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
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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
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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
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