Exam 2019 Latest Updated Version 2023-2024/
ATI RN Medical Surgical 2019 Proctored Exam
accurate for A+ Ranking
A nurse is reinforcing teaching about cyclosporine for a client who is postoperative
following a renal transplant. Which of the following statements by the client indicates an
understanding of the teaching? ----------- Correct Answer --------- "I will need to take this
medication for the rest of my life."
A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg
by mouth twice daily. Which of the following therapeutic outcomes should the nurse
monitor for with a client who is taking this medication? ----------- Correct Answer ---------
Decreased tremors
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? ----------- Correct Answer --------- "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? ----------- Correct Answer --------- 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? ------
----- Correct Answer --------- 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? ----------- Correct
Answer --------- 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? ----------- Correct Answer --------- 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? ----------- Correct Answer --------- 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? ----------- Correct Answer --------- 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.) ----------- Correct Answer --------
- 1) Dyspnea 2) Barrel chest 3) Clubbing of the fingers 4) 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?
----------- Correct Answer --------- 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? ----------- Correct
Answer --------- 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? ----------- Correct
Answer --------- 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? ----------- Correct
Answer --------- 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? ----------- Correct Answer --
------- 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? ----------- Correct Answer --------- 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? -----------
Correct Answer --------- 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? ----------- Correct Answer --------- To prevent blood clotting