ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
1. A nurse is assessing a client who has acute Tachycardia
cholecystitis. Which of the following findings -Tachycardia is a manifes-
is the nurse's priority? tation of biliary colic, which
can lead to shock. The
Anorexia nurse should position the
head of the client's bed flat
Abdominal pain radiating to the right shoul- and report this finding im-
der mediately
Tachycardia
Rebound abdominal tenderness
2. A nurse is caring for a client who is under- Calcium carbonate
going hemodialysis to treat end-stage kid-
ney disease (ESKD). The client reports mus-
cle cramps and tingling sensation in their
hands. Which of the following medications
should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate
3. A nurse is providing teaching to a client who"I will monitor my blood
is receiving chemotherapy and has a new pressure while taking this
prescription for epoetin alfa. Which of the medication"
following client statements indicates an un- -monitor their blood pres-
derstanding of the teaching? sure while taking this med-
ication because hyperten-
"I will monitor my blood pressure while tak- sion is a common adverse
ing this medication" effect and can lead to hy-
pertensive encephalopathy.
"I should take a vitamin D supplement to in-
crease the effectiveness of the medication." Rationale
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
-client requires an adequate
"I should inform the provider if I experience intake of iron, folic acid,
an increased appetite while taking this med- and vitamin B12 while tak-
ication" ing this medication because
they are essential to the
"I will decrease the amount of protein in my production of erythrocytes.
diet while taking this medication."
-increase the amount of
protein in their diet while
receiving chemotherapy to
decrease the risk for infec-
tion.
4. The nurse is caring for a group of clients. A client who is receiving
The nurse should plan to make a referral to preoperative teaching for a
physical therapy for which of the following right knee arthroplasty.
clients? -should make a referral
to physical therapy for a
-A client who is receiving preoperative client who is receiving pre-
teaching for a right knee arthroplasty. operative teaching for a
knee arthroplasty so the
-A client who states they will have difficulty client can begin under-
obtaining a walker for home use. standing postoperative ex-
ercises and physical restric-
-A client who reports an increase in pain tions.
following a left hip arthroplasty.
Rationale
-A client who is having emotional difficulty -should make a referral to a
accepting that they have a prosthetic leg. social worker for walker
-should contact the provider
for a client who is experienc-
ing increased pain following
a left hip arthroplasty.
-should refer the client to
a counselor to assist with
coping with the adjustment
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
to the need of a prosthetic
leg.
5. A nurse is providing teaching to a female Take daily cranberry sup-
client who has a history of urinary tract in-
plements
fections (UTIs). Which of the following infor-
-.take cranberry supple-
mation should the nurse include in the teach-
ments or drink low-fructose
ing? cranberry juice because it
contains compounds that
Avoid foods that are high in ascorbic acid. adhere to the urinary tract
wall, decreasing the risk for
Add oatmeal to the water when taking a tub developing a UTI
bath.
Rationale
Urinate every 6 hr. -risk for developing UTIs
should urinate every 2 to 4
Take daily cranberry supplements. 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 "I should take this medica-
who has type 2 diabetes mellitus and a new tion with a meal."
prescription for metformin. Which of the fol- -take metformin with or im-
lowing statements by the client indicates an mediately following meals
understanding of the teaching? to improve absorption and
to minimize gastrointestinal
"I will monitor my blood sugar carefully be- distress.
cause the medication increases the secre-
tion of insulin." Rationale
-Metformin decreases the
"I should take this medication with a meal." amount of glucose pro-
duced in the liver and in-
"I can expect to gain weight while taking this creases tissue sensitivity to
medication." insulin
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
"While taking this medication, I will experi- -Typically, clients lose
ence flushing of my skin." weight when beginning to
take metformin due to nau-
sea and vomiting.
7. A nurse is caring for a client who is receiving Administer dextrose 10% in
total parenteral nutrition (TPN). A new bag water until the new bag ar-
is not available when the current infusion rives.
is nearly completed. Which of the following -TPN solutions have a high
actions should the nurse take? concentration of dextrose.
Therefore, if a TPN solution
Keep the line open with 0.9% sodium chlo- is temporarily unavailable,
ride until the new bag arrives. the nurse should adminis-
ter dextrose 10% or 20% in
Administer dextrose 10% in water until the water to avoid a precipitous
new bag arrives. drop in the client's blood
glucose level.
Flush the line and cap the port until the new
bag arrives.
Decrease the infusion rate until the new bag
arrives.
8. A nurse in a community clinic is caring for Aged cheese
a client who reports an increase in the fre-
quency of migraine headaches. To help re-
duce the risk for migraine headaches, which
of the following foods should the nurse rec-
ommend the client avoid?
