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ATI_ADULT_MEDICAL_SURGICAL_2022

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RN ADULT MEDICAL SURGICAL 2019
i i i i




1. A inurse iis iassessing ia iclient iwho ihas ia idiagnosis ion icolon icancer iwhich iof ithe ifollowing ishould ithe
inurse i expect?

a. Steatorrhea
b. Elevated ihemoglobin
ic. i Hematochezia

d. i Weight igain

2. A inurse iis iassessing ia iclient iadmitted iwith iperipheral ivascular idisease. iWhich iof ithe ifollowing ifindings
iindicates i a i venous i vascular i disorder?

a. An iulcer iat ithe itip iof ia itoe
b. Hair iloss idistal ito ithe iclient’s icalves
c. Leg ipain iat irest
d. Edema iof ithe iankle

3. A inurse iis iassessing ia iclient iwho ihas ipericarditis. iIn iwhich iof ithe ifollowing iareas iof ithe iclient’s ichest
ishould ithe inurse iplace ithe istethoscope ito ibest i hear ia ipericardial ifriction irub? i (select i HOT ispot)




Answer: iD

4. A inurse iis icaring ifor ia iclient iwho ihas ia ichest itube. iThe iclient iasks iwhy ithe ifluid iin ithe iwater-seal
ichamber irises iand ifalls. i Which i of i the ifollowing istatements i should ithe i nurse imake?

a. “This imeans iyour ilung iis ifully iexpanded i“
b. “This iindicates ia ipossible ileak”
c. “Suction ipressure ithat iis itoo ihigh icauses ithis”
id. i “Your i breathing i pattern i causes i this” i – i page i 111



5. A icommunity ihealth inurse iis ireviewing ihome icare iinstructions iwith ian iolder iadult iclient iwho ihas ia inew
idiagnosis i of iheart ifailure. iWhich iof ithe ifollowing iis ithe ipriority itopic ifor ithe inurse ito ireview iwith ithe

iclient?

a. Daily isodium irestriction
b. Daily iexercise iroutine

, c. Changes iin iweight
d. Fluid iintake irecord
6. A inurse iis iteaching ia iclient iabout ithe iuse iof itranscutaneous ielectrical inerve istimulation i(TENS) iunit.
iWhich i of i the ifollowing i statements ishould i the i nurse iinclude?

a. “Apply ilotion ito ithe isite iprior ito iattaching ithe ielectrodes”
b. “This idevice irequires iaccess ito ia i220-volt ioutlet”
c. “This idevice idelivers iheat ivia ielectrodes ithat iare iattached ito ithe iaffected iarea”
id. i “Adjust ithe i dial i until i you i feel i a i‘pins i and i needles’ isensation” i – i page i 648




7. A inurse iis iproviding iteaching ito ia iclient iwho iis ipostoperative ifollowing ia itotal ihip iarthroplasty. iWhich iof
ithe ifollowing i statements i should i the i nurse imake?

a. “Use iraised itoilet iseat ito imaintain iyour ihips iabove ithe iknees” i– ipage i455
b. “Twist iat ithe iwaist iwhen istanding ifrom ia iseated iposition”
c. “Move iyour istronger ileg ifirst iwhen iusing ia iwalker”
d. “Apply ia iheating ipad ito ithe ioperative ihip ito idecrease ipain”

8. A inurse ifinds ia iclient iin ibed, iunresponsive iand ibreathing. iWhich iof ithe ifollowing iaction ishould ithe
inurse itake ifirst?

a. Establish iIV iaccess
b. Apply iblood ipressure icuff
c. Palpate ifor ithe iclient’s icarotid ipulse
d. Initiate icardiac imonitoring ifor ithe iclient

9. A inurse iis icaring iwho iis iexperiencing ia ihypertensive icrisis. iWhich iof ithe ifollowing iactions ishould ithe
inurse itake?

a. Initiate iIV idopamine iinfusion
b. Perform ineurological iassessments
c. Place ithe iclient isupine
d. Begin ian iIV ibolus iof ilactated iringer’s

10. A inurse iis iproviding idischarge iteaching iabout iblood isugar imonitoring ifor ia iclient iwho ihas ia inew
idiagnosis iof itype i2 idiabetes imellitus. iThe inurse ishould iinstruct ithe iclient ito iobtain iwhich iof ithe

ifollowing i supplies?

a. Sterile ilancets
b. Compression istockings
c. Hand imirror
d. Toenail iclippers

