Virtual ATI Med-Surg Set Test Questions with Answers Rated A
A nurse is administering packed red blood cells to a client.
What should the nurse do if a transfusion reaction is Stop the infusion.
suspected?
A nurse is caring for a client with skeletal traction following
One cotton swab with chlorhexidine is designated for each
a fracture. How and when should skeletal pin care be
pin for pin care to be done once a shift.
provided?
A nurse is providing dietary teaching to a client newly
diagnosed with constipation-predominant irritable bowel Eat foods high in fiber
syndrome. List two (2) teaching points the should share Increase fluids
with the client about dietary practices.
Severe hypertension with widening of pulse pressure and
Late Cushing's Triad manifestation
bradycardia
small, waxy nodule with superficial blood vessels, well-de-
Identifying Basal cell cancer
fined borders
assess LOC, cough and gag reflex, and ability to swallow
Teaching post Bronchoscopy
before consuming oral intake
take antiretroviral medications to inhibit DNA synthesis
Teaching how to prevent transmission of HIV
and Viral replication
ABGs
Determine imbalance
Remove the blood tubing from the IV access site. Initiate
Blood compatibility: an infusion of 0.9% of sodium chloride using new tubing.
Nursing Actions for Hemolytic transfusion reaction Monitor VS and fluid status. Send the blood bag and
administrating set to the lab for testing.
Priority intervention for Complication of Central Venous 1) look for safety risk; what is the risk for patient and how
Catheter significant is the risk? 2)
Teaching about levothyroxine (overdose manifestations