level 3 ATI Med surge
nurse caring for a client who ha PD & is taking carbidopa-levadopa, the client reports
she can move well some days & other days has difficulty w/ ambulation. the nurse
should suspect the client.... - Answer is developing a tolerance to the medication
nurse is collecting data from a client who has c-diff & displays manifestations of
dehydration. which of the following findings should the nurse expect? (all that apply) -
Answer *tenting of the skin
*increased RR
*urine output of 20ml/hr
nurse is collecting data from a client who has hyperkalemia. which of the following
findings should the nurse expect? - Answer bradiacardia
nurse is caring for a client who has Cushing's syndrome & expresses concern regarding
body image changes. which of the following physical changes should the nurse
recognize as a cause for this concern? - Answer truncal obesity
nurse is reinforcing teaching with a client who is to begin taking corticosterids. which of
the following s/e of the medication should the nurse include in the teaching? - Answer
frequent colds
nurse collecting data from a 55 yr old female client who reports vaginal dryness & hot
flashes. the client is interested in trying hormone replacement therapy (HRT). which of
the following should the nurse recognize as a contraindication to HRT? - Answer hx of
tx for blood clots
client who has a new dx of osteoporosis states to a nurse, I am lactose intolerant, so i
cannot eat any dairy products. which of the following by the nurse is appropriate? -
Answer green leafy vegetables, such as spinach, kale, & collard greens are high in
calcium
nurse caring for a client who has manifestations of sepsis.which of the following
provider RX should the nurse implement first? - Answer initiate 02 @ 4 L/min via nasal
cannula
nurse is reinforcing a discharge teaching w/ a client who has MS. which of the following
instructions should the nurse include? - Answer plan to exercise daily
nurse caring for a client who's is experiencing an adrenal crisis. the crisis was
precipitated by the client not taking her meds for several days. withdrawal from which of
the following med is responsible for the client's condition? - Answer prednisone
nurse in an urgent care clinic is caring for a client who has frostbite to the left foot. which
of the following actions should the nurse take first? - Answer place the clients foot in a
water bath at 104 degrees Fahrenheit to prevent further damage of tissue
, level 3 ATI Med surge
nurse is reinforcing discharge teaching w/ a client who has esophageal varices. which of
the following instructions should the nurse include? - Answer consume foods high in
fiber
nurse is reinforcing teaching w/ a newly licensed nurse on how to check a client for
orthostatic hypotension. which of the following instructions should the nurse include? -
Answer wait at least 3 minutes to measure b/p after positioning changes
nurse is caring for a client who is receiving continuous enteral feeding. which of the
following actions should the nurse take? (all that apply) - Answer *elevate the H.O.B to
a 30 degree angle
*auscultate for bowel sounds
*change the tubing & feeding bag q24 hrs
nurse is contributing to the plan of care for a client who has peripheral arterial disease
(PAD) of the lower extremities. which of the following interventions should the nurse
include? - Answer dangle the extremities off the side of the bed to reduce pain &
swelling.
nurse is collecting data from a client who reports having nausea, vomiting &
constipation for the last 48 hrs. which of the following questions should the nurse ask to
help determine if the client is experiencing a bowel obstruction? - Answer "for the can
you describe the odor of your vomit?
