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ATI MED/SURG PROCTORED EXAM PRACTICE

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ATI MED/SURG PROCTORED EXAM PRACTICEA nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? C. Lung cancer usually has metastasized before the client presents with symptoms. A nurse is preparing a plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect this client to have? D. Jackson-Pratt drain A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions should the nurse expect? D. Increased pulmonary congestion A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse, "I am in so much pain." Which of the following actions should the nurse take first? C. Ask the client to describe the characteristics of the pain A nurse is reviewing the laboratory results of a lumbar puncture (LP) for a client who has manifestations of bacterial meningitis. Which of the following findings should the nurse expect? B. Elevated protein A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse's priority? A. Initiate airborne precautions A nurse is providing information to a client who is scheduled for an exercise electrocardiography test. Which of the following client statements indicates an understanding of the teaching? A. "I will not drink coffee 4 hours prior to my test." A nurse is assessing a client who has osteoarthritis. The client's medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect? D. Hard lumps over the joints of the fingers A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hours ago. Which of the following actions should the nurse take? B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hours A nurse is auscultating the lungs of a client who is having an acute asthma attack. Which of the following sounds should the nurse expect to hear? D. Noisy wheezing A nurse is providing discharge teaching to the partner of a client who has acquired immune deficiency syndrome (AIDS). Which of the following statements by the client's partner indicates a need for further teaching? B."I'll clean up blood spills immediately with hot water." A nurse is preparing an in-service presentation about the basics of hematology. Which of the following factors provides a stimulus for the production of RBCs? D. Tissue hypoxia A nurse is admitting a client who is in sickle cell crisis. Besides pain management, which of the following interventions should the nurse include in the client's plan of care? D. Ample hydration A nurse is assessing a client who has Addison's disease. Which of the following findings should the nurse expect? A. Hypotension A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include? A. Limit fluid intake A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile? A. Digesting fats A nurse is assessing an older adult client for physiological changes that can occur with age. Which of the following findings should the nurse expect? B. Decreased sense of taste A nurse is caring for a client with Addison's disease who has been admitted with muscle weakness, dehydration, and nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer? C. Hydrocortisone A nurse is developing a plan of care for a client who as gastroesophageal refulx disease (GERD). The nurse should plan to monitor the client for which of the following complications? A. Aspiration A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following client statements should the nurse provide future teaching? B. "I prefer taking tub baths to showering."

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