ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
1. A nurse is caring for a client - Places body weight on the crutches
who has a leg cast and is re- - Advances the unattected leg onto the stair
turning to demonstrate on - Shifts weight from the crutches to the unattected leg
the proper use of crutches - Brings the crutches and the attected leg up to the stair
while climbing stairs. Iden-
tify the sequence the client
should follow when demon-
strating crutch use.
- Brings the crutches and
the affected leg up to the
stair
- Places body weight on the
crutches
- Shifts weight from the
crutches to the unaffected
leg
- Advances the unaffected
leg onto the stair
2. A nurse is caring for a client - Constipation
who has hypothyroidism.
Which of the following man- RATIONALE: A client who has hypothyroidism can experience con-
ifestations should the nurse stipation due to the decrease in the client's metabolism, resulting
expect? in slow motility of the GI tract. The nurse should instruct the client
- Constipation to increase fiber and fluid intake to reduce the risk for constipation.
- Insomnia
- Tachycardia
- Diaphoresis
3.
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
A nurse is assessing a - Alternate application of heat and cold to the attected joints
client who has a diagno-
sis of rheumatoid arthri- RATIONALE: The nurse should instruct the client to alternate heat
tis. Which of the following and cold applications to decrease joint inflammation and pain. The
nonpharmacological inter- application of cold can relieve joint swelling and the application of
ventions should the nurse heat can decrease joint stittness and pain.
suggest to the client to re-
duce pain?
- Increase intake of foods
containing calcium
- Alternate application of
heat and cold to the affect-
ed joints
- Keep the affected extremi-
ties elevated
- Limit movement of the af-
fected joints
4. A nurse is caring for a client - Slow the infusion rate
who is receiving a blood
transfusion. The client be- RATIONALE: Dyspnea, restlessness, and the onset of crackles during
comes restless, dyspneic, a blood transfusion are manifestations of circulatory overload. The
and has crackles noted to nurse should slow or stop the infusion to improve the client's ability
the lung bases. Which of the to breath, place the client in an upright position, and notify the
following actions should the provider. The provider might prescribe a diuretic to alleviate the
nurse anticipate taking? fluid overload.
- Administer an antihista-
mine
- Slow the infusion rate
- Give the client a corticos-
teroid
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
- Elevate the client's lower
extremities
5. A nurse in the emergency - "It's like a curtain closed over my eye."
department is assessing a
client who has a detached RATIONALE: A retinal detachment is the separation of the retina
retina. Which of the follow- from the epithelium. It can occur because of trauma, cataract
ing should the nurse expect surgery, retinopathy, or uveitis. Clients who have retinal detach-
the client to report? ment typically report the sensation of a curtain being pulled over
- "It's like a curtain closed part of the visual field.
over my eye."
- "This sharp pain in my eye
started 2 hours ago."
- "I've been having more
and more difficulty seeing
over the last few weeks."
- "I seem to have more prob-
lems seeing different col-
ors."
6. A nurse is teaching a client - Add cabbage to the diet
who has a family history
of colorectal cancer. To help RATIONALE: To help reduce the risk for colorectal cancer, the client
mitigate this risk, which of should consume a diet that is high in fiber, low in fat, and low
the following dietary alter- in refined carbohydrates. Brassica vegetables, such as cabbage,
ations should the nurse rec- cauliflower, and broccoli, are high in fiber.
ommend?
- Add full-fat yogurt to the
diet
- Add cabbage to the diet
- Replace butter with
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
coconut oil
- Replace shellfish with red
meat
7. A nurse is caring for a client - Instruct the client to splint the abdomen with a pillow for cough-
who is postoperative follow- ing
ing abdominal surgery.
RATIONALE: It is important for the client to turn, cough, and deep
A nurse is caring for a breathe to reduce the risk for respiratory complications. The nurse
client who is postoperative. should instruct the client to splint the incision while performing
Which of the following ac- these actions to reduce the risk of complications to the surgical
tions should the nurse take? incision.
(Select all that apply.)
- Ask the client to rate their - Plan to ambulate the client as soon as possible
pain on a 0 to 10 pain scale
RATIONALE: The nurse should plan to ambulate the client as soon
- Instruct the client to splint
as possible to promote ventilation and decrease the risk of throm-
the abdomen with a pillow
bosis..
for coughing
- Plan to ambulate the client
- Report urinary output to the provider
as soon as possible
- Apply oxygen via a face RATIONALE: The client should produce at least 30 mL of urine
mask per hour. Therefore, the nurse should report this finding to the
- Report urinary output to provider.
the provider
- Ask the client to rate their pain on a 0 to 10 pain scale
RATIONALE: The nurse should have the client rate their pain prior
to and following the administration of pain medication to evaluate
its ettectiveness.
