ATI FINAL MEDICAL SURGICAL PROCTORED
EXAM REVIEW STUDY GUIDE
A nurse is caring for a client who is receiving chemotherapy and requests information about
acupuncture to relieve some of the side effects. which of the following findings should the nurse
identify as a contraindication to receiving this alternative therapy?
Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV
tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to
administer?
33
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which
of the following instructions should the nurse include in the teaching.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the following actions
should the nurse take.
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which
of the following client statements indicates that the client is adapting to their role change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy.
which of the following information should the nurse include in the teaching?
Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output was
4,000 ml over past 24 hr. the nurse should anticipate a prescription for which of the following IV
medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the
nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the
following assessment findings should the nurse identify as a parenteral trigger for exacerbation of
Raynaud's?
Using nicotine transdermal patch
, A nurse is caring for a client who is a central venous device and notes the tubing has become
disconnected the client develops Disney on tachycardia which of the following action should the nurse
take first
Clamp the catheter
A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. which of the following interventions should the nurse
include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the
following actions is the priority for the nurse to take?
Provide coping strategies for client and family
A nurse in the emergency department is assessing a client. which of the following actions should the
nurse take first? (click on rhe "exhibit" button for additional information about the client
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse
should identify which of the following findings as increasing the client's risk?
Historyof Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not
sure I want to have a mastectomy." Which of the following statements should the nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing 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
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli,
the client does not open her eyes, displays decerebrate posturing and makes incomprehensible
sounds. which of the following glasgow Coma scale scores should the nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit
sodium intake to 2 g per day. Which of the following statements by the client indicates an
understanding of the teaching?
EXAM REVIEW STUDY GUIDE
A nurse is caring for a client who is receiving chemotherapy and requests information about
acupuncture to relieve some of the side effects. which of the following findings should the nurse
identify as a contraindication to receiving this alternative therapy?
Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV
tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to
administer?
33
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which
of the following instructions should the nurse include in the teaching.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the following actions
should the nurse take.
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which
of the following client statements indicates that the client is adapting to their role change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy.
which of the following information should the nurse include in the teaching?
Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output was
4,000 ml over past 24 hr. the nurse should anticipate a prescription for which of the following IV
medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the
nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the
following assessment findings should the nurse identify as a parenteral trigger for exacerbation of
Raynaud's?
Using nicotine transdermal patch
, A nurse is caring for a client who is a central venous device and notes the tubing has become
disconnected the client develops Disney on tachycardia which of the following action should the nurse
take first
Clamp the catheter
A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. which of the following interventions should the nurse
include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the
following actions is the priority for the nurse to take?
Provide coping strategies for client and family
A nurse in the emergency department is assessing a client. which of the following actions should the
nurse take first? (click on rhe "exhibit" button for additional information about the client
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse
should identify which of the following findings as increasing the client's risk?
Historyof Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not
sure I want to have a mastectomy." Which of the following statements should the nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing 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
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli,
the client does not open her eyes, displays decerebrate posturing and makes incomprehensible
sounds. which of the following glasgow Coma scale scores should the nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit
sodium intake to 2 g per day. Which of the following statements by the client indicates an
understanding of the teaching?
