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ATI RN ADULT MEDICAL SURGICAL 2019 RETAKE
EXAM 120 RETAKE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a client who is receiving radiation. The client
reports nausea since the therapy was initiated. Which of the following
considerations should the nurse include when offering the client meals?
a) Offer hot beverages with meals
b) Offer a snack prior to radiation therapy
c) Offer highly seasoned foods
d) Offer frequent high carbohydrate meals - ANSWER- d) Offer
frequent high carbohydrate meals
A charge nurse receives a call from the house supervisor requesting
room assignments for four new clients. Based on the information
diagnosis, which of the following clients requires a private room?
a) A client service port reports having fever, night sweats, and cough for
2 days
b) An older adult client who was admitted with aspiration pneumonia
c) a client who had diabetes mellitus and is presenting with acute
ketoacidosis
d) a client who has a compound fracture of the right femur - ANSWER-
a) A client service port reports having fever, night sweats, and cough for
2 days
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A nurse in an emergency department is assessing a client who has
diabetic ketoacidosis. Which of the following findings should the nurse
expect? (select all that apply)
a) Tremors
b) Reports of nausea and vomiting
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath - ANSWER- b) Reports of nausea and
vomiting
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath
A nurse is caring for a client who has a chest tube. The client asks why
the fluid in the water-seal chamber rises and falls. Which of the
following statements should the nurse make?
a) "This means your lung is fully expanding"
b) "This indicates a possible leak"
c) "Suction pressure that is too high causes this"
d) "Your breathing pattern causes this" - ANSWER- d) "Your breathing
pattern causes this"
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A community health nurse is reviewing care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the
following is the priority topic for the nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - ANSWER- c) Changes in weight
A nurse is teaching a client about transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the
nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the
affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" -
ANSWER- d) Adjust the dial until you feel a 'pins and needles'
sensation"
A nurse is providing teaching to a client who is postoperative following
a total hip arthroplasty. Which of the following statements should the
nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
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d " Apply a heating pad to the affected hip to decrease pain" -
ANSWER- a) "Used a raised toilet seat to maintain your hips above the
knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the
following actions should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER- c) Palpate for
the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis.
Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers - ANSWER- b) Perform a
neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring
for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should instruct the client to obtain which of the following
supplies?
a) Sterile lancets
b) Compression stockings
ATI RN ADULT MEDICAL SURGICAL 2019 RETAKE
EXAM 120 RETAKE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a client who is receiving radiation. The client
reports nausea since the therapy was initiated. Which of the following
considerations should the nurse include when offering the client meals?
a) Offer hot beverages with meals
b) Offer a snack prior to radiation therapy
c) Offer highly seasoned foods
d) Offer frequent high carbohydrate meals - ANSWER- d) Offer
frequent high carbohydrate meals
A charge nurse receives a call from the house supervisor requesting
room assignments for four new clients. Based on the information
diagnosis, which of the following clients requires a private room?
a) A client service port reports having fever, night sweats, and cough for
2 days
b) An older adult client who was admitted with aspiration pneumonia
c) a client who had diabetes mellitus and is presenting with acute
ketoacidosis
d) a client who has a compound fracture of the right femur - ANSWER-
a) A client service port reports having fever, night sweats, and cough for
2 days
,2|Page
A nurse in an emergency department is assessing a client who has
diabetic ketoacidosis. Which of the following findings should the nurse
expect? (select all that apply)
a) Tremors
b) Reports of nausea and vomiting
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath - ANSWER- b) Reports of nausea and
vomiting
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath
A nurse is caring for a client who has a chest tube. The client asks why
the fluid in the water-seal chamber rises and falls. Which of the
following statements should the nurse make?
a) "This means your lung is fully expanding"
b) "This indicates a possible leak"
c) "Suction pressure that is too high causes this"
d) "Your breathing pattern causes this" - ANSWER- d) "Your breathing
pattern causes this"
,3|Page
A community health nurse is reviewing care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the
following is the priority topic for the nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - ANSWER- c) Changes in weight
A nurse is teaching a client about transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the
nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the
affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" -
ANSWER- d) Adjust the dial until you feel a 'pins and needles'
sensation"
A nurse is providing teaching to a client who is postoperative following
a total hip arthroplasty. Which of the following statements should the
nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
, 4|Page
d " Apply a heating pad to the affected hip to decrease pain" -
ANSWER- a) "Used a raised toilet seat to maintain your hips above the
knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the
following actions should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER- c) Palpate for
the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis.
Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers - ANSWER- b) Perform a
neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring
for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should instruct the client to obtain which of the following
supplies?
a) Sterile lancets
b) Compression stockings
