medical surgical ATI
retake 2019
, lOMoARcPSD|13445102
1. A nurse is assessing for early signs of compartment syndrome for a client who has
a short- leg fiberglass cast. Which of the following findings should the nurse
expect?
Intense pain with movement
2. A nurse is monitoring a client who is receiving 2 units packed RBCs.
Which of the following manifestations indicates a hemolytic transfusion
reaction?
Chills
3. A nurse is caring for a client who had a total hip arthroplasty. Which of the
following actions should the nurse take to prevent hip dislocation?
Place two bed pillows between the legs when in bed
4. A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances
Latex
5. A nurse is teaching a client about the use of an incentive spirometer. Which
of the following instructions should the nurse include in the teaching?
Exhale slowly through pursed lips
6. A nurse is caring for a client who arrives at the emergency department and reports
vomiting and diarrhea for the past 3 days. The client's serum potassium level is
2.8mEq/L. Which of the following interventions should the nurse implement first?
Initiate cardiac monitoring for the clients
7. A nurse is preparing to administer peritoneal dialysis to a client. Which
, of the following actions should the nurse take?
Hang the drainage bag below the client's abdomen
8. A nurse is preforming a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired
function of the vestibulocochlear nerve (cranial nerve VIII)?
Disequilibrium with movement
9. A nurse is planning care for a client who is one day postoperative Following an
open cholecystectomy. Which of the following interventions should the nurse
include in the plan of care?
apply compression stockings to the lower extremities
10. A nurse is caring for a male client who has an exacerbation of heart failure.
Which of the following prescriptions should the nurse expect to receive from the
provider? (click on the "exhibit" button for additional information about the
client. There are 3 tabs that contain separate categories of data.)
Atropine 1mg IV bolus every 5 min up to 3mg
11. A nurse is providing a discharge teaching to a client following a modified left
radical mastectomy with breast expander. Which of the following statements
by the client indicates an understanding of the teaching?
" I should expect less than 25 mL of secretions per day in the drainage
devices"
12. A nurse is teaching a client about using a metered-dose rescue inhaler.
Which of the following statements should the nurse include I the first
teaching?
, "Exhale Fully before bringing the inhaler to your lips "
13. A nurse is caring for a client who has been receiving total parental nutrition
(TPN) for 1 week. For which of the following findings should the nurse notify
the provider?
Calcium level 11.5 mg/dL
retake 2019
, lOMoARcPSD|13445102
1. A nurse is assessing for early signs of compartment syndrome for a client who has
a short- leg fiberglass cast. Which of the following findings should the nurse
expect?
Intense pain with movement
2. A nurse is monitoring a client who is receiving 2 units packed RBCs.
Which of the following manifestations indicates a hemolytic transfusion
reaction?
Chills
3. A nurse is caring for a client who had a total hip arthroplasty. Which of the
following actions should the nurse take to prevent hip dislocation?
Place two bed pillows between the legs when in bed
4. A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances
Latex
5. A nurse is teaching a client about the use of an incentive spirometer. Which
of the following instructions should the nurse include in the teaching?
Exhale slowly through pursed lips
6. A nurse is caring for a client who arrives at the emergency department and reports
vomiting and diarrhea for the past 3 days. The client's serum potassium level is
2.8mEq/L. Which of the following interventions should the nurse implement first?
Initiate cardiac monitoring for the clients
7. A nurse is preparing to administer peritoneal dialysis to a client. Which
, of the following actions should the nurse take?
Hang the drainage bag below the client's abdomen
8. A nurse is preforming a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired
function of the vestibulocochlear nerve (cranial nerve VIII)?
Disequilibrium with movement
9. A nurse is planning care for a client who is one day postoperative Following an
open cholecystectomy. Which of the following interventions should the nurse
include in the plan of care?
apply compression stockings to the lower extremities
10. A nurse is caring for a male client who has an exacerbation of heart failure.
Which of the following prescriptions should the nurse expect to receive from the
provider? (click on the "exhibit" button for additional information about the
client. There are 3 tabs that contain separate categories of data.)
Atropine 1mg IV bolus every 5 min up to 3mg
11. A nurse is providing a discharge teaching to a client following a modified left
radical mastectomy with breast expander. Which of the following statements
by the client indicates an understanding of the teaching?
" I should expect less than 25 mL of secretions per day in the drainage
devices"
12. A nurse is teaching a client about using a metered-dose rescue inhaler.
Which of the following statements should the nurse include I the first
teaching?
, "Exhale Fully before bringing the inhaler to your lips "
13. A nurse is caring for a client who has been receiving total parental nutrition
(TPN) for 1 week. For which of the following findings should the nurse notify
the provider?
Calcium level 11.5 mg/dL
