EXAM /ATI PN ADULT MEDICAL SURGICAL 2023
EXAM 230 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A nurse is reinforcing teaching about infection transmission w/ an assistive personnel (AP) who is
caring for a client who has clostridium difficile infection. Which of the following instructions should
the nurse include?
Leave the blood pressure cuff in the client's room.
A nurse working in a provider's office is reinforcing teaching w/ a client who has a Grade I (mild)
ankle sprain. Which of the following instructions should the nurse include? (SATA)
-Elevate the ankle above the level of the heart.
-Wrap the ankle w/ an elasticized compression bandage.
-Apply intermittent cold compress to the ankle for the first 24-48 hours.
A nurse is reinforcing teaching about treatment for a food blockage in the intestine w/ a client who
has an ileostomy. Which of the following information should the nurse include in the teaching?
Massage around the ileostomy stoma.
A nurse is reinforcing teaching w/ a client who has cancer about reducing the risk of infection. Which
of the following client statements indicates an understanding of the instructions?
"I will clean my toothbrush using a hydrogen peroxide solution."
, A nurse is contributing to the plan of care for a client who has a tracheotomy. Which of the following
interventions should the nurse include?
Secure new tracheostomy ties before removing old ones.
A nurse is reinforcing teaching about glucose monitoring w/ a client wo has type 1 diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
"I will check my blood glucose every 4 hours when I am sick."
A nurse is preparing to reinforce preoperative teaching w/ a client. Which of the following actions is
in the nurse's priority?
Check the client's comfort level.
A nurse is contributing to the plan of care for a newly admitted client who has Alzheimer's disease.
Which of the following interventions should the nurse include?
Use yellow tape to identify specific boundaries for the client.
A nurse is assisting w/ the care of a client who has a right-sided chest tube to closed drainage. The
nurse notes a rise in fluid level of the water seal chamber when the client inhales. Which of the
following actions should the nurse take?
Continue to monitor the client.
A nurse is reinforcing w/ a client who has dumping syndrome as a complication of gastric bypass
surgery. Which of the following client statements indicates an understanding of the teaching?
"I will eat some type of protein with each meal."
A nurse is caring for a client who has chronic bronchitis and reports shortness of breath. Which of
the following actions is the priorty for the nurse to take?
Elevate the head of the client's bed.