Med Surg ATI Proctored Exam 2023-2024.
Questions & Correct, Answers. Graded A+
43. A nurse is preparing to discharge a client who has halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the
following prescriptions with the provider?
a. Increase intake of fiber-rich foods
b. May place a small pillow under head when sleeping
c. May operate a motor vehicle when no longer taking analgesics
d. Take a tub bath instead of showers - ANSc. May operate a motor vehicle when
no longer taking analgesics
A client who is deaf and communicates using sign language is being admitted by a
nurse who does not know sign language. Which of the following actions should
the nurse take?
a. Familiarize themselves with commonly used sign language
b. Ask a family member to be present during the admission
c. Obtain a board that uses colored pictures as communication
d. Request an interpreter during the initial assessment - ANSd. Request an
interpreter during the initial assessment
A critical care nurse is assessing a client who has 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?
,a. 5
b. 2
c. 13
d. 10 - ANSa. 5
A home care nurse is planning to use nonpharmacological pain relief measures for
an older adult client who has severe chronic back pain. Which of the following
guidelines should the nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the
cause
d. Pain relief from the use of heat and cold continues for several hours after
removal of the
stimulus - ANSc. Distraction changes the client's perception of pain, but does not
affect the cause
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?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client independence
d. Give the client information about the local national multiple sclerosis society -
ANSa. Discuss recommendations for eating and swallowing techniques
,A nurse in a clinic is providing preventive teaching to an older adult client during a
well visit. The nurse should instruct the client that which of the following
immunizations are recommended for healthy adults after the age of 60? Select All
That Apply
a. Herpes zoster
b. Influenza
c. Meningococcal
d. Human papillomavirus
e. Pneumococcal polysaccharide - ANSa. Herpes zoster
b. Influenza
e. Pneumococcal polysaccharide
A nurse in a clinic receives a phone call from a client who recently started therapy
with an ACE inhibitor and reports a nagging dry cough. Which of the following
responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - ANSa. "your cough may require that you
stop or change your medication"
A nurse in a provider's office is teaching a client about the self-management of
GERD. Which of the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
, c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" - ANSb. "sleep with head of your bed
elevated 6 inches"
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSd. Perform the
irrigation with sterile water for irrigation
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray - ANSc. Initiate airborne precautions
A nurse in the emergency department is caring for a client who has a gunshot
wound to the abdomen. Which of the following actions should the nurse take
first?
a. Check the color of the client's skin
b. Remove all of the client's clothing
c. Administer an opioid analgesic
Questions & Correct, Answers. Graded A+
43. A nurse is preparing to discharge a client who has halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the
following prescriptions with the provider?
a. Increase intake of fiber-rich foods
b. May place a small pillow under head when sleeping
c. May operate a motor vehicle when no longer taking analgesics
d. Take a tub bath instead of showers - ANSc. May operate a motor vehicle when
no longer taking analgesics
A client who is deaf and communicates using sign language is being admitted by a
nurse who does not know sign language. Which of the following actions should
the nurse take?
a. Familiarize themselves with commonly used sign language
b. Ask a family member to be present during the admission
c. Obtain a board that uses colored pictures as communication
d. Request an interpreter during the initial assessment - ANSd. Request an
interpreter during the initial assessment
A critical care nurse is assessing a client who has 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?
,a. 5
b. 2
c. 13
d. 10 - ANSa. 5
A home care nurse is planning to use nonpharmacological pain relief measures for
an older adult client who has severe chronic back pain. Which of the following
guidelines should the nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the
cause
d. Pain relief from the use of heat and cold continues for several hours after
removal of the
stimulus - ANSc. Distraction changes the client's perception of pain, but does not
affect the cause
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?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client independence
d. Give the client information about the local national multiple sclerosis society -
ANSa. Discuss recommendations for eating and swallowing techniques
,A nurse in a clinic is providing preventive teaching to an older adult client during a
well visit. The nurse should instruct the client that which of the following
immunizations are recommended for healthy adults after the age of 60? Select All
That Apply
a. Herpes zoster
b. Influenza
c. Meningococcal
d. Human papillomavirus
e. Pneumococcal polysaccharide - ANSa. Herpes zoster
b. Influenza
e. Pneumococcal polysaccharide
A nurse in a clinic receives a phone call from a client who recently started therapy
with an ACE inhibitor and reports a nagging dry cough. Which of the following
responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - ANSa. "your cough may require that you
stop or change your medication"
A nurse in a provider's office is teaching a client about the self-management of
GERD. Which of the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
, c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" - ANSb. "sleep with head of your bed
elevated 6 inches"
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSd. Perform the
irrigation with sterile water for irrigation
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray - ANSc. Initiate airborne precautions
A nurse in the emergency department is caring for a client who has a gunshot
wound to the abdomen. Which of the following actions should the nurse take
first?
a. Check the color of the client's skin
b. Remove all of the client's clothing
c. Administer an opioid analgesic
