AM
ATI MED SURG EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (99)
A nurse is assessing a client who has a Hematochezia
diagnosis on colon cancer which of the
following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
A nurse is assessing a client admitted Edema of the ankle
with peripheral vascular disease,. Which
of the following findings indicates a
venous
vascular disorder?
a)An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
A nurse is assessing a client who has D) apical pulse
pericarditis. In which of the following areas
of the client's chest should the nurse place
the stethoscope to best hear a
pericardial friction rub?
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder
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A nurse is caring for a client who has a d) " Your breathing pattern causes this"
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 expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high
causes this"
d) " Your breathing pattern causes this"
A community health nurse is reviewing C) changes in weight
home 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
A nurse is teaching a client about the use of d) "adjust the dial until you feel a 'pins and needles' sensation"
transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following
statements should the nurse include?
a) "Apply lotion 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
effected area"
d) "adjust the dial until you feel a 'pins
and needles' sensation"
A nurse is providing teaching to a client a) " use raised toilet seat to maintain your hips above the knees"
who is postoperative following a total hip
arthroplasty. Which of the following
statements should the nurse make?
a) " use raised toilet seat to maintain
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b) " twist at the waist when standing from a
seated position"
c) "move your stronger leg first when
using a walker"
d) " apply a heating pad to the
operative hip to decrease pain"
A nurse finds a client in bed, unresponsive c) Palpate for the client's carotid pulse
and breathing. Which of the following
action 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
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A nurse is caring for a patient who is b) Perform neurological assessments
experiencing a hypertensive crisis.
Which of the following actions should the
nurse take?
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
A nurse is providing discharge teaching c) hand mirror
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
c) Hand mirror
d) toenail clippers
A nurse is completing discharge c) Use 10- mL syringe to flush line
teaching to a patient who has a
peripherally inserted central catheter (
PICC) line in the left arm. Which of the
following instructions should the nurse
include in the teaching?
a) Do not elevate the arm above the
level of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL
of hydrogen peroxide
A nurse is preparing naloxone 10 mcg/kg 2.5ml
via IV bolus to a client who weights 220 lbs.
the amount available is 0.4 mg/mL . how
many mL should the nurse administer? (
round to the nearest tenth)
A nurse is caring for a client who has a d) Limit family member visits to 30 min per day
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