ATI RN MEDICAL SURGICAL EXAMQUE
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STIONS AND ANSWERS. u u
A nurse on a medical-surgical unit is receiving change-of-shift report
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on four clients. Which of the following clients should the nurse
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identifyas having the greatest risk for developing an infection?
u u u u u u u u u
a) A client who has a closed fracture of the arm and is receiving an
u u u u u u u u u u u u u
opioid pain medication u u
b) A client who has COPD and is receiving steroid therapy
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c) A client who is postoperative following a laparoscopic
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appendectomy and is receiving an antibiotic u u u u u
d) A client who has a deep vein thrombosis (DVT) and is receiving
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anticoagulant therapy - ANSWER -b) A client who has COPD and is u u u u u u u u u u u
receiving steroid therapy u u
A nurse in an emergency department is assessing an older adult
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client who has a fractured wrist following a fall. During the
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assessment, the client states, "Last week I crashed my car because
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my vision suddenly went blurry." Which of the following actions is the
u u u u u u u u u u u
nurse's priority? u
,a) Check the client's neurological status
u u u u
b) Document the client's statements u u u
c) Prepare the client for a CT scan u u u u u u
d) Teach the client about using safety precautions for falls - ANSWER
u u u u u u u u u u
-a) Check the client's neurological status
u u u u u
A nurse is providing preoperative teaching for a client who is
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scheduled for an open cholecystectomy. Which of the following
u u u u u u u u
actions should the nurse take?
u u u u
a) Teach the importance of a clear liquid diet after discharge
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b) Tell the client to remove incisional adhesive strips 3 days after
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discharge
c) Demonstrate ways to deep breath and cough u u u u u u
d) Instruct the client to maintain bedrest for 48 hours - ANSWER -c)
u u u u u u u u u u u
Demonstrate ways to deep breath and cough u u u u u u
A nurse in an emergency department is caring for a client who has
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full-thickness burns over 20%of his total bodysurface area. After
u u u u u u u u u u
ensuring a patent airwayand administering oxygen, which of the
u u u u u u u u u
following items should the nurse prepare to administer?
u u u u u u u
,a) IV fluids
u
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER -a) IV fluids
u u u u u u
A nurse in a provider's office is assessing a client who has migraine
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headaches and is taking feverfew to prevent her headaches. The
u u u u u u u u u
nurse should identify that which of the following client medications
u u u u u u u u u
interacts with feverfew? u u
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER -c) Naproxen u u u u
A nurse is providing discharge teaching to a client who has laryngeal
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cancer and is receiving radiation treatment. Which of the following
u u u u u u u u u
statements made by the client indicates an understanding of the
u u u u u u u u u
teaching?
a) I will wear a badge to measure how much radiation I am receiving
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, b) I will remove the markings on the skin after each radiation
u u u u u u u u u u
treatment
c) I will avoid direct exposure to the sun
u u u u u u u
d) I will rinse my mouth with a commercial mouthwash - ANSWER -c) I
u u u u u u u u u u u u
will avoid direct exposure to the sun
u u u u u u
A nurse is preparing to administer a blood transfusion to a client who
u u u u u u u u u u u u
has anemia. Which of the following actions should the nurse take
u u u u u u u u u u
first?
a) Obtain the client's vital signs u u u u
b) Describe the blood transfusion procedure to the client
u u u u u u u
c) Check for the type and number of units of blood to administer
u u u u u u u u u u u
d) Initiate a peripheral IV - ANSWER -c) Check for the type and
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number of units of blood to administer
u u u u u u
A nurse is caring for a client who has a prescription for enalapril. The
u u u u u u u u u u u u u
nurse should identifywhich of the following findings as an adverse
u u u u u u u u u u
effect of the medication?
u u u
a) Bradycardia
b) Tremors
u u u u u
STIONS AND ANSWERS. u u
A nurse on a medical-surgical unit is receiving change-of-shift report
u u u u u u u u u
on four clients. Which of the following clients should the nurse
u u u u u u u u u u
identifyas having the greatest risk for developing an infection?
