Exam 2019 Retake 1/ 2019 ATI Med-Surg
Proctored Exam Updated 2023-2024 Latest
Version with accurate answer solution
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?
1) "A flexible tube is introduced through the nose during the procedure."
2) "During the procedure you are in a sitting position."
3) "You will remain NPO for 8 hours before the procedure."
4) "You will be awake while the procedure is performed." --------- Correct Answer --------
3
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.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
3) Insert a urinary catheter.
4) Elevate the client's head of bed.
5) Apply a cervical collar to the client. --------- Correct Answer -------- 1 2
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?
1) Relieve the client's pain.
2) Check the client's pressure points for redness.
3) Provide oral hygiene.
4) Prevent aspiration. --------- Correct Answer -------- 4
A nurse is collecting data from a client who has scleroderma. Which of the following
findings
should the nurse expect?
1) A dry raised rash
,2) Excessive salivation
3) Periorbital edema
4) Hardened skin --------- Correct Answer -------- 4
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?
1) Instruct the client to tilt her head back when she swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature. --------- Correct Answer -------- 3
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?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures --------- Correct Answer -------- 1
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.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next scheduled dose to take the
medication.
4) Treat nasal rhinitis with an over-the-counter antihistamine. --------- Correct Answer ----
---- 1
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? SATA
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing. --------- Correct Answer -------- 1 4
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?
1) "You must be very worried about what the biopsy will show."
2) "You'll be asleep for the whole biopsy procedure and won't be aware of what's
happening."
3) "Your provider scheduled this, so she will want to know you still have questions about
the procedure."
4) "The biopsy can be uncomfortable, but we will try to keep you as comfortable as
possible." --------- Correct Answer -------- 4
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?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
4) Improve left-side motor function. --------- Correct Answer -------- 3
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. --------- Correct Answer -------- 1
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 humidified 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.. ---------
Correct Answer -------- 1
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?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client.