ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
1. A nurse is assessing a client who has a urinary b. infection
catheter. The nurse notes that the client's IV tub-
ing is kinked, and the urinary catheter bag is ly-
ing next to the client in the bed. The nurse should
identify that the client is at risk for which of the
following conditions.
a. neurogenic bladder
b. infection
c. skin breakdown
d. phlebitis
2. a nurse is planning care for a client who has a c. ensure that there is space for
cervical spine injury and has halo traction device one finger to fit between the vest
in place. which of the following actions should and the client's skin
the nurse plan to take?
a. apply medicated power under the vest to re-
duce itching
b. move the client up and down the bed holding
onto the halo traction device
c. ensure that there is space for one finger to fit
between the vest and the client's skin
d. loosen or tighten the screws on the device as
needed for the client's comfort
3. a nurse is reviewing the medical record of a client b. proteinuria
who has nephrotic syndrome. which of the fol-
lowing findings should the nurse expect?
a. hyperalbuminemia
b. proteinuria
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. decrease serum lipid levels
d. decreased coagulation
4. a nurse is providing teaching for a client who is d. I will have my liver function test-
taking isoniazid (INH) for tuberculosis. Which of ed while i am taking this medica-
the following statements by the client indicates tion
an understanding of the teaching?
a. i plan to take the medication for 1 week
b. i should take an antacid with each dose of this
medication
c. this medication may cause BP to increase
d. I will have my liver function tested while i am
taking this medication
5. a nurse is performing a cranial nerve assess- d. disequilibrium with movement
ment on a client following a head injury. which of
the following findings should the nurse expect if
the client has impaired function of the vestiulo-
cochlear nerve (cranial nerve VIII)?
a. loss of peripheral vision
b. inability to smell
c. deviation of the tongue from midline
d. disequilibrium with movement
6. a nurse is planning for a client who has devel- c. decrease protein intake
oped nephrotic syndrome. which of the follow-
ing dietary recommendations should the nurse
include?
a. increase phosphorus level
b. decrease carbohydrates
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. decrease protein intake
d. increase potassium intake
7. A nurse is caring for a client who just returned a. the client's capillary refill in the
from surgery with an external fixation to the left left toe is 6 seconds
tibia. which of the following assessment finding
requires immediate intervention by the nurse?
a. the client's capillary refill in the left toe is 6
seconds
b. the client has 100 mL blood in the closed suc-
tion drain
c. the client has an oral temperature of 38.9 C
(100.9F)
d. the client reports a pain level of 7 on a scale
from 0 to 10 at the operative site
8. a nurse enters a client's room and observes the c. turn the client on their side
client having tonic-clonic seizures. which of the
following actions should the nurse take?
a. obtain VS
b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team
9. a nurse is caring for a client who has cervical d. keep soiled linens in the client's
cancer and is receiving brachytherapy. which of room
the following action should the nurse take?
a. discard the radiation device in the client's
trashcan
b. limit the time for visitors 2 hr per day
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room
10. A nurse is caring for a client who has systemic a. joint inflammation
lupus erythematous. during assessment, which
of the following should the nurse expect to find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi
11. a nurse is providing discharge teaching to a client b. avoid extremely hot and cold
who is recovering from a sickle cell crisis. which temperatures
of the following instruction should the nurse in-
clude?
a. limit fluid to 1.5L per day
b. avoid extremely hot and cold temperatures
c. avoid getting a flu vaccine
d. limit alcohol intake to one drink per day
12. a nurse is assessing a client who has anorexia. b. alopecia
which of the following findings should the nurse
identify as a manifestation of malnutrition?
a. oily skin
b. alopecia
c. increased salivation
d. diplopia
13. A nurse is working in an outpatient client is a. painless vaginal bleeding
planning a community education program about
Study online at https://quizlet.com/_gwnk7j
1. A nurse is assessing a client who has a urinary b. infection
catheter. The nurse notes that the client's IV tub-
ing is kinked, and the urinary catheter bag is ly-
ing next to the client in the bed. The nurse should
identify that the client is at risk for which of the
following conditions.
a. neurogenic bladder
b. infection
c. skin breakdown
d. phlebitis
2. a nurse is planning care for a client who has a c. ensure that there is space for
cervical spine injury and has halo traction device one finger to fit between the vest
in place. which of the following actions should and the client's skin
the nurse plan to take?
a. apply medicated power under the vest to re-
duce itching
b. move the client up and down the bed holding
onto the halo traction device
c. ensure that there is space for one finger to fit
between the vest and the client's skin
d. loosen or tighten the screws on the device as
needed for the client's comfort
3. a nurse is reviewing the medical record of a client b. proteinuria
who has nephrotic syndrome. which of the fol-
lowing findings should the nurse expect?
a. hyperalbuminemia
b. proteinuria
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. decrease serum lipid levels
d. decreased coagulation
4. a nurse is providing teaching for a client who is d. I will have my liver function test-
taking isoniazid (INH) for tuberculosis. Which of ed while i am taking this medica-
the following statements by the client indicates tion
an understanding of the teaching?
a. i plan to take the medication for 1 week
b. i should take an antacid with each dose of this
medication
c. this medication may cause BP to increase
d. I will have my liver function tested while i am
taking this medication
5. a nurse is performing a cranial nerve assess- d. disequilibrium with movement
ment on a client following a head injury. which of
the following findings should the nurse expect if
the client has impaired function of the vestiulo-
cochlear nerve (cranial nerve VIII)?
a. loss of peripheral vision
b. inability to smell
c. deviation of the tongue from midline
d. disequilibrium with movement
6. a nurse is planning for a client who has devel- c. decrease protein intake
oped nephrotic syndrome. which of the follow-
ing dietary recommendations should the nurse
include?
a. increase phosphorus level
b. decrease carbohydrates
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. decrease protein intake
d. increase potassium intake
7. A nurse is caring for a client who just returned a. the client's capillary refill in the
from surgery with an external fixation to the left left toe is 6 seconds
tibia. which of the following assessment finding
requires immediate intervention by the nurse?
a. the client's capillary refill in the left toe is 6
seconds
b. the client has 100 mL blood in the closed suc-
tion drain
c. the client has an oral temperature of 38.9 C
(100.9F)
d. the client reports a pain level of 7 on a scale
from 0 to 10 at the operative site
8. a nurse enters a client's room and observes the c. turn the client on their side
client having tonic-clonic seizures. which of the
following actions should the nurse take?
a. obtain VS
b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team
9. a nurse is caring for a client who has cervical d. keep soiled linens in the client's
cancer and is receiving brachytherapy. which of room
the following action should the nurse take?
a. discard the radiation device in the client's
trashcan
b. limit the time for visitors 2 hr per day
, ATI MED SURG
Study online at https://quizlet.com/_gwnk7j
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room
10. A nurse is caring for a client who has systemic a. joint inflammation
lupus erythematous. during assessment, which
of the following should the nurse expect to find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi
11. a nurse is providing discharge teaching to a client b. avoid extremely hot and cold
who is recovering from a sickle cell crisis. which temperatures
of the following instruction should the nurse in-
clude?
a. limit fluid to 1.5L per day
b. avoid extremely hot and cold temperatures
c. avoid getting a flu vaccine
d. limit alcohol intake to one drink per day
12. a nurse is assessing a client who has anorexia. b. alopecia
which of the following findings should the nurse
identify as a manifestation of malnutrition?
a. oily skin
b. alopecia
c. increased salivation
d. diplopia
13. A nurse is working in an outpatient client is a. painless vaginal bleeding
planning a community education program about
