ATI MED SURG PROCTORED RETAKE EXAM LATEST 2023
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?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores - ANSWER: 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? - ANSWER: 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?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical attention." -
ANSWER: 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.
a. "You should use an incentive spirometer every 8 hours."
b. "You can cross your legs at the ankles when sitting down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ANSWER: 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.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ANSWER: 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?
a. "I will need to have my partner take over shopping for groceries and cooking the
meals for us."
b. "I feel bad that I have to ask my partner to keep the house clean."
c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their appointments
anymore." - ANSWER: 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?
a. "Wash your perineal area two times each day with antimicrobial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's litter box daily."
d. "Wash your toothbrush in the dishwasher once each month." - ANSWER: a. "Wash
your perineal area two times each day with antimicrobial soap."
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: Using nicotine transdermal patch
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? - ANSWER: Support bony
prominences with pillows
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 - ANSWER: Initiate airborne precautions
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?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores - ANSWER: 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? - ANSWER: 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?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical attention." -
ANSWER: 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.
a. "You should use an incentive spirometer every 8 hours."
b. "You can cross your legs at the ankles when sitting down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ANSWER: 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.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ANSWER: 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?
a. "I will need to have my partner take over shopping for groceries and cooking the
meals for us."
b. "I feel bad that I have to ask my partner to keep the house clean."
c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their appointments
anymore." - ANSWER: 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?
a. "Wash your perineal area two times each day with antimicrobial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's litter box daily."
d. "Wash your toothbrush in the dishwasher once each month." - ANSWER: a. "Wash
your perineal area two times each day with antimicrobial soap."
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: Using nicotine transdermal patch
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? - ANSWER: Support bony
prominences with pillows
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 - ANSWER: Initiate airborne precautions