8. A nurse is caring for a client - The client's surgical site dressing has required changing twice in
who is postoperative follow- 2 hr due to drainage
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
1. A nurse is caring for a client - Places body weight on the crutches
who has a leg cast and is re- - Advances the unattected leg onto the stair
turning to demonstrate on - Shifts weight from the crutches to the unattected leg
the proper use of crutches - Brings the crutches and the attected leg up to the stair
while climbing stairs. Iden-
tify the sequence the client
should follow when demon-
strating crutch use.
- Brings the crutches and
the affected leg up to the
stair
- Places body weight on the
crutches
- Shifts weight from the
crutches to the unaffected
leg
- Advances the unaffected
leg onto the stair
2. A nurse is caring for a client - Constipation
who has hypothyroidism.
Which of the following man- RATIONALE: A client who has hypothyroidism can experience con-
ifestations should the nurse stipation due to the decrease in the client's metabolism, resulting
expect? in slow motility of the GI tract. The nurse should instruct the client
- Constipation to increase fiber and fluid intake to reduce the risk for constipation.
- Insomnia
- Tachycardia
- Diaphoresis
3.
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
A nurse is assessing a - Alternate application of heat and cold to the attected joints
client who has a diagno-
sis of rheumatoid arthri- RATIONALE: The nurse should instruct the client to alternate heat
tis. Which of the following and cold applications to decrease joint inflammation and pain. The
nonpharmacological inter- application of cold can relieve joint swelling and the application of
ventions should the nurse heat can decrease joint stittness and pain.
suggest to the client to re-
duce pain?
- Increase intake of foods
containing calcium
- Alternate application of
heat and cold to the affect-
ed joints
- Keep the affected extremi-
ties elevated
- Limit movement of the af-
fected joints
4. A nurse is caring for a client - Slow the infusion rate
who is receiving a blood
transfusion. The client be- RATIONALE: Dyspnea, restlessness, and the onset of crackles during
comes restless, dyspneic, a blood transfusion are manifestations of circulatory overload. The
and has crackles noted to nurse should slow or stop the infusion to improve the client's ability
the lung bases. Which of the to breath, place the client in an upright position, and notify the
following actions should the provider. The provider might prescribe a diuretic to alleviate the
nurse anticipate taking? fluid overload.
- Administer an antihista-
mine
- Slow the infusion rate
- Give the client a corticos-
teroid
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
- Elevate the client's lower
extremities
5. A nurse in the emergency - "It's like a curtain closed over my eye."
department is assessing a
client who has a detached RATIONALE: A retinal detachment is the separation of the retina
retina. Which of the follow- from the epithelium. It can occur because of trauma, cataract
ing should the nurse expect surgery, retinopathy, or uveitis. Clients who have retinal detach-
the client to report? ment typically report the sensation of a curtain being pulled over
- "It's like a curtain closed part of the visual field.
over my eye."
- "This sharp pain in my eye
started 2 hours ago."
- "I've been having more
and more difficulty seeing
over the last few weeks."
- "I seem to have more prob-
lems seeing different col-
ors."
6. A nurse is teaching a client - Add cabbage to the diet
who has a family history
of colorectal cancer. To help RATIONALE: To help reduce the risk for colorectal cancer, the client
mitigate this risk, which of should consume a diet that is high in fiber, low in fat, and low
the following dietary alter- in refined carbohydrates. Brassica vegetables, such as cabbage,
ations should the nurse rec- cauliflower, and broccoli, are high in fiber.
ommend?
- Add full-fat yogurt to the
diet
- Add cabbage to the diet
- Replace butter with
, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_g51gy9
coconut oil
- Replace shellfish with red
meat
7. A nurse is caring for a client - Instruct the client to splint the abdomen with a pillow for cough-
who is postoperative follow- ing
ing abdominal surgery.
RATIONALE: It is important for the client to turn, cough, and deep
A nurse is caring for a breathe to reduce the risk for respiratory complications. The nurse
client who is postoperative. should instruct the client to splint the incision while performing
Which of the following ac- these actions to reduce the risk of complications to the surgical
tions should the nurse take? incision.
(Select all that apply.)
- Ask the client to rate their - Plan to ambulate the client as soon as possible
pain on a 0 to 10 pain scale
RATIONALE: The nurse should plan to ambulate the client as soon
- Instruct the client to splint
as possible to promote ventilation and decrease the risk of throm-
the abdomen with a pillow
bosis..
for coughing
- Plan to ambulate the client
- Report urinary output to the provider
as soon as possible
- Apply oxygen via a face RATIONALE: The client should produce at least 30 mL of urine
mask per hour. Therefore, the nurse should report this finding to the
- Report urinary output to provider.
the provider
- Ask the client to rate their pain on a 0 to 10 pain scale
RATIONALE: The nurse should have the client rate their pain prior
to and following the administration of pain medication to evaluate
its ettectiveness.
8. A nurse is caring for a client - The client's surgical site dressing has required changing twice in
who is postoperative follow- 2 hr due to drainage
