ATI Med Surge Proctored Exam 2023
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of
the following actions should the nurse take Ensure the client's weights are hanging freely from the
bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
Take this medication between meals
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
Take this medication between meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse recommend? Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? Avoid medications in
capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an
escharotomy and wants to know what the procedure involves. Which of the following statements is
appropriate for the nurse to make? "Large incisions will be made in the burned tissue to improve
circulation."
A nurse is collecting data from a client who has a possible cataract. Which of the following
manifestations should the nurse expect the client to report? Decreased color perception
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving
continuous gastrointestinal decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? Maintain the client in Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations
should the nurse expect to observe? (Select all that apply.) 1) Buffalo hump 2) Purple striations 3)
Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following
actions should the nurse take? Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper
gastric pain. Which of the following statements should the nurse include in the teaching? "You
will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a
generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when
documenting this finding in the medical record? Postictal phase
, A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic
cholecystectomy. Which of the following statements should the nurse make? "The pain will dissipate
if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take? Verify
that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that apply.) Encourage fluid intake. 2) Monitor the
puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured
mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize
which of the following is the priority action? Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the
nurse expect? Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take? Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client? Airway
obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has
not been any urinary output in the last hour. Which of the following actions should the nurse perform
first? Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse
make? "The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse include in the plan? Re-establish
communication.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the
client for which of the following manifestations? Hypotension
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? Take temperature once a day
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of
the following actions should the nurse take Ensure the client's weights are hanging freely from the
bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
Take this medication between meals
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
Take this medication between meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse recommend? Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? Avoid medications in
capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an
escharotomy and wants to know what the procedure involves. Which of the following statements is
appropriate for the nurse to make? "Large incisions will be made in the burned tissue to improve
circulation."
A nurse is collecting data from a client who has a possible cataract. Which of the following
manifestations should the nurse expect the client to report? Decreased color perception
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving
continuous gastrointestinal decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? Maintain the client in Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations
should the nurse expect to observe? (Select all that apply.) 1) Buffalo hump 2) Purple striations 3)
Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following
actions should the nurse take? Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper
gastric pain. Which of the following statements should the nurse include in the teaching? "You
will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a
generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when
documenting this finding in the medical record? Postictal phase
, A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic
cholecystectomy. Which of the following statements should the nurse make? "The pain will dissipate
if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take? Verify
that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that apply.) Encourage fluid intake. 2) Monitor the
puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured
mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize
which of the following is the priority action? Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the
nurse expect? Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take? Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client? Airway
obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has
not been any urinary output in the last hour. Which of the following actions should the nurse perform
first? Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse
make? "The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse include in the plan? Re-establish
communication.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the
client for which of the following manifestations? Hypotension
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? Take temperature once a day
