ATI RN ADULT MEDICAL SURGICAL PRACTIC
2019-2023 WITH NGN
1. A nurse is assessing a client who has acute cholecystitis.
Which of the following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Tachycardia
Rebound abdominal tenderness: Tachycardia
-Tachycardia is a manifestation of biliary colic, which can lead to
shock. The nurse should position the head of the client's bed flat
and report this finding immediately 2. A nurse is caring for a
client who is undergoing hemodialysis to treat end-stage
kidney disease (ESKD). The client reports muscle cramps
and tingling sensation in their hands. Which of the following
medications should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate: Calcium carbonate
3. A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa.
,Which of the following client statements indicates an
understanding of the teaching?
"I will monitor my blood pressure while taking this
medication"
"I should take a vitamin D supplement to increase the
effectiveness of the medication."
"I should inform the provider if I experience an increased
appetite while taking this medication"
"I will decrease the amount of protein in my diet while taking
this medication."-
: "I will monitor my blood pressure while taking this medication"
-monitor their blood pressure while taking this medication because
hypertension is a common adverse effect and can lead to
hypertensive encephalopathy.
Rationale
-client requires an adequate intake of iron, folic acid, and vitamin
B12 while taking this medication because they are essential to the
production of erythrocytes.
-increase the amount of protein in their diet while receiving
chemotherapy to decrease the risk for infection.
4. The nurse is caring for a group of clients. The nurse
should plan to make a referral to physical therapy for which
of the following clients?
-A client who is receiving preoperative teaching for a right
knee arthroplasty.
,-A client who states they will have difficulty obtaining a
walker for home use.
-A client who reports an increase in pain following a left hip
arthroplasty.
-A client who is having emotional difficulty accepting that
they have a prosthetic leg.: A client who is receiving
preoperative teaching for a right knee arthroplasty.
-should make a referral to physical therapy for a client who is
receiving preoperative teaching for a knee arthroplasty so the
client can begin understanding postoperative exercises and
physical restrictions.
Rationale
-should make a referral to a social worker for walker
-should contact the provider for a client who is experiencing
increased pain following a left hip arthroplasty.
-should refer the client to a counselor to assist with coping with
the adjustment to the need of a prosthetic leg.
5. A nurse is providing teaching to a female client who has a
history of urinary tract infections (UTIs). Which of the
following information should the nurse include in the
teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements.: Take daily cranberry
supplements
, -.take cranberry supplements or drink low-fructose cranberry juice
because it contains compounds that adhere to the urinary tract
wall, decreasing the risk for developing a UTI
Rationale
-risk for developing UTIs should urinate every 2 to 4 hr.
-take showers rather than tub baths because bacteria in the bath
water can enter the urethra.
-increase intake of ascorbic acid to acidify the urine.
6. A nurse is providing instructions to a client who has type 2
diabetes mellitus and a new prescription for metformin.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will monitor my blood sugar carefully because the
medication increases the secretion of insulin."
"I should take this medication with a meal."
"I can expect to gain weight while taking this medication."
"While taking this medication, I will experience flushing of
my skin.": "I should take this medication with a meal."
-take metformin with or immediately following meals to improve
absorption and to minimize gastrointestinal distress.
Rationale
-Metformin decreases the amount of glucose produced in the liver
and increases tissue sensitivity to insulin
-Typically, clients lose weight when beginning to take metformin
due to nausea and vomiting.
7. A nurse is caring for a client who is receiving total
parenteral nutrition (TPN).
2019-2023 WITH NGN
1. A nurse is assessing a client who has acute cholecystitis.
Which of the following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Tachycardia
Rebound abdominal tenderness: Tachycardia
-Tachycardia is a manifestation of biliary colic, which can lead to
shock. The nurse should position the head of the client's bed flat
and report this finding immediately 2. A nurse is caring for a
client who is undergoing hemodialysis to treat end-stage
kidney disease (ESKD). The client reports muscle cramps
and tingling sensation in their hands. Which of the following
medications should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate: Calcium carbonate
3. A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa.
,Which of the following client statements indicates an
understanding of the teaching?
"I will monitor my blood pressure while taking this
medication"
"I should take a vitamin D supplement to increase the
effectiveness of the medication."
"I should inform the provider if I experience an increased
appetite while taking this medication"
"I will decrease the amount of protein in my diet while taking
this medication."-
: "I will monitor my blood pressure while taking this medication"
-monitor their blood pressure while taking this medication because
hypertension is a common adverse effect and can lead to
hypertensive encephalopathy.
Rationale
-client requires an adequate intake of iron, folic acid, and vitamin
B12 while taking this medication because they are essential to the
production of erythrocytes.
-increase the amount of protein in their diet while receiving
chemotherapy to decrease the risk for infection.
4. The nurse is caring for a group of clients. The nurse
should plan to make a referral to physical therapy for which
of the following clients?
-A client who is receiving preoperative teaching for a right
knee arthroplasty.
,-A client who states they will have difficulty obtaining a
walker for home use.
-A client who reports an increase in pain following a left hip
arthroplasty.
-A client who is having emotional difficulty accepting that
they have a prosthetic leg.: A client who is receiving
preoperative teaching for a right knee arthroplasty.
-should make a referral to physical therapy for a client who is
receiving preoperative teaching for a knee arthroplasty so the
client can begin understanding postoperative exercises and
physical restrictions.
Rationale
-should make a referral to a social worker for walker
-should contact the provider for a client who is experiencing
increased pain following a left hip arthroplasty.
-should refer the client to a counselor to assist with coping with
the adjustment to the need of a prosthetic leg.
5. A nurse is providing teaching to a female client who has a
history of urinary tract infections (UTIs). Which of the
following information should the nurse include in the
teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements.: Take daily cranberry
supplements
, -.take cranberry supplements or drink low-fructose cranberry juice
because it contains compounds that adhere to the urinary tract
wall, decreasing the risk for developing a UTI
Rationale
-risk for developing UTIs should urinate every 2 to 4 hr.
-take showers rather than tub baths because bacteria in the bath
water can enter the urethra.
-increase intake of ascorbic acid to acidify the urine.
6. A nurse is providing instructions to a client who has type 2
diabetes mellitus and a new prescription for metformin.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will monitor my blood sugar carefully because the
medication increases the secretion of insulin."
"I should take this medication with a meal."
"I can expect to gain weight while taking this medication."
"While taking this medication, I will experience flushing of
my skin.": "I should take this medication with a meal."
-take metformin with or immediately following meals to improve
absorption and to minimize gastrointestinal distress.
Rationale
-Metformin decreases the amount of glucose produced in the liver
and increases tissue sensitivity to insulin
-Typically, clients lose weight when beginning to take metformin
due to nausea and vomiting.
7. A nurse is caring for a client who is receiving total
parenteral nutrition (TPN).
