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ATI Med-Surg proctored Exam

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A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? 1) Provide humidiBed oxygen. 2) Perform chest physiotherapy prior to suctioning. 3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. 4) Hyperventilate the client with 100% oxygen before suctioning the airway.. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports diGculty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? 1) Rub the client's feet briskly for several minutes. 2) Obtain a pair of slipper socks for the client. 3) Increase the client's oral Kuid intake. 4) Place a moist heating pad under the client's feet. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority Onding for the nurse report to the provider? 1) Emesis of 100 mL 2) Oral temperature of 37.5° C (99.5° F) 3) Thick, red-colored urine 4) Pain level of 4 on a 0 to 10 rating scale A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse eXects of the hypothermia blanket? 1) Shivering 2) Infection 3) Burns 4) Hypervolemia A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? 1) "I will carry a complex carbohydrate snack with me when I exercise." 2) "I should exercise Brst thing in the morning before eating breakfast." 3) "I should avoid injecting insulin into my thigh if I am going to go running." 4) "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take Orst? 1) Cover the client's wound with a moist, sterile dressing. 2) Have the client lie supine with knees Kexed. 3) Check the client's vital signs. 4) Inform the client about the need to return to surgery. Downloaded by Ada LP () lOMoARcPSD| A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect

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ATI Obstetrics Exam Study Review


Blue = course hero answers Green = correct Yellow= unsure




1. A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical
manifestations should the nurse identify as a complication of the birth method?

A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopumonary dysplasia



2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which
of the following statement by client indicates an understanding of the teaching?

A. “The medication could cause me to experience heart palpitation”
B. “This medication could cause me to experience blurred vision”
C. “This medication could cause me to experience ringing in my ears”
D. “This medication could cause me to experience frequent …”



3. A nurse is assisting the provider to administer a dinoprostone insert labor for a client. Which of the
following actions should the nurse take? (added from another doc)
A. Place the client in semi-lower position for 1hr after administration - I don’t think this is right bc it says to
lay them supine for 1hour not semi-lower
B. Verify that informed consent is obtained prior to administration - CHEGG
C. Allow the medication to reach room temperature prior to administration
D. Instruct the client to avoid urinary elimination until after administration


4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests
should the nurse anticipate?

A. Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture



5. A nurse is caring for a client who is in labor and requests nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?

A. Assisting the client into squatting position -this position helps to widen the pelvic outlet, offers
advantage while pushing as the upper trunk exerts pressure on the top of the uterus and favors progress of
labor with the effect of gravity. This method helps to relieve backache too.
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr - its not every 6 hrs, its every 2 hrs

,6. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the
following findings should the nurse expect?

A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge as per ATI it says yellow-green, frothy vaginal discharge with foul odor



7. A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the
nurse place the Doppler device when assessing the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis - chegg
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process



8.A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the
following findings should the nurse report to the provider?

A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3



9. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the
following adverse effect should the nurse include?

A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills



10. A nurse is assessing a newborn upon admission to the nursery. Which of the following should the
nurse expect?

A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference

, lOMoARcPSD|14763824




11. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the
following interventions should the nurse include in the plan of care.

A. Increase the newborn’s visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position



12. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL.
The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse
take?

A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding



13. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching? (Select all that apply).

A. “I will limit my time in the hot tub to 30 minutes after exercise.”
B. “I should consume three 8-ounce glasses of water after I exercise.” -
C. “I will check my heart rate every 15 minutes during exercise sessions.”
D. “I should limit exercise sessions to 30 minutes when the weather is humid.” - ati says limit to 30 mins
but nothing about the weather being humid.
E. “I should rest by lying on my side for 10 minutes following exercise.”

14. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the
following findings should the charge nurse instruct the staff members to report to the provider?

A. Contraction durations of 95 to 100 seconds -normal contraction are 45-60 seconds
B. Contraction frequency of 2 to 3 min apart
C. Absent early deceleration of fetal heart rate
D. Fetal heart rate is 140/min



15. A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following
findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory
disease (PID)?

A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral Contraceptives
D. Chlamydia Infection

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