is caring for a group of clients with the assistance of a LPN. Which of the following tasks should the RN delegate to the LPN - Inserting an NG tube - Monitoring an IV infusion site is correct - Administering IM Medication 60) A nurse is collecting data from a client who has a fracture of the femur. The nurse notes respiratory distress, fever, and petechiae. Which of the following actions should the nurse take after notifying the provider - Place the clients in high fowlers position 61) A nurse is collecting data from a client and auscultates intermittent high-pitched sounds during inspiration over the lower base of the lungs. The nurse should identify this finding as which of the following lungs sounds - Fine Crackles 62) A nurse is reinforcing teaching with a 73 year old female client above preventing osteoporosis. Which of the following information should the nurse include - Take 2000 international units of Vit D 63) A nurse is contacting the provider of a client who has heart failure and a potassium level of 3.4 mEq/L. Which of the following client medications should the nurse expect the provider to withhold - Digoxin 64) A nurse is collecting data from a client who has left homonymous hemianopia following a stroke. Which of the following cclient findings effective management of homonymous hemianopsia - Eats item from both sides of the lunch tray 65) A nurse is reinforcing discharge teaching with a client who has a new cast. The client is prescribed hydrocodone for pain. The nurse should instruct the client to report immediately which of the following findings to the provider - Swelling of the affected extremity 66) A nurse is contributing to the plan of care for a child who had a stroke and is experiencing dysphagia. Which of the following interventions should the nurse include in the plan - Keep the clients glasses of liquid at least two thirds full 67) A nurse is assisting with the care of a client who has cellulitis and is receiving IV Ceftriaxone. During data collection, the nurse notes the client is flushed and the client reports urticarial. After stopping the IV infusion, which of the following actions should the nurse take first - Check the clients respirations 68) A nurse is collecting data from a client who has new ileostomy. Which of the following findings about the stoma should the nurse report to the provider. - Purple in appearance 69) A nurse is caring for a client who has phantom pain after healing from a below the knee amputation. Which of the following medications should the nurse expect the provider to prescribe to relieve the clients pain. - Pregablin 70) A nurse is implementing transmission prevention measures for a client who has active tuberculosis. Which of the following measures should the nurse include - Place surgical mask on the client when transporting to other departments 71) A nurse is reinforcing teaching about foods that can cause migraines with a client who has a history of migraine headaches. Which of the following foods should the nurse instruct the clients to avoid. - Chocolate - Oranges - Artificial sweeteners 72) A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin. The nurse should include in the teaching that which of the following medications can interact with enoxaparin - Clopidogrel - Asprin - Ginko Biloba 73) A nurse is reinforcing teaching with an older adult client about age related changes. Which of the following physiological changes should the nurse include in the teaching - Reduction in Height - Loss of skin elasticity - Decreased near vision 74) A nurse is assisting in the planning of a health education class for a group of older adult clients. Which of the following recommendations should the nurse include - Obtain pneumococcal immunization 75) A nurse is caring for a newly admitted client who has a wound infected with MRSA. Which of the following precautions should the nurse take - Place the client in a room with another client who has MRSA - Use dedicated equipment for the client is correct - Wear gloves when client contact will occur - Wear protective gown when entering the clients room 76) A nurse is preparing to administer eardrops to an adult client who has otitis media. Which of the following actions should the nurse plan to take. - Warm the bottle by holding it in the palm for 5mins before administering 77) A nurse is collecting data from a client who has diabetes mellitus and a blood glucose level of 61 mg/dL. Which of the following findings should the nurse expect - Difficulty contracting 78) A nurse is collecting data from a client who had a stroke that affected the right side of his brain. Which of the following findings should the nurse expect 79) A nurse is caring for a client who has cancer and is scheduled for pt CT scan. The client states she does not want to have the scan done since she has decided to stop treatment. Which of the following statements should the nurse make - I will inform your provider that you can have chosen not to have the CT Scan preformed 80) A nurse is collecting data from a client who reports dizziness, vertigo, and is preforming the Romberg test. Which of the following instructions should the nurse give the clients about this test. - Open your eyes 81) A nurse is reinforcing teaching with a client who has a history of calcium oxalate, kidey stones. Which of the following statements by the client indicates an understanding of the instructions - I’ll be sure to eliminate peanuts from my diet 82) A nurse examining a client’s rhythm strips notices no visible P waves but many small, erratic spikes throughout the strip as well as variable ventricular rate. The nurse should identify and report this pattern as which of the following dysrhythmias? - Atrial Fibrillation 83) A nurse is preparing to obtain informed consent for a client who is scheduled to have a total laryngectomy with a tracheostomy. The nurse should identify that which of the following client statements indicates an understanding of the procedure - There will be a hole in my neck after this procedure 84) A nurse is administering a tap water enema to a client who has constipation. The client reports abdominal cramping during instillation of the enema. Which of the following actions should the nurse take - Slow the rate of fluid flow