u u u u u u u u u
a) A client who has a closed fracture of the arm and is receiving an
u u u u u u u u u u u u u
opioid pain medication u u
b) A client who has COPD and is receiving steroid therapy
u u u u u u u u u
c) A client who is postoperative following a laparoscopic
u u u u u u u
appendectomy and is receiving an antibiotic u u u u u
d) A client who has a deep vein thrombosis (DVT) and is receiving
u u u u u u u u u u u
anticoagulant therapy - ANSWER -b) A client who has COPD and is u u u u u u u u u u u
receiving steroid therapy u u
A nurse in an emergency department is assessing an older adult
u u u u u u u u u u
client who has a fractured wrist following a fall. During the
u u u u u u u u u u
assessment, the client states, "Last week I crashed my car because
u u u u u u u u u u
my vision suddenly went blurry." Which of the following actions is the
u u u u u u u u u u u
nurse's priority? u
,a) Check the client's neurological status
u u u u
b) Document the client's statements u u u
c) Prepare the client for a CT scan u u u u u u
d) Teach the client about using safety precautions for falls - ANSWER
u u u u u u u u u u
-a) Check the client's neurological status
u u u u u
A nurse is providing preoperative teaching for a client who is
u u u u u u u u u u
scheduled for an open cholecystectomy. Which of the following
u u u u u u u u
actions should the nurse take?
u u u u
a) Teach the importance of a clear liquid diet after discharge
u u u u u u u u u
b) Tell the client to remove incisional adhesive strips 3 days after
u u u u u u u u u u
discharge
c) Demonstrate ways to deep breath and cough u u u u u u
d) Instruct the client to maintain bedrest for 48 hours - ANSWER -c)
u u u u u u u u u u u
Demonstrate ways to deep breath and cough u u u u u u
A nurse in an emergency department is caring for a client who has
u u u u u u u u u u u u
full-thickness burns over 20%of his total bodysurface area. After
u u u u u u u u u u
ensuring a patent airwayand administering oxygen, which of the
u u u u u u u u u
following items should the nurse prepare to administer?
u u u u u u u
,a) IV fluids
u
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER -a) IV fluids
u u u u u u
A nurse in a provider's office is assessing a client who has migraine
u u u u u u u u u u u u
headaches and is taking feverfew to prevent her headaches. The
u u u u u u u u u
nurse should identify that which of the following client medications
u u u u u u u u u
interacts with feverfew? u u
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER -c) Naproxen u u u u
A nurse is providing discharge teaching to a client who has laryngeal
u u u u u u u u u u u
cancer and is receiving radiation treatment. Which of the following
u u u u u u u u u
statements made by the client indicates an understanding of the
u u u u u u u u u
teaching?
a) I will wear a badge to measure how much radiation I am receiving
u u u u u u u u u u u u
, b) I will remove the markings on the skin after each radiation
u u u u u u u u u u
treatment
c) I will avoid direct exposure to the sun
u u u u u u u
d) I will rinse my mouth with a commercial mouthwash - ANSWER -c) I
u u u u u u u u u u u u
will avoid direct exposure to the sun
u u u u u u
A nurse is preparing to administer a blood transfusion to a client who
u u u u u u u u u u u u
has anemia. Which of the following actions should the nurse take
u u u u u u u u u u
first?
a) Obtain the client's vital signs u u u u
b) Describe the blood transfusion procedure to the client
u u u u u u u
c) Check for the type and number of units of blood to administer
u u u u u u u u u u u
d) Initiate a peripheral IV - ANSWER -c) Check for the type and
u u u u u u u u u u u
number of units of blood to administer
u u u u u u
A nurse is caring for a client who has a prescription for enalapril. The
u u u u u u u u u u u u u
nurse should identifywhich of the following findings as an adverse
u u u u u u u u u u
effect of the medication?
u u u
a) Bradycardia
b) Tremors