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ATI MEDSURG – FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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ATI MEDSURG – FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (50) a nurse is reinforcing teaching with a client about how to perform a breast self exam (BSE). the nurse should identify which of the following findings as an indication of breast cancer? a nontender, hard lump that is palpated in one breast - cancerous tumors are typically hard, fixed, irregular in shape, and nontender to palpation. the nurse should instruct the client to notify the provider promplty if she palpates a hard, nontender lump - moveable lumps that increase in tenderness during the menstrual period as an indication of fibrocystic breast tissue - multiple masses of regular shaped in both breasts are characteristic of fibrocystic breast disease - bilaterally darkened areolas are an expected finding in dark-skinned women and an expected change during pregnancy in light-skinned women a nurse is reinforcing teaching with a client who has stomatitis due to chemotherapy. which of the following statements by the client indicates a need for further instructions? "I will cleanse my mouth after meals with an alcohol-based mouthwash." - this client statement indicates a need for further reinforcement of teaching. clients with stomatitis need to avoid the use of alcohol-based mouthwash because it can irritate and burn the mucous membrane - provide oral care with a soft toothbrush or foam swab to prevent additional trauma or bleeding to oral tissues - use a straw when drinking liquids to reduce the amount of exposure of liquids on the oral mucosa, decreasing irritation - rinse the mouth often with hydrogen peroxide, warm saline, or baking soda solution to promote comfort and healing a nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. which of the following personal protective equipment (PPE) should the nurse don prior to providing client care? (SATA) gown - follow standard precautions when caring for a client who has AIDS. because the bed linens might be soiled,the nurse should don a gown in addition to other necessary PPE gloves - standard precautions for client who has AIDS. because the nurse's hands will come into contact with the soiled bed linens, the nurse should don clean gloves in addition to other necessary PPE - mask is not needed when changing the client's bed linens - hair cover is not needed when changing the client's bed linens - goggles is not needed since splashing of bodily fluids is unlikely when changing the client's bed linens a nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. which of the following data should the nurse collect first? respiratory rate - use the ABC priority-setting framework. the nurse's priority is to collect data about the client's respiratory status. a client who has burns to her face is at risk for pulmonary injury and the development of rapid, shallow respirations can indicate a respiratory emergency - the nurse should determine the percentage of the client's total body surface are that is burned to ensure proper care and estimation of prognosis, however, the nurse should collect other data first - nurse should monitor the client's bowel sounds due to the risk for a paralytic ileus; however, the nurse should collect other data first - nurse should check the client's level of pain and provide prescribed analgesics; however, the nurse should collect other data first a nurse is reinforcing teaching with a client about preventing the transmission of hepatitis A. the nurse should identify that hepatitis A is transmitted by which of the following routes? fecal-oral contamination - hepatitis A is most commonly transmitted by the fecal-oral route. transmission occurs by ingesting food or liquid that has been infected with the virus. outbreaks due to contaminated food are usually due to poor hygiene practices by food handlers or shellfish from contaminated water - hepatitis B, rather than hepatitis A, is transmitted by several routes, including the maternal-fetal route - hepatitis B, C, and D rather than hepatitis A, are transmitted by several routes, including unprotected sexual intercourse - that hepatitis B and C, rather than hepatitis A, are transmitted by several routes, including blood to blood exposure

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3/19/25, 6:11 ATI MedSurg - FINAL |
AM




ATI MEDSURG – FINAL EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED


Terms in this set (50)




a nontender, hard lump that is palpated in one breast - cancerous tumors are

typically hard, fixed, irregular in shape, and nontender to palpation. the nurse

should instruct the client to notify the provider promplty if she palpates a hard,

nontender lump



a nurse is reinforcing teaching with a - moveable lumps that increase in tenderness during the menstrual period as
client about how to perform a breast an indication of fibrocystic breast tissue
self exam (BSE). the nurse should

identify which of the following findings
- multiple masses of regular shaped in both breasts are characteristic of
as an indication of
fibrocystic breast disease
breast cancer?


- bilaterally darkened areolas are an expected finding in dark-skinned women and

an expected change during pregnancy in light-skinned women

"I will cleanse my mouth after meals with an alcohol-based mouthwash." - this client

statement indicates a need for further reinforcement of teaching. clients with

stomatitis need to avoid the use of alcohol-based mouthwash because it can irritate

and burn the mucous membrane




a nurse is reinforcing teaching with a - provide oral care with a soft toothbrush or foam swab to prevent additional

client who has stomatitis due to trauma or bleeding to oral tissues

chemotherapy. which of the following

statements by the - use a straw when drinking liquids to reduce the amount of exposure of liquids
client indicates a need for further on the oral mucosa, decreasing irritation
instructions?


- rinse the mouth often with hydrogen peroxide, warm saline, or baking

soda solution to promote comfort and healing



1/30

,3/19/25, 6:11 ATI MedSurg - FINAL |
AM
gown - follow standard precautions when caring for a client who has AIDS. because

the bed linens might be soiled,the nurse should don a gown in addition to other

necessary PPE




gloves - standard precautions for client who has AIDS. because the nurse's hands
a nurse is preparing to change the bed will come into contact with the soiled bed linens, the nurse should don clean
linens of a client who has AIDS and is gloves in addition to other necessary PPE
incontinent of stool. which of the following

personal protective equipment (PPE)
- mask is not needed when changing the client's bed linens
should the nurse don prior to providing

client care? (SATA)
- hair cover is not needed when changing the client's bed linens




- goggles is not needed since splashing of bodily fluids is unlikely when changing

the client's bed linens




respiratory rate - use the ABC priority-setting framework. the nurse's priority is to

collect data about the client's respiratory status. a client who has burns to her face

is at risk for pulmonary injury and the development of rapid, shallow respirations can

indicate a respiratory emergency




- the nurse should determine the percentage of the client's total body surface are
a nurse in an urgent care clinic is
that is burned to ensure proper care and estimation of prognosis, however, the
collecting data from a client who has
nurse should collect other data first
extensive burns, including on her face.

which of the

following data should the nurse collect - nurse should monitor the client's bowel sounds due to the risk for a paralytic

first? ileus; however, the nurse should collect other data first




- nurse should check the client's level of pain and provide prescribed

analgesics; however, the nurse should collect other data first

fecal-oral contamination - hepatitis A is most commonly transmitted by the fecal-

oral route. transmission occurs by ingesting food or liquid that has been infected

with the virus. outbreaks due to contaminated food are usually due to poor hygiene

practices by food handlers or shellfish from contaminated water




a nurse is reinforcing teaching with a client - hepatitis B, rather than hepatitis A, is transmitted by several routes, including the

about preventing the transmission of maternal-fetal route
2/30

, 3/19/25, 6:11 ATI MedSurg - FINAL |
AM
hepatitis A. the nurse should identify

that hepatitis A is transmitted by which - hepatitis B, C, and D rather than hepatitis A, are transmitted by several routes,
of the following routes? including unprotected sexual intercourse




- that hepatitis B and C, rather than hepatitis A, are transmitted by several routes,

including blood to blood exposure




3/30

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