ATI RN Adult Med Surg B 2019
1. a nurse is providing teaching to a client who I will take my temperature
has AIDS. Which of following states by the once a day.
client indicates an understanding?
A client who has AIDS is im-
munocompromised and is at
risk for infection. The client
should check their tempera-
ture daily to identify a tem-
perature greater than 37.8°
C (100° F), which is an early
manifestation of an infection.
2. How long should pt hold breath after inhal- 10 seconds after inhaling
ing meter dosage inhaler?
R: The client should hold
their breath for 10 seconds
after inhaling so the medica-
tion can move deep into the
airways.
3. A nurse is reviewing the laboratory findings Troponin 8 ng/mL
of a client who developed chest pain 6 hr
ago. The nurse should identify which of the R: Troponins are proteins
following findings as an indication of a my- present in skeletal and car-
ocardial infarction(MI)? diac muscle that are involved
with muscle contraction. The
elevation of either troponin T
or troponin I is an indication
of cardiac injury. The client's
laboratory value is above the
expected reference range for
troponin I, indicating an MI
has occurred.
4. A nurse is caring for a client who had a The client is reporting back
nephrostomy tube inserted 12hr ago. Which pain.
of the following findings should the nurse
report to the provider? R: The nurse should notify
the provider if the client re-
, ATI RN Adult Med Surg B 2019
ports back pain, which can
indicate that the nephros-
tomy tube is dislodged or
clogged.
5. A nurse is providing teaching about infec- I will no longer floss my after
tion prevention to a client who had AIDS. brushing my teeth.
Which of the following is true?
R: The nurse should instruct
the client to avoid flossing
teeth to prevent gum inflam-
mation, which could create
the opportunity for infection
6. A nurse is performing preoperative teaching numbness can occur along
for a client scheduled to have a right modi- the inside of the affected
fied radical mastectomy. Which of the follow- arm.
ing should the nurse include in the client's
plan of care? R: The nurse should instruct
the client that numbness can
occur near the incision and
along the inside of the affect-
ed arm due to nerve injury.
7. do after total knee arthroplasty? flex the foot every hour when
awake.
R: The nurse should in-
struct the client to flex the
foot every hour to reduce
the risk for thromboembolism
and promote venous return.
8. a nurse is providing education to clients who walk for 30 min 4 times per
is at risk for osteoporosis. week
9. preop teaching for mastectomy I will refer u to community
resources that can provide
support
1. a nurse is providing teaching to a client who I will take my temperature
has AIDS. Which of following states by the once a day.
client indicates an understanding?
A client who has AIDS is im-
munocompromised and is at
risk for infection. The client
should check their tempera-
ture daily to identify a tem-
perature greater than 37.8°
C (100° F), which is an early
manifestation of an infection.
2. How long should pt hold breath after inhal- 10 seconds after inhaling
ing meter dosage inhaler?
R: The client should hold
their breath for 10 seconds
after inhaling so the medica-
tion can move deep into the
airways.
3. A nurse is reviewing the laboratory findings Troponin 8 ng/mL
of a client who developed chest pain 6 hr
ago. The nurse should identify which of the R: Troponins are proteins
following findings as an indication of a my- present in skeletal and car-
ocardial infarction(MI)? diac muscle that are involved
with muscle contraction. The
elevation of either troponin T
or troponin I is an indication
of cardiac injury. The client's
laboratory value is above the
expected reference range for
troponin I, indicating an MI
has occurred.
4. A nurse is caring for a client who had a The client is reporting back
nephrostomy tube inserted 12hr ago. Which pain.
of the following findings should the nurse
report to the provider? R: The nurse should notify
the provider if the client re-
, ATI RN Adult Med Surg B 2019
ports back pain, which can
indicate that the nephros-
tomy tube is dislodged or
clogged.
5. A nurse is providing teaching about infec- I will no longer floss my after
tion prevention to a client who had AIDS. brushing my teeth.
Which of the following is true?
R: The nurse should instruct
the client to avoid flossing
teeth to prevent gum inflam-
mation, which could create
the opportunity for infection
6. A nurse is performing preoperative teaching numbness can occur along
for a client scheduled to have a right modi- the inside of the affected
fied radical mastectomy. Which of the follow- arm.
ing should the nurse include in the client's
plan of care? R: The nurse should instruct
the client that numbness can
occur near the incision and
along the inside of the affect-
ed arm due to nerve injury.
7. do after total knee arthroplasty? flex the foot every hour when
awake.
R: The nurse should in-
struct the client to flex the
foot every hour to reduce
the risk for thromboembolism
and promote venous return.
8. a nurse is providing education to clients who walk for 30 min 4 times per
is at risk for osteoporosis. week
9. preop teaching for mastectomy I will refer u to community
resources that can provide
support
