ATI Med-Surg Proctored Exam Review study guide;
Respiratory Alkalosis S/S - lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - Encourage weight bearing exercises
(such as walking because it can help maintain bone mass by reducing bone demineralization, thus
helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - This type of insulin should be given at the same time everyday. (It is
released over a 24hr period)
, A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - Visitors must don a
gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - Rephrase client instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - Lack of sensation between the first
and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - Limit contact with
large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? -
Encourage the client to use an incentive spirometer every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding
should the nurse expect related to hyperkalemia? - Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions
should the nurse implement first? - Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." What response should the nurse make? - "Tell me more about the way you are
feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as
the priority? - Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to
reduce skin breakdown? - Keep the skin dry and free of perspiration
Respiratory Alkalosis S/S - lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - Encourage weight bearing exercises
(such as walking because it can help maintain bone mass by reducing bone demineralization, thus
helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - This type of insulin should be given at the same time everyday. (It is
released over a 24hr period)
, A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - Visitors must don a
gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - Rephrase client instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - Lack of sensation between the first
and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - Limit contact with
large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? -
Encourage the client to use an incentive spirometer every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding
should the nurse expect related to hyperkalemia? - Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions
should the nurse implement first? - Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." What response should the nurse make? - "Tell me more about the way you are
feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as
the priority? - Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to
reduce skin breakdown? - Keep the skin dry and free of perspiration
