ATI PN MED-SURG B FOR NEW EXAM 2022 A SCORED SOLUTION
A nurse is contributing to the plan of care to promote a restful night's sleep for a client who has
Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
- CORRECT ANSWER Offer a small snake at bedtime
A nurse is reinforcing teaching with a client who has CKD about disease management. Which of
the following statements by the client indicates an understanding of the teaching? - CORRECT
ANSWER "I will limit my daily intake of protein"
A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which
of the following findings should the nurse report to the provider? - CORRECT ANSWER
Diminished breath sounds
A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify
the sequence of actions the nurse should follow. - CORRECT ANSWER Lower the client to the
floor
Place a pad beneath the client's head
Loosen the clothing around the client's neck
Time the length of the client's seizure
Reorient and reassure the client
A nurse is reinforcing teaching with a client who has a new dx of genital herpes. Which of the
following information should the nurse include in the teaching? - CORRECT ANSWER "The virus
can be transmitted without lesions present"
A nurse is planning care for a group of clients after receiving change-of-shift report. Which of
the following clients should the nurse plan to see first? - CORRECT ANSWER A client who is
dehydrated, has mental confusion, and was found getting out of bed several times during the
night
A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports
increased pain at the site of the fx. Which of the following actions should the nurse take? -
CORRECT ANSWER Reposition the client
A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following
statements by the client indicates and understanding of the teaching? - CORRECT ANSWER "The
med should be taken before I eat breakfast every morning"
A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive
personnel. Which of the following instructions should the nurse give the AP? - CORRECT
ANSWER Allow the weights to hang freely
, A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new dx of
COPD. The nurse should identify which of the following client statements indicates an
understanding of the teaching? - CORRECT ANSWER "Pursed lip breathing works best for
activities like walking up stairs"
A nurse is admitting a client who is suspected of having active TB. Which of the following
actions should the nurse take first? - CORRECT ANSWER Institute airborne precautions
A nurse is preparing a client for cardiac catheterization. Which of the following actions should
the nurse take first? - CORRECT ANSWER Verify the client has given informed consent
A nurse is assisting in the plan of care for a client who had a recent L hemispheric stroke. Which
of the following actions should the nurse include in the plan? - CORRECT ANSWER Use simple
verbal cues when directing tasks
A nurse is assisting with an educational program for clients who have been newly dx with DM.
Which of the following instructions should the nurse include in the program regarding insulin? -
CORRECT ANSWER Opened insulin can be stored on a cool countertop away from light
A nurse is caring for a client who report SOB and has O2 sats of 90%. Which of the following
actions should the nurse take? - CORRECT ANSWER Administer oxygen via nasal cannula
A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a client who has
peptic ulcer disease and developed GI bleeding. Which of the following images indicates the
tube that the nurse should select? - CORRECT ANSWER In a double-lumen gastric (Salem) sump
tube, the clear portion of the tube allows for aspiration of stomach contents. The blue portion
of the tube, or the "pig tail", vents the tube to the atmosphere, which prevents the tube from
becoming lodged against the wall of the stomach and protects the stomach from damage
A nurse is contributing to the plan of care for a client who has pericarditis. In which of the
following positions should the nurse plan to place the client to decrease pain? - CORRECT
ANSWER Upright, leaning forward
A nurse is reviewing the med record of a client who is taking digoxin. Which of the following
meds should the nurse identify as increasing the risk for the client to develop digoxin toxicity? -
CORRECT ANSWER Furosemide
A nurse is reinforcing teaching to a client about preventing osteoporosis. Which of the following
statements indicates an understanding of the teaching? - CORRECT ANSWER "I will limit my
coffee intake"
A nurse is reinforcing teaching with a client who has Crohn's disease. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWER "Maintain a low-
residue diet"
A nurse is contributing to the plan of care to promote a restful night's sleep for a client who has
Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
- CORRECT ANSWER Offer a small snake at bedtime
A nurse is reinforcing teaching with a client who has CKD about disease management. Which of
the following statements by the client indicates an understanding of the teaching? - CORRECT
ANSWER "I will limit my daily intake of protein"
A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which
of the following findings should the nurse report to the provider? - CORRECT ANSWER
Diminished breath sounds
A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify
the sequence of actions the nurse should follow. - CORRECT ANSWER Lower the client to the
floor
Place a pad beneath the client's head
Loosen the clothing around the client's neck
Time the length of the client's seizure
Reorient and reassure the client
A nurse is reinforcing teaching with a client who has a new dx of genital herpes. Which of the
following information should the nurse include in the teaching? - CORRECT ANSWER "The virus
can be transmitted without lesions present"
A nurse is planning care for a group of clients after receiving change-of-shift report. Which of
the following clients should the nurse plan to see first? - CORRECT ANSWER A client who is
dehydrated, has mental confusion, and was found getting out of bed several times during the
night
A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports
increased pain at the site of the fx. Which of the following actions should the nurse take? -
CORRECT ANSWER Reposition the client
A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following
statements by the client indicates and understanding of the teaching? - CORRECT ANSWER "The
med should be taken before I eat breakfast every morning"
A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive
personnel. Which of the following instructions should the nurse give the AP? - CORRECT
ANSWER Allow the weights to hang freely
, A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new dx of
COPD. The nurse should identify which of the following client statements indicates an
understanding of the teaching? - CORRECT ANSWER "Pursed lip breathing works best for
activities like walking up stairs"
A nurse is admitting a client who is suspected of having active TB. Which of the following
actions should the nurse take first? - CORRECT ANSWER Institute airborne precautions
A nurse is preparing a client for cardiac catheterization. Which of the following actions should
the nurse take first? - CORRECT ANSWER Verify the client has given informed consent
A nurse is assisting in the plan of care for a client who had a recent L hemispheric stroke. Which
of the following actions should the nurse include in the plan? - CORRECT ANSWER Use simple
verbal cues when directing tasks
A nurse is assisting with an educational program for clients who have been newly dx with DM.
Which of the following instructions should the nurse include in the program regarding insulin? -
CORRECT ANSWER Opened insulin can be stored on a cool countertop away from light
A nurse is caring for a client who report SOB and has O2 sats of 90%. Which of the following
actions should the nurse take? - CORRECT ANSWER Administer oxygen via nasal cannula
A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a client who has
peptic ulcer disease and developed GI bleeding. Which of the following images indicates the
tube that the nurse should select? - CORRECT ANSWER In a double-lumen gastric (Salem) sump
tube, the clear portion of the tube allows for aspiration of stomach contents. The blue portion
of the tube, or the "pig tail", vents the tube to the atmosphere, which prevents the tube from
becoming lodged against the wall of the stomach and protects the stomach from damage
A nurse is contributing to the plan of care for a client who has pericarditis. In which of the
following positions should the nurse plan to place the client to decrease pain? - CORRECT
ANSWER Upright, leaning forward
A nurse is reviewing the med record of a client who is taking digoxin. Which of the following
meds should the nurse identify as increasing the risk for the client to develop digoxin toxicity? -
CORRECT ANSWER Furosemide
A nurse is reinforcing teaching to a client about preventing osteoporosis. Which of the following
statements indicates an understanding of the teaching? - CORRECT ANSWER "I will limit my
coffee intake"
A nurse is reinforcing teaching with a client who has Crohn's disease. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWER "Maintain a low-
residue diet"