nurse in a clinic is caring for a client who has chronic kidney failure & is receiving
epoetin alfa. which of the following lab values indicate the tx is effective? - Answer hgb
11g/dl
nurse is assisting w/ care of a client who was in a motor vehicle crash 4 hrs ago & has
head injury. the nurse should place the client in which of the following positions? -
Answer low-fowler's
nurse is reinforcing teaching with a client who has a left arm cast. which of the following
instructions should the nurse include in the teaching to help promote mobility? - Answer
lift the arm over the head
a nurse is assisting w/ the admission of client who has c-diff. an AP asks the nurse
about transmission-based precautions when caring for the pt. which of the following
statements by the nurse are appropriate responses? - Answer *provide the client w/
disposable utensils & dishes for meals
*leave b/p equipment in the room
*clean contaminated surfaces w/ a bleach solution
nurse is collecting data from an older adult client & notices several skin lesions. the
nurse should report the lesions to the provider if which of the following characteristics
are noted? - Answer variegated color & irregular borders
nurse caring for a client who ha PD & is taking carbidopa-levadopa, the client reports
she can move well some days & other days has difficulty w/ ambulation. the nurse
should suspect the client.... - Answer is developing a tolerance to the medication
nurse is collecting data from a client who has c-diff & displays manifestations of
dehydration. which of the following findings should the nurse expect? (all that apply) -
Answer *tenting of the skin
*increased RR
*urine output of 20ml/hr
nurse is collecting data from a client who has hyperkalemia. which of the following
findings should the nurse expect? - Answer bradiacardia
nurse is caring for a client who has Cushing's syndrome & expresses concern regarding
body image changes. which of the following physical changes should the nurse
recognize as a cause for this concern? - Answer truncal obesity
nurse is reinforcing teaching with a client who is to begin taking corticosterids. which of
the following s/e of the medication should the nurse include in the teaching? - Answer
frequent colds
nurse collecting data from a 55 yr old female client who reports vaginal dryness & hot
flashes. the client is interested in trying hormone replacement therapy (HRT). which of
the following should the nurse recognize as a contraindication to HRT? - Answer hx of
tx for blood clots
client who has a new dx of osteoporosis states to a nurse, I am lactose intolerant, so i
cannot eat any dairy products. which of the following by the nurse is appropriate? -
Answer green leafy vegetables, such as spinach, kale, & collard greens are high in
calcium
nurse caring for a client who has manifestations of sepsis.which of the following
provider RX should the nurse implement first? - Answer initiate 02 @ 4 L/min via nasal
cannula
nurse is reinforcing a discharge teaching w/ a client who has MS. which of the following
instructions should the nurse include? - Answer plan to exercise daily
nurse caring for a client who's is experiencing an adrenal crisis. the crisis was
precipitated by the client not taking her meds for several days. withdrawal from which of
the following med is responsible for the client's condition? - Answer prednisone
nurse in an urgent care clinic is caring for a client who has frostbite to the left foot. which
of the following actions should the nurse take first? - Answer place the clients foot in a
water bath at 104 degrees Fahrenheit to prevent further damage of tissue
, level 3 ATI Med surge
nurse is reinforcing discharge teaching w/ a client who has esophageal varices. which of
the following instructions should the nurse include? - Answer consume foods high in
fiber
nurse is reinforcing teaching w/ a newly licensed nurse on how to check a client for
orthostatic hypotension. which of the following instructions should the nurse include? -
Answer wait at least 3 minutes to measure b/p after positioning changes
nurse is caring for a client who is receiving continuous enteral feeding. which of the
following actions should the nurse take? (all that apply) - Answer *elevate the H.O.B to
a 30 degree angle
*auscultate for bowel sounds
*change the tubing & feeding bag q24 hrs
nurse is contributing to the plan of care for a client who has peripheral arterial disease
(PAD) of the lower extremities. which of the following interventions should the nurse
include? - Answer dangle the extremities off the side of the bed to reduce pain &
swelling.
nurse is collecting data from a client who reports having nausea, vomiting &
constipation for the last 48 hrs. which of the following questions should the nurse ask to
help determine if the client is experiencing a bowel obstruction? - Answer "for the can
you describe the odor of your vomit?
nurse in a clinic is caring for a client who has chronic kidney failure & is receiving
epoetin alfa. which of the following lab values indicate the tx is effective? - Answer hgb
11g/dl
nurse is assisting w/ care of a client who was in a motor vehicle crash 4 hrs ago & has
head injury. the nurse should place the client in which of the following positions? -
Answer low-fowler's
nurse is reinforcing teaching with a client who has a left arm cast. which of the following
instructions should the nurse include in the teaching to help promote mobility? - Answer
lift the arm over the head
a nurse is assisting w/ the admission of client who has c-diff. an AP asks the nurse
about transmission-based precautions when caring for the pt. which of the following
statements by the nurse are appropriate responses? - Answer *provide the client w/
disposable utensils & dishes for meals
*leave b/p equipment in the room
*clean contaminated surfaces w/ a bleach solution
nurse is collecting data from an older adult client & notices several skin lesions. the
nurse should report the lesions to the provider if which of the following characteristics
are noted? - Answer variegated color & irregular borders
