EXAMS TEST BANK QUESTIONS AND CORRECT ANSWERS.
ATI RN MED SURG PROCTORED 2023
A nurse in the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on rhe "exhibit" button for additional
information about the client - ANSWER- Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal
cancer. The nurse should identify which of the following findings as increasing the
client's risk? - ANSWER- Historyof Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the
nurse, "I'm not sure I want to have a mastectomy." Which of the following statements
should the nurse make? - ANSWER- I can give you additional information about the
procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow. - ANSWER- 1. obtain venous
access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching. - ANSWER- I should expect less than 25 ml
of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In response to
painful stimuli, the client does not open her eyes, displays decerebrate posturing
,and makes incomprehensible sounds. which of the following glasgow Coma scale
scores should the nurse assign the client? - ANSWER- 5
A nurse is providing discharge teaching to a client who has heart failure and instructs
him to limit sodium intake to 2 g per day. Which of the following statements by the
client indicates an understanding of the teaching? - ANSWER- I can have a frozen fruit
juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following a chemical
splash to the eye. Which of the following actions should the nurse plan to take first? -
ANSWER- instill 0.9% sodium chloride solution into the affected eye
A nurse is assessing a client following extubation from a ventilator.for which of the
following findings should the nurse intervene immediately? - ANSWER- Stridor
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis.
Which of the following findings should the nurse expect? - ANSWER- Elevated blood
glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which
of the following findings should the nurse expect? - ANSWER- Urine specific gravity
1.001
A nurse is planning care for a client who has a pulmonary embolism. which of the
following interventions should the nurse include? - ANSWER- Initiate a continuos IV
heparin infusion
a nurse is providing discharge teaching to a client who is recovering from a sickle
cell crisis. which of the following instructions should the nurse include? - ANSWER-
Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which
of the following ac ons should the nurse take first? - ANSWER- Insert a large-bore IV
catheter
A nurse is caring for a client who has an arteriovenous graft . Which of the following
findings indicates adequate circulation on of the graft? - ANSWER- Palpable thrill
,A nurse is assessing a client who has heart failure and is receiving a loop diure c.
Which of the following nding indicates hypokalemia? - ANSWER- Muscle weakness
A nurse is caring for a client in diabetic ketoacidosis (DKA) Which of the following is
the priority intervention by the nurse? - ANSWER- Infuse 0.9% normal saline
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the
following client statements indicates an understanding of the teaching? - ANSWER- I
will expect my stools to be loss
A nurse is caring for a client who is receiving total parenteral nutri on through a
central line. The current bag is nearly empty, and a new bag is unavailable from the
pharmacy. Which of the following actions should the nurse take? - ANSWER- Switch
the infusion to a 10% dextrose solution
A nurse is caring for a client who is 6hr postopera ve following a thyroidectomy. The
client reports tingling and numbness in the hands. The nurse should identify this as a
sign of which of the following electrolyte imbalance? - ANSWER- Hypocalcemia
A nurse in a provider office is caring for a client who has total vision loss and is the
handler of a service dog. which of the following actions should the nurse take to
show consideration for the client and the service animal? - ANSWER- Consult the
client before approaching the dog.
A nurse is reviewing medications taken at home with a client who has angina. which of
the following statements by the client indicates an underestanding of the teaching? -
ANSWER- I should lie down before taking a dose of isosorbide dinitrate
A nurse in the post anesthesia care unit is assessing a client following an
appendectomy and finds a 2 cm (3/4 in) area of blood on the postoperative dressing.
which of the following actions should the nurse take? - ANSWER- Apply pressure
A nurse is caring for a client who is receiving mechanical ventilation. which of the
following interventions should the nurse implement? - ANSWER-
, A nurse is planning care for a client who has full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include? -
ANSWER- Apply new gloves when alternating between wound care sites.
A nurse is providing teaching for a client who has tuberculosis and a new prescription
for pyrazinamide. The nurse should instruct the client to notify the provider if which of
the following adverse effects occurs? - ANSWER- Jaundice
A nurse is planning care for a client who has left-side hemiplegia following a stroke.
which of the following actions should the nurse include in the plan of care?
- ANSWER- Position the client's table on the left side
A nurse is performing an ear irriga on for a client. Which of the following ac ons
should the nurse take? - ANSWER- Point the type of the syringe toward the top of the
ear canal
A nurse is caring for a client who has a history of chemotherapy-induced nausea and
vomi ng. Which of the following medica ons should the nurse administer prior to
chemotherapy? - ANSWER- Ondasteron
A nurse is preparing to discharge a client who has a halo device and is reviewing new
prescription ons from the provider. The nurse should clarify which of the following
prescriptions ons with the provider? - ANSWER- May operate a motor vehicle when no
longer taking analgesics
A nurse is providing discharge teaching to a client who has tuberculosis. Which of the
following information should the nurse include in the teaching? - ANSWER- You will to
return in 2 weeks to provide a sputum specimen.
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? - ANSWER- Frothy sputum
A nurse is planning care for a client who has osteoarthritis of the knees. Which of the
following interventions should the nurse include in the plan? - ANSWER- Place a
large pillow under the client's knees when resting.
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate (TURP). The client reports sharp