Med Surg B, RN Adult Med Surg A, ATI
MED SURG, ATI A, ATI B, ATI C 2023
A nurse is providing teaching to a client who has a new prescription for psyllium. Which
of the following information should the nurse include in the teaching? - ANS-Drink 240
mL (8 oz) of water after administration
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ANS-Glucose 272 mg/dL
A nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate? - ANS-Airborne
A nurse is providing teaching to a client who has asthma about the use of a
metered-dose inhaler. The nurse should identify that which of the following client actions
indicates an understanding of the teaching? - ANS-Holding breath for 10 secs after
inhaling
A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia? - ANS-image of a smooth red tongue
A nurse on a medsurg unit is reviewing the medical record of an older adult client who is
receiving IV fluid therapy. Which of the following client information should indicate to the
nurse that the client requires re-evaluation of the IV therapy prescription? - ANS-BUN
A nurse is assessing a client following the completion of hemodialysis. Which of the
following findings is the nurse's priority to report to the provider? - ANS-Restlessness
,A nurse is receiving report on a client who is postop following an open repair of Zenker's
diverticulum. The nurse should anticipate the surgical incision to be in which of the
following locations? - ANS-A
A nurse is teaching a group of newly licensed nurses about pain management for older
adult clients. Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching? - ANS-Ibuprofen can cause gastrointestinal bleeding in
older adult clients
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group? - ANS-Hypertension
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5mL. how many mL should the nurse administer? -
ANS-24 mL
A nurse is checking the ECG rhythm strip for a client who has temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take? - ANS-Document that depolarization has
occurred
A nurse is providing discharge instructions to a client who has active TB. Which of the
following information should the nurse include in the instructions? - ANS-Sputum
specimens are necessary every 2 to 4 weeks until there are 3 negative cultures
A nurse is providing preop teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make? - ANS-I will refer you to
community resources that can provide support
,A nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take? - ANS-Irrigate the indwelling urinary catheter
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - ANS-Hair loss on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation device
for a fracture of the lower extremity. Which of the following instructions should the nurse
include in the plan of care? - ANS-Use crutches with rubber tips
A nurse is reviewing the lab results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication? - ANS-WBC count 2,000/mm
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? - ANS-constipation
A nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and HS.
Which of the following acions should the nurse take? - ANS-Contact the provider to
clarify the prescription
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the
following nonpharmacological interventions should the nurse suggest to the client to
reduce pain? - ANS-Alternate application of heat and cold to the affected joints
, A nurse is caring for a client who is 8 hr postop following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse
take first? - ANS-Scan the bladder with a portable ultrasound
A nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include? - ANS-Flex the foot every
hour when awake
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis? - ANS-Prednisone
A nurse is planning care for a client who is having a modified radical mastectomy of the
right breast. Which of the following interventions should the nurse include in the plan of
care? - ANS-Instruct the client that the drain will be removed when there is 25 mL of
output or less over a 24-hour period
A nurse is assessing a client's hydration status. Which of the following findings indicates
fluid volume overload? - ANS-distended neck veins
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse should provide which of the
following instructions to the client? - ANS-Scan the environment by turning your head
from side to side
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following lab values is a manifestation of osteomyelitis and should be reported to the
provider? - ANS-Sedimentation rate
MED SURG, ATI A, ATI B, ATI C 2023
A nurse is providing teaching to a client who has a new prescription for psyllium. Which
of the following information should the nurse include in the teaching? - ANS-Drink 240
mL (8 oz) of water after administration
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ANS-Glucose 272 mg/dL
A nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate? - ANS-Airborne
A nurse is providing teaching to a client who has asthma about the use of a
metered-dose inhaler. The nurse should identify that which of the following client actions
indicates an understanding of the teaching? - ANS-Holding breath for 10 secs after
inhaling
A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia? - ANS-image of a smooth red tongue
A nurse on a medsurg unit is reviewing the medical record of an older adult client who is
receiving IV fluid therapy. Which of the following client information should indicate to the
nurse that the client requires re-evaluation of the IV therapy prescription? - ANS-BUN
A nurse is assessing a client following the completion of hemodialysis. Which of the
following findings is the nurse's priority to report to the provider? - ANS-Restlessness
,A nurse is receiving report on a client who is postop following an open repair of Zenker's
diverticulum. The nurse should anticipate the surgical incision to be in which of the
following locations? - ANS-A
A nurse is teaching a group of newly licensed nurses about pain management for older
adult clients. Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching? - ANS-Ibuprofen can cause gastrointestinal bleeding in
older adult clients
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group? - ANS-Hypertension
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5mL. how many mL should the nurse administer? -
ANS-24 mL
A nurse is checking the ECG rhythm strip for a client who has temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take? - ANS-Document that depolarization has
occurred
A nurse is providing discharge instructions to a client who has active TB. Which of the
following information should the nurse include in the instructions? - ANS-Sputum
specimens are necessary every 2 to 4 weeks until there are 3 negative cultures
A nurse is providing preop teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make? - ANS-I will refer you to
community resources that can provide support
,A nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take? - ANS-Irrigate the indwelling urinary catheter
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - ANS-Hair loss on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation device
for a fracture of the lower extremity. Which of the following instructions should the nurse
include in the plan of care? - ANS-Use crutches with rubber tips
A nurse is reviewing the lab results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication? - ANS-WBC count 2,000/mm
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? - ANS-constipation
A nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and HS.
Which of the following acions should the nurse take? - ANS-Contact the provider to
clarify the prescription
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the
following nonpharmacological interventions should the nurse suggest to the client to
reduce pain? - ANS-Alternate application of heat and cold to the affected joints
, A nurse is caring for a client who is 8 hr postop following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse
take first? - ANS-Scan the bladder with a portable ultrasound
A nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include? - ANS-Flex the foot every
hour when awake
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis? - ANS-Prednisone
A nurse is planning care for a client who is having a modified radical mastectomy of the
right breast. Which of the following interventions should the nurse include in the plan of
care? - ANS-Instruct the client that the drain will be removed when there is 25 mL of
output or less over a 24-hour period
A nurse is assessing a client's hydration status. Which of the following findings indicates
fluid volume overload? - ANS-distended neck veins
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse should provide which of the
following instructions to the client? - ANS-Scan the environment by turning your head
from side to side
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following lab values is a manifestation of osteomyelitis and should be reported to the
provider? - ANS-Sedimentation rate
