ATI MedSurg proctored 2020
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 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?
Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client's comfort?
Obtain a pair of slipper socks for the client
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 finding for
the nurse report to the provider?
Thick, red-colored urine
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 effects of the hypothermia blanket?
Shivering
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?
"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 first?
Cover the client's wound with a moist, sterile dressing
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?
Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract
extraction. Which of the following should the nurse include in the teaching?
Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin
0.25 mg daily. The client refuses breakfast and reports nausea. Which of the
following actions should the nurse take first?
Check the client's vital signs
A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected because the
, drainage from the dressing is yellow and thick. Which of the following findings
should the nurse report as the type of drainage found?
Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic
surgery. To prevent postoperative complications which of the following actions
should be reinforced during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the
following findings should the nurse expect? (Select all that apply.)
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When
performing morning hygiene care, the nurse notices a thin stream of clear
drainage coming from out of the client's right nostril. Which of the following
actions should the nurse take first?
Test the drainage for glucose
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse
should recognize that the client is at risk for autonomic dysreflexia. Which of the
following interventions should the nurse take to prevent autonomic dysreflexia?
Prevent bladder distention
A nurse is caring for a client who is being evaluated for endometrial cancer.
Which of the following findings should the nurse expect the client to report?
Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a
fractured femur. Which of the following findings is the nurse's priority?
Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following
a wedge resection of the left lung and has a chest tube to suction. Which of the
following is the priority finding the nurse should report to the provider?
Abdomen is distended
A nurse is reinforcing discharge teaching with a client about how to care for a
newly created ileal conduit. Which of the following instructions should the nurse
include in the teaching?
Change the ostomy pouch daily
A nurse is assisting in the plan of care for a client who had a removal of the
pituitary gland. Which of the following actions should the nurse include in the
plan?
Change the nasal drip pad as needed
A nurse is caring for a client who asks why she is being prescribed aspirin 325
mg daily following a myocardial infarction. The nurse should instruct the client
that aspirin is prescribed for clients who have coronary artery disease for which
of the following effects?
To prevent blood clotting
A nurse is collecting data from a client who has open-angle glaucoma. Which of
the following findings should the nurse expect?
Loss of peripheral vision
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 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?
Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client's comfort?
Obtain a pair of slipper socks for the client
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 finding for
the nurse report to the provider?
Thick, red-colored urine
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 effects of the hypothermia blanket?
Shivering
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?
"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 first?
Cover the client's wound with a moist, sterile dressing
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?
Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract
extraction. Which of the following should the nurse include in the teaching?
Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin
0.25 mg daily. The client refuses breakfast and reports nausea. Which of the
following actions should the nurse take first?
Check the client's vital signs
A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected because the
, drainage from the dressing is yellow and thick. Which of the following findings
should the nurse report as the type of drainage found?
Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic
surgery. To prevent postoperative complications which of the following actions
should be reinforced during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the
following findings should the nurse expect? (Select all that apply.)
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When
performing morning hygiene care, the nurse notices a thin stream of clear
drainage coming from out of the client's right nostril. Which of the following
actions should the nurse take first?
Test the drainage for glucose
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse
should recognize that the client is at risk for autonomic dysreflexia. Which of the
following interventions should the nurse take to prevent autonomic dysreflexia?
Prevent bladder distention
A nurse is caring for a client who is being evaluated for endometrial cancer.
Which of the following findings should the nurse expect the client to report?
Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a
fractured femur. Which of the following findings is the nurse's priority?
Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following
a wedge resection of the left lung and has a chest tube to suction. Which of the
following is the priority finding the nurse should report to the provider?
Abdomen is distended
A nurse is reinforcing discharge teaching with a client about how to care for a
newly created ileal conduit. Which of the following instructions should the nurse
include in the teaching?
Change the ostomy pouch daily
A nurse is assisting in the plan of care for a client who had a removal of the
pituitary gland. Which of the following actions should the nurse include in the
plan?
Change the nasal drip pad as needed
A nurse is caring for a client who asks why she is being prescribed aspirin 325
mg daily following a myocardial infarction. The nurse should instruct the client
that aspirin is prescribed for clients who have coronary artery disease for which
of the following effects?
To prevent blood clotting
A nurse is collecting data from a client who has open-angle glaucoma. Which of
the following findings should the nurse expect?
Loss of peripheral vision