Shellfish
Aged cheese
Peppermint candy
Enriched pasta
9. Digoxin
Study online at https://quizlet.com/_e42hai
1. A nurse is assessing a client who has acute Tachycardia
cholecystitis. Which of the following findings -Tachycardia is a manifes-
is the nurse's priority? tation of biliary colic, which
can lead to shock. The
Anorexia nurse should position the
head of the client's bed flat
Abdominal pain radiating to the right shoul- and report this finding im-
der mediately
Tachycardia
Rebound abdominal tenderness
2. A nurse is caring for a client who is under- Calcium carbonate
going hemodialysis to treat end-stage kid-
ney disease (ESKD). The client reports mus-
cle cramps and tingling sensation in their
hands. Which of the following medications
should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate
3. A nurse is providing teaching to a client who"I will monitor my blood
is receiving chemotherapy and has a new pressure while taking this
prescription for epoetin alfa. Which of the medication"
following client statements indicates an un- -monitor their blood pres-
derstanding of the teaching? sure while taking this med-
ication because hyperten-
"I will monitor my blood pressure while tak- sion is a common adverse
ing this medication" effect and can lead to hy-
pertensive encephalopathy.
"I should take a vitamin D supplement to in-
crease the effectiveness of the medication." Rationale
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
-client requires an adequate
"I should inform the provider if I experience intake of iron, folic acid,
an increased appetite while taking this med- and vitamin B12 while tak-
ication" ing this medication because
they are essential to the
"I will decrease the amount of protein in my production of erythrocytes.
diet while taking this medication."
-increase the amount of
protein in their diet while
receiving chemotherapy to
decrease the risk for infec-
tion.
4. The nurse is caring for a group of clients. A client who is receiving
The nurse should plan to make a referral to preoperative teaching for a
physical therapy for which of the following right knee arthroplasty.
clients? -should make a referral
to physical therapy for a
-A client who is receiving preoperative client who is receiving pre-
teaching for a right knee arthroplasty. operative teaching for a
knee arthroplasty so the
-A client who states they will have difficulty client can begin under-
obtaining a walker for home use. standing postoperative ex-
ercises and physical restric-
-A client who reports an increase in pain tions.
following a left hip arthroplasty.
Rationale
-A client who is having emotional difficulty -should make a referral to a
accepting that they have a prosthetic leg. social worker for walker
-should contact the provider
for a client who is experienc-
ing increased pain following
a left hip arthroplasty.
-should refer the client to
a counselor to assist with
coping with the adjustment
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
to the need of a prosthetic
leg.
5. A nurse is providing teaching to a female Take daily cranberry sup-
client who has a history of urinary tract in-
plements
fections (UTIs). Which of the following infor-
-.take cranberry supple-
mation should the nurse include in the teach-
ments or drink low-fructose
ing? cranberry juice because it
contains compounds that
Avoid foods that are high in ascorbic acid. adhere to the urinary tract
wall, decreasing the risk for
Add oatmeal to the water when taking a tub developing a UTI
bath.
Rationale
Urinate every 6 hr. -risk for developing UTIs
should urinate every 2 to 4
Take daily cranberry supplements. 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 "I should take this medica-
who has type 2 diabetes mellitus and a new tion with a meal."
prescription for metformin. Which of the fol- -take metformin with or im-
lowing statements by the client indicates an mediately following meals
understanding of the teaching? to improve absorption and
to minimize gastrointestinal
"I will monitor my blood sugar carefully be- distress.
cause the medication increases the secre-
tion of insulin." Rationale
-Metformin decreases the
"I should take this medication with a meal." amount of glucose pro-
duced in the liver and in-
"I can expect to gain weight while taking this creases tissue sensitivity to
medication." insulin
, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
Study online at https://quizlet.com/_e42hai
"While taking this medication, I will experi- -Typically, clients lose
ence flushing of my skin." weight when beginning to
take metformin due to nau-
sea and vomiting.
7. A nurse is caring for a client who is receiving Administer dextrose 10% in
total parenteral nutrition (TPN). A new bag water until the new bag ar-
is not available when the current infusion rives.
is nearly completed. Which of the following -TPN solutions have a high
actions should the nurse take? concentration of dextrose.
Therefore, if a TPN solution
Keep the line open with 0.9% sodium chlo- is temporarily unavailable,
ride until the new bag arrives. the nurse should adminis-
ter dextrose 10% or 20% in
Administer dextrose 10% in water until the water to avoid a precipitous
new bag arrives. drop in the client's blood
glucose level.
Flush the line and cap the port until the new
bag arrives.
Decrease the infusion rate until the new bag
arrives.
8. A nurse in a community clinic is caring for Aged cheese
a client who reports an increase in the fre-
quency of migraine headaches. To help re-
duce the risk for migraine headaches, which
of the following foods should the nurse rec-
ommend the client avoid?
Shellfish
Aged cheese
Peppermint candy
Enriched pasta
9. Digoxin