11. A inurse iis icompleting idischarge iteaching iwho ihas ia iperipherally iinserted icentral icatheter i(PICC) iline iin
ithe ileft iarm. iWhich i of ithe ifollowing i instructions ishould i the inurse i include i in i the i teaching?

a. Do inot ielevate ithe iarm iabove ithe ilevel iof ithe iheart
b. Change ithe icatheter idressing idaily
c. Use i 10-mL isyringe ito iflush i line i – i page i 176
d. Clean ithe iinsertion isite iusing i20- imL iof ihydrogen iperoxide

12. A inurse iis ipreparing inaloxone i10 imcg/kg ivia iIV ibolus ito ia iclient iwho iweights i220 ilbs. iThe iamount
iavailable iis i0.4 img/mL. i How imany imL ishould ithe inurse iadminister? i(round ito ithe inearest itenth)

2.5 imL

13. A inurse iis icaring ifor ia iclient iwho ihas ia isealed iradiation iimplant. iWhich iof ithe ifollowing iactions ishould
ithe i nurse i take?

a. Remove isoiled ilinens ifrom ithe iroom iafter ieach ichange
b. Give ithe idosimeter ibadge ito ithe ioncoming inurse iat ithe iend iof ithe ishift
c. Apply ia isecond ipair iof igloves ibefore itouching ithe iclient’s iimplant iif iit idislodges
id. i Limit i family i member ivisits i to i30 imin i per i day i Page i 605

,14. A inurse iis iproviding iteaching ito ia iclient iand ihis ipartner iabout iperforming iperitoneal idialysis iat ihome.
iWhen idiscussing iperitonitis, iwhich iof ithe ifollowing i manifestations ishould ithe inurse iidentify ias ithe

iearliest i indication i of i this icomplication?

a. Generalized iabdominal ipain
ib. i Cloudy ieffluent i– ipage i381

c. Increased iheart irate
d. Fever

15. A inurse iis icaring ifor ia iclient iwho iis ireceiving ia iblood itransfusion. iThe inurse iobserves ithat ithe iclient ihas
ibounding iperipheral ipulses, ihypertension, iand idistended ijugular iveins. iThe inurse ishould ianticipate

iadministering i which i of ithe i following i prescribed i medications?

a. Pantoprazole
b. Acetaminophen
ic. i Furosemide

d. i Diphenhydramine

16. A inurse iis iplanning icare ifor ia iclient iwho ihas iupper igastrointestinal ibleeding idue ito ia ipeptic iulcer.
iWhich i of ithe ifollowing i actions i should i the i nurse i plan i to itake?

a. Provide iketorolac ifor iabdominal ipain
b. Administer initroprusside iIV ibased ion ithe iclient’s iweight
ic. i Insert ia ilarge ibore inasogastric itube i– ipage i330

d. i Ensure ithat ithe iclient ihas ia i22-gauge iIV iline iin iplace

17. A inurse iis icaring ifor ia iclient iwho ihas ibladder icancer iand ia iWBC icount iof i900/mm3. iWhich iof ithe
ifollowing i actions i should i the i nurse itake?

a. Instruct i client i to iavoid i eating iraw ifruit i – i page i 615
b. Move ithe iclient ito ia inegative ipressure iroom
c. Use icontact iisolation iwhile iproviding icare
d. Apply ipressure ito ivenipuncture isites ifor i10 imin

18. A inurse iis icaring ifor ia ipatient iwho ihas ihypotension, icool iand iclammy iskin, itachycardia iand itachypnea.
iWhich i of ithe ifollowing i positions i should i the i nurse iplace i the iclient?

a. Reverse iTrendelenburg i – i page i 397
b. Feet ielevated
c. Side ilying
d. High-fowler’s

19. A inurse iis icaring ifor ia iclient iwho iweights i190 ilb iand iis ireceiving iTotal iParenteral iNutrition. iIf ithe iRDA
iProtein iis i0.8g/kg iof ibody iweight, ihow imany igrams iof iprotein ishould ithe iclient ireceive idaily i(Round ithe

ianswer ito ithe inearest i whole inumber. iUse ia i leading izero iif iit iapplies. iDo i not i use ia itrailing izero)

Answer: i69 igrams

20. A inurse iis iplanning icare ifor ia iclient iwho ihas ia icentral ivenous iaccess idevice ifor iintermittent iinfusions.
iWhich i of ithe ifollowing i actions i should i the i nurse i include i in i the i plan i of icare?

