2022 NEW EXAM FOR ATI MED SURG PRACTICE TEST A QUESTIONS WITH
CORRECT ANSWERS GET AN A SOLUTION
A nurse is caring for a client who has hepatic encephalopathy and is being treated with
lactulose. The client is experiencing excessive stools. Which of the following is an adverse effect
of this medication.
- Hypokalemia
*Lactulose works by stimulating the production of excess stools to rid the body of excess
ammonia. These excessive stools can result in hypokalemia and dehydration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first.
- Instruct the client to allow the machine to breathe for them.
*Use the least restrictive intervention.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations should the nurse recommend.
- Add cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in
fiber, low in fat, low in refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli are high in fiber.
A home health nurse is assigned to a client who was recently discharged from a rehab center
after experiencing a right-hemispheric stroke. Which of the following neurological deficits
should the nurse expect to find when assessing the client? (Select all that apply)
- Visual Spatial deficits
left hemianopsia
one sided neglect
A nurse is caring for a client who has viral pneumonia. The clients pulse o readings have
fluctuated between 79% and 88% for the last 30 minutes. Which of the following O2 delivery
systems should the nurse initiate to provide the highest concentration of O2?
- Nonrebreather mask
The nurse should initiate this mask to deliver between 80% to 95% O2 to the client. A client
who has an unstable respiratory status should receive oxygen via a non rebreather mask.
A nurse is caring for a client who has bilateral pneumonia and a SaO2 of 85%. The client has
dyspnea with a productive cough and is using accessory muscles to breathe. Which of the
following actions should the nurse take first?
, - Place the client in high Fowler's position. The clients greatest risk is airway obstruction. High
Fowler's facilitates lung expansion and improves ventilation and gas exchange.
A nurse is planning care for a client who has extensive burn injuries and is immune
compromised. Which of the following precautions should the nurse include in the plan of care
to prevent a Pseudomonas aeruginosa infection?
- Avoid placing plants or flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
- A urine specific gravity of 1.045
A USG greater than 1.030 indicates a decrease injuries volume and an increase in Osmolality,
which is a manifestation of hypertonic dehydration.
A nurse in an emergency department is viewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
nurse expect.
- Administer an opioid analgesic to the client.
The nurse should expect a prescription to help with pain.
A nurse is assessing a client who has a suspected stroke. The nurse should place the priority on
which of the following findings
. - Dysphagia
*Airway *Aspiration
A nurse is teaching a young adult client how to perform testicular self examination. Which of
the following instructions should the nurse include?
- Roll each testicle between the thumb and fingers.
The nurse should instruct the client to roll each testicle horizontally between the thumbs and
fingers to feel for any lumps deep in the center of the testicle.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - "I should take this medication with a meal"
The client should take metformin with or immediately following meals to improve absorption
and to minimize gastrointestinal distress.
CORRECT ANSWERS GET AN A SOLUTION
A nurse is caring for a client who has hepatic encephalopathy and is being treated with
lactulose. The client is experiencing excessive stools. Which of the following is an adverse effect
of this medication.
- Hypokalemia
*Lactulose works by stimulating the production of excess stools to rid the body of excess
ammonia. These excessive stools can result in hypokalemia and dehydration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first.
- Instruct the client to allow the machine to breathe for them.
*Use the least restrictive intervention.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations should the nurse recommend.
- Add cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in
fiber, low in fat, low in refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli are high in fiber.
A home health nurse is assigned to a client who was recently discharged from a rehab center
after experiencing a right-hemispheric stroke. Which of the following neurological deficits
should the nurse expect to find when assessing the client? (Select all that apply)
- Visual Spatial deficits
left hemianopsia
one sided neglect
A nurse is caring for a client who has viral pneumonia. The clients pulse o readings have
fluctuated between 79% and 88% for the last 30 minutes. Which of the following O2 delivery
systems should the nurse initiate to provide the highest concentration of O2?
- Nonrebreather mask
The nurse should initiate this mask to deliver between 80% to 95% O2 to the client. A client
who has an unstable respiratory status should receive oxygen via a non rebreather mask.
A nurse is caring for a client who has bilateral pneumonia and a SaO2 of 85%. The client has
dyspnea with a productive cough and is using accessory muscles to breathe. Which of the
following actions should the nurse take first?
, - Place the client in high Fowler's position. The clients greatest risk is airway obstruction. High
Fowler's facilitates lung expansion and improves ventilation and gas exchange.
A nurse is planning care for a client who has extensive burn injuries and is immune
compromised. Which of the following precautions should the nurse include in the plan of care
to prevent a Pseudomonas aeruginosa infection?
- Avoid placing plants or flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
- A urine specific gravity of 1.045
A USG greater than 1.030 indicates a decrease injuries volume and an increase in Osmolality,
which is a manifestation of hypertonic dehydration.
A nurse in an emergency department is viewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
nurse expect.
- Administer an opioid analgesic to the client.
The nurse should expect a prescription to help with pain.
A nurse is assessing a client who has a suspected stroke. The nurse should place the priority on
which of the following findings
. - Dysphagia
*Airway *Aspiration
A nurse is teaching a young adult client how to perform testicular self examination. Which of
the following instructions should the nurse include?
- Roll each testicle between the thumb and fingers.
The nurse should instruct the client to roll each testicle horizontally between the thumbs and
fingers to feel for any lumps deep in the center of the testicle.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - "I should take this medication with a meal"
The client should take metformin with or immediately following meals to improve absorption
and to minimize gastrointestinal distress.
