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1. A nurse is assisting with the care of a client who has a Ensure the client's weights
femur fracture and is in skeletal traction. Which of the are hanging freely from
following actions should the nurse take the bed.
2. A nurse in a provider's office is reinforcing teaching Take this medication be-
with a client who has anemia and has been taking tween meals
ferrous gluconate for several weeks. Which of the fol-
lowing instructions should the nurse include?
3. A nurse in a provider's office is reinforcing teaching Take this medication be-
with a client who has anemia and has been taking tween meals.
ferrous gluconate for several weeks. Which of the fol-
lowing instructions should the nurse include?
4. A nurse is reviewing the plan of care for a client who Wash daily with an an-
has cellulitis of the leg. Which of the following inter- tibacterial soap.
ventions should the nurse recommend?
5. A nurse is reinforcing teaching with a client who is Avoid medications in cap-
postoperative after having an ileostomy established. sule or enteric form.
Which of the following instructions should the nurse
include in the teaching?
6. A nurse is caring for a client with severe burns to "Large incisions will be
both lower extremities. The client is scheduled for an made in the burned tissue
escharotomy and wants to know what the procedure to improve circulation."
involves. Which of the following statements is appro-
priate for the nurse to make?
7. A nurse is collecting data from a client who has a pos- Decreased color percep-
sible cataract. Which of the following manifestations tion
should the nurse expect the client to report?
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8. A nurse is contributing to the plan of care for a client Maintain the client in
who has an intestinal obstruction and is receiving con- Fowler's position.
tinuous gastrointestinal decompression using a na-
sogastric tube. Which of the following interventions
should the nurse include in the plan of care?
9. A nurse is caring for a client who has Cushing's syn- 1) Buffalo hump 2) Purple
drome. Which of the following clinical manifestations striations 3) Moon face
should the nurse expect to observe? (Select all that
apply.)
10. A nurse is caring for a client who is in the oliguric Monitor intake and output
phase of acute kidney injury. Which of the following hourly
actions should the nurse take?
11. A nurse is reinforcing teaching about an esopha- "You will remain NPO for
gogastroduodenoscopy with a client who has upper 8 hours before the proce-
gastric pain. Which of the following statements should dure."
the nurse include in the teaching?
12. A nurse is caring for a client who is difficult to arouse Postictal phase
and very sleepy for several hours following a gen-
eralized tonic-clonic seizure. Which of the following
descriptions should the nurse use when documenting
this finding in the medical record?
13. A nurse is reinforcing teaching with a client who re- "The pain will dissipate if
ports right shoulder pain following a laparoscopic you ambulate frequently."
cholecystectomy. Which of the following statements
should the nurse make?
14. A nurse is checking the suction control chamber of a Verify that the suction reg-
client's chest tube and notes that there is no bubbling ulator is on.
, ATI Med Surge Proctored Exam 2023
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in the suction control chamber. Which of the following
actions should the nurse take?
15. A nurse is assisting with the care of a client immediate- Encourage fluid intake. 2)
ly following a lumbar puncture. Which of the following Monitor the puncture site
actions should the nurse take? (Select all that apply.) for hematoma.
16. A nurse is assisting with the care of a client who Prevent aspiration.
is postoperative following surgical repair of a frac-
tured mandible. The client's jaw is wired shut to repair
and stabilize the fracture. The nurse should recognize
which of the following is the priority action?
17. A nurse is collecting data from a client who has scle- Hardened skin
roderma. Which of the following findings should the
nurse expect?
18. A nurse is caring for an older adult client who has Add thickener to fluids.
dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take?
19. A nurse is caring for a client who has partial-thickness Airway obstruction
and full-thickness burns of his head, neck, and chest.
The nurse should recognize which of the following is
the priority risk to the client?
20. A nurse is reinforcing teaching with a client who is 1) Take the medication 45
newly diagnosed with myasthenia gravis and is to minutes before eating.
start taking neostigmine. Which of the following in-
structions should the nurse include in the teaching?
21. A nurse is caring for a client who is 12 hours post-
operative following a transurethral resection of the