Ati Rn Adult Med Surg Proctored Exam Questions &
Answers Verified 100% Correct
A nurse is reviewing the medical record of a client who has acute gout.
The nurse should expect an increase in which of the following laboratory
results?
a. Uric acid
b. Intrinsic factor
c. Creatinine kinase
d. Chloride level
A nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take?
e. Use clean technique to access the catheter
f. Chill the dialysate before administration
g. Hang the drainage bag below the client’s abdomen
h. Place the client in high-Fowler’s position
2. A nurse in the emergency department is caring for a client who has
deep partial-thickness burns over 30% of his body, including his upper
chest and abdomen. Which of the following actions is the nurse’s
priority?
a. Insert an 18-gauge IV catheter
b. Administer tetanus toxoid
c. Check the client’s mouth for black particles
d. Remove the client’s burned clothing
,3. A nurse is presenting an in-service program about Parkinson’s
disease (PD). Which of the following statements should the nurse
include in the teaching?
a. PD results from a decreased amount of dopamine in the client’s
brain
b. PD causes clients to have an increased sympathetic nervous system
response
c. PD results in the development of neurofibrillary tangles within the
client’s brain
d. PD manifestations worsen due to the client’s decreased production
of acetylcholine
4.A nurse is caring for a client who has a serum sodium level of 150
mEq/L. Which of the following actions should the nurse take?
a. Increase sodium in the client’s diet
b. Administer hypotonic IV fluids to the client
c. Restrict the client’s oral fluid intake
d. Administer a beta blocker
,5. A nurse is caring for a client who takes Lisinopril for hypertension.
Which of the following client statements indicates an adverse effect of
the medication?
a. I seem to be bruising more easily
b. I have a nagging, dry cough
c. I have a heightened sense of taste
d. I have to urinate frequently
6. A nurse is providing discharge teaching to a client following a
modified left radical mastectomy with breast expander. Which of the
following statements by the client indicates an understanding of the
teaching?
a. I will perform strength-building arm exercises using a 15-pound
weight
b. I should expect less than 25 mL of secretions per day in the
drainage devices
c. I will keep my left arm flexed at the elbow as much as possible
d. I will have to wait 2 months before additional saline can be added
to my breast expander
7. A nurse is caring for a client who has diabetes mellitus and has been
following a treatment plan for 3 months. Which of the following
laboratory results should the nurse monitor to determine long-term
glycemic control?
a. Oral glucose tolerance test results
b. Fasting blood glucose level
c. Glycosylated hemoglobin level
d. Postprandial blood glucose level
, 8. A nurse is providing discharge teaching to a client who has chronic
urinary tract infections. The client has a prescription for ciprofloxacin
250 mg PO twice daily. Which of the following instructions should the
nurse include in the teaching?
a. Take a laxative to prevent constipation
b. Drink 2 to 3 L of fluids daily
c. Take an antacid 30 min before taking the medication
d. Monitor heart rate once daily
9. A nurse is providing teaching to a client who has a deep-vein
thrombosis (DVT). Which of the following findings should the nurse
identify as a risk factor for the development of DVTs?
a. NSAID use
b. Cirrhosis
c. Hypertension
d. Oral contraceptive use
10. A nurse is caring for client who has Cushing’s disease. Which of the
following actions should the nurse take first? (Click on the “Exhibit”
button for additional information about the client. There are three
tabs that contain separate categories of data.)
a. Auscultate the client’s lung sounds
b. Check the client’s medication administration record for
antihypertensive medications
c. Determine the need for further glucose monitoring
d. Verify the client’s understanding of sodium restriction
Answers Verified 100% Correct
A nurse is reviewing the medical record of a client who has acute gout.
The nurse should expect an increase in which of the following laboratory
results?
a. Uric acid
b. Intrinsic factor
c. Creatinine kinase
d. Chloride level
A nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take?
e. Use clean technique to access the catheter
f. Chill the dialysate before administration
g. Hang the drainage bag below the client’s abdomen
h. Place the client in high-Fowler’s position
2. A nurse in the emergency department is caring for a client who has
deep partial-thickness burns over 30% of his body, including his upper
chest and abdomen. Which of the following actions is the nurse’s
priority?
a. Insert an 18-gauge IV catheter
b. Administer tetanus toxoid
c. Check the client’s mouth for black particles
d. Remove the client’s burned clothing
,3. A nurse is presenting an in-service program about Parkinson’s
disease (PD). Which of the following statements should the nurse
include in the teaching?
a. PD results from a decreased amount of dopamine in the client’s
brain
b. PD causes clients to have an increased sympathetic nervous system
response
c. PD results in the development of neurofibrillary tangles within the
client’s brain
d. PD manifestations worsen due to the client’s decreased production
of acetylcholine
4.A nurse is caring for a client who has a serum sodium level of 150
mEq/L. Which of the following actions should the nurse take?
a. Increase sodium in the client’s diet
b. Administer hypotonic IV fluids to the client
c. Restrict the client’s oral fluid intake
d. Administer a beta blocker
,5. A nurse is caring for a client who takes Lisinopril for hypertension.
Which of the following client statements indicates an adverse effect of
the medication?
a. I seem to be bruising more easily
b. I have a nagging, dry cough
c. I have a heightened sense of taste
d. I have to urinate frequently
6. A nurse is providing discharge teaching to a client following a
modified left radical mastectomy with breast expander. Which of the
following statements by the client indicates an understanding of the
teaching?
a. I will perform strength-building arm exercises using a 15-pound
weight
b. I should expect less than 25 mL of secretions per day in the
drainage devices
c. I will keep my left arm flexed at the elbow as much as possible
d. I will have to wait 2 months before additional saline can be added
to my breast expander
7. A nurse is caring for a client who has diabetes mellitus and has been
following a treatment plan for 3 months. Which of the following
laboratory results should the nurse monitor to determine long-term
glycemic control?
a. Oral glucose tolerance test results
b. Fasting blood glucose level
c. Glycosylated hemoglobin level
d. Postprandial blood glucose level
, 8. A nurse is providing discharge teaching to a client who has chronic
urinary tract infections. The client has a prescription for ciprofloxacin
250 mg PO twice daily. Which of the following instructions should the
nurse include in the teaching?
a. Take a laxative to prevent constipation
b. Drink 2 to 3 L of fluids daily
c. Take an antacid 30 min before taking the medication
d. Monitor heart rate once daily
9. A nurse is providing teaching to a client who has a deep-vein
thrombosis (DVT). Which of the following findings should the nurse
identify as a risk factor for the development of DVTs?
a. NSAID use
b. Cirrhosis
c. Hypertension
d. Oral contraceptive use
10. A nurse is caring for client who has Cushing’s disease. Which of the
following actions should the nurse take first? (Click on the “Exhibit”
button for additional information about the client. There are three
tabs that contain separate categories of data.)
a. Auscultate the client’s lung sounds
b. Check the client’s medication administration record for
antihypertensive medications
c. Determine the need for further glucose monitoring
d. Verify the client’s understanding of sodium restriction