a. Flush ia icatheter iusing ia i10 imL isyringe
b. Use iclean itechnique iwhen ichanging ithe idressing
c. Cleanse ithe isite iwith iProvo idine iiodine
d. Change ithe idressing ievery i24 ihours

21. A inurse iis ireviewing ithe imedical irecord iof ia iclient iwho iis ito iundergo iopen iheart isurgery. iWhich iof ithe
ifollowing ifindings ishould i the inurse ireport ito ithe iprovider i as ia icontradiction ito ireceiving iheparin?

a. Thalassemia
b. Rheumatoid iarthritis
c. COPD

, d. Thrombocytopenia

22. A inurse iis icaring ifor ian iolder iadult iclient iwho ihas idementia. iWhich iof ithe ifollowing iquestion ishould ithe
inurse i ask i to iassess ithe i client's i abstract i thinking?

a. What iis imeant iby isaying i“don't ibeat iaround ithe ibush?”
b. What ido iyou iunderstand iabout iyour icondition?
c. Can iyou icount ibackwards ifrom i100 iin iintervals iof i7?
d. Can iyou istate iwhere iyou iwere iborn?

23. A inurse iis icompleting ian iassessment iof ian iolder iadult iclient iand inotes ireddened iareas iover ithe ibony
iprominences, ibut ithe iclient's iskin iis iintact. iWhich iof ithe ifollowing i interventions ishould ithe inurse iinclude

iin i the i plan i of i care?

a. Apply ian iocclusive idressing
b. Turn iand ireposition ithe iclient ievery i4 ihours
ic. i Support ibony iprominences i with ipillows

d. i Massage iTourette iin iareas ithree itimes idaily

24. A inurse iis ireviewing ia icardiac irhythm istrip iof ia iclient iwho ihas iatrial iflutter. iWhich iof ithe ifollowing
ifindings i should i the i nurse i expect?

a. Progressively ilonger iPR idurations
b. Undetectable ip iwaves
c. Absent iPR iintervals iwith iventricular irate iof i40 ito i60 i/ iminutes id)
id. i Sawtooth ipattern i with i atrial irate i of i252 ito i 400 i/ iminutes



25. A inurse iis icaring ifor ia iclient iwho iis ischeduled ifor ian iabdominal iparacentesis. iThe inurse ishould iplan ito
itake i which i of i the ifollowing i actions?

a. Administer ia istool isoftener ifollowing ithe iprocedure
b. Ask ithe iclient ito iempty ihis ibladder i prior ito ithe iprocedure i– iPage i311
c. Instruct ithe iclient ito itake ideep ibreaths iand ihold ithem iduring ithe iprocedure
d. Assist ithe iclient iinto ithe ileft ilateral iposition iduring ithe iprocedure

26. A inurse iis iassessing ia iclient ifollowing ithe iinsertion iof ia icentral ivenous icatheter. iWhich iof ithe ifollowing
ifindings i indicates i a ipneumothorax?

a. Diminished ibreath isounds
b. Itching iover ithe iincision
c. Distended ineck iveins
d. Irregular iheart irate

27. A inurse iis iproviding iteaching ito ia iclient iwho iis ireceiving iopioids ifor ipain imanagement. iWhich iof ithe
ifollowing i information i should i the i nurse iinclude i in i the i teaching?

a. Monitor iurinary ioutput ifor iretention
b. avoid itaking ianti iemetics iwith ithe imedication
c. restrict ifluid iintake iIf iyou iexperience iconstipation
d. itching iIndicates iyou iare ihaving ian iallergic ireaction ito ithe imedication

28. A inurse iis iproviding idischarge iteaching ifor ia iclient iwho ihas iasthma iand ia inew iprescription ifor ia
imetered idose iinhaler. iWhich iof ithe ifollowing iclient istatements iindicates ian iunderstanding iof ithe

iteaching?

a. I ishould iclean ithe icap iof ithe iinhaler ionce iper iweek
ib. i I ishould i shake ithe i inhaler ibefore iI i use i it

c. I iShould iwait i15 iseconds ibetween ipuffs
d. I ishould iinhale ithe imedication iquickly

29. A inurse iis iproviding ipreoperative iteaching ifor ia iclient iwho iis ihaving ileft-sided icardiac icatheterization.
iWhich i of ithe ifollowing i information i should i the i nurse iinclude i in i the iteaching?

a. You ishould iplan ito iremain iin ibed ifor i18 ihours iafter ithe iprocedure

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