ATI Med-Surg Final ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse is planning care for a client who has thrombophlebitis and a
prescription to receive heparin via continuous IV infusion. Which of the
following actions should the nurse take? - CORRECT ANSWERS
Infuse the heparin using an electronic IV pump
A nurse in the emergency department is assessing a client who has extensive
burns, including on her face. Which of the following assessments should the
nurse perform first? - CORRECT ANSWERS Characteristics of the
cough and sputum
A nurse is providing teaching to a client who has tuberculosis and prescriptions
for rifampin and ethambutol. The nurse should identify which of the following
findings as an adverse effect of these medications that the cterm-52lient should
report to the provider? - CORRECT ANSWERS Decreased visual acuity
A nurse is reviewing the clients lab report. The clients ABG levels are PH 7.5,
PaCO2 32 mm HG, and HCO3 24mEq/L. The nurse should determine that the
client has which of the following acid base imbalances? - CORRECT
ANSWERS Respiratory Alkalosis
A nurse is providing teaching about antiretroviral medication therapy to a client
who has a new diagnosis of AIDS. Which of the following statements should
the nurse include in the teaching? - CORRECT ANSWERS " You should
take the antiretroviral medications on a routine schedule"
A nurse is planning care for a client during a sickle cell crisis. Which of the
following interventions should the nurse include in the clients plan of care? -
CORRECT ANSWERS Encourage increased fluid intake
, A nurse is providing teaching to a client who has stomatitis due to
chemotherapy and radiation therapy. Which of the following statements by the
client indicates a need for further teaching? - CORRECT ANSWERS "I
will use lemon and glycerine swabs after meals"
A nurse in the emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Which of the following actions should the nurse take first? - CORRECT
ANSWERS Ask the client about the first aid performed first at the scene
A nurse is planning care for a client who had a stroke. The client has hemiplegia
and occasional urinary incontinence. Which of the following actions should the
nurse include in the clients plan of care? - CORRECT ANSWERS Offer
the client a bedpan every 2 hr.
A nurse is providing teaching to a client who has gout and urolithiasis. The
client asks how to prevent future uric acid stones. Which of the following
suggestions should the nurse make? (select all that apply). - CORRECT
ANSWERS - take allopurinol as prescribed
-exercise several times a week
-limit intake foods high in purine
A nurse is monitoring a client following a thyroidectomy for the presence of
hypoparathyroidism. Which of the following findings should the nurse expect? -
CORRECT ANSWERS Involuntary muscle spasms
A nurse in an emergency department is assessing a client who has sustained a
fall off of a roof. Which of the following findings should the nurse identify as an
indication of a basilar skull fracture? - CORRECT ANSWERS clear
fluid coming from the nares
QUESTIONS AND CORRECT ANSWERS
A nurse is planning care for a client who has thrombophlebitis and a
prescription to receive heparin via continuous IV infusion. Which of the
following actions should the nurse take? - CORRECT ANSWERS
Infuse the heparin using an electronic IV pump
A nurse in the emergency department is assessing a client who has extensive
burns, including on her face. Which of the following assessments should the
nurse perform first? - CORRECT ANSWERS Characteristics of the
cough and sputum
A nurse is providing teaching to a client who has tuberculosis and prescriptions
for rifampin and ethambutol. The nurse should identify which of the following
findings as an adverse effect of these medications that the cterm-52lient should
report to the provider? - CORRECT ANSWERS Decreased visual acuity
A nurse is reviewing the clients lab report. The clients ABG levels are PH 7.5,
PaCO2 32 mm HG, and HCO3 24mEq/L. The nurse should determine that the
client has which of the following acid base imbalances? - CORRECT
ANSWERS Respiratory Alkalosis
A nurse is providing teaching about antiretroviral medication therapy to a client
who has a new diagnosis of AIDS. Which of the following statements should
the nurse include in the teaching? - CORRECT ANSWERS " You should
take the antiretroviral medications on a routine schedule"
A nurse is planning care for a client during a sickle cell crisis. Which of the
following interventions should the nurse include in the clients plan of care? -
CORRECT ANSWERS Encourage increased fluid intake
, A nurse is providing teaching to a client who has stomatitis due to
chemotherapy and radiation therapy. Which of the following statements by the
client indicates a need for further teaching? - CORRECT ANSWERS "I
will use lemon and glycerine swabs after meals"
A nurse in the emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Which of the following actions should the nurse take first? - CORRECT
ANSWERS Ask the client about the first aid performed first at the scene
A nurse is planning care for a client who had a stroke. The client has hemiplegia
and occasional urinary incontinence. Which of the following actions should the
nurse include in the clients plan of care? - CORRECT ANSWERS Offer
the client a bedpan every 2 hr.
A nurse is providing teaching to a client who has gout and urolithiasis. The
client asks how to prevent future uric acid stones. Which of the following
suggestions should the nurse make? (select all that apply). - CORRECT
ANSWERS - take allopurinol as prescribed
-exercise several times a week
-limit intake foods high in purine
A nurse is monitoring a client following a thyroidectomy for the presence of
hypoparathyroidism. Which of the following findings should the nurse expect? -
CORRECT ANSWERS Involuntary muscle spasms
A nurse in an emergency department is assessing a client who has sustained a
fall off of a roof. Which of the following findings should the nurse identify as an
indication of a basilar skull fracture? - CORRECT ANSWERS clear
fluid coming from the nares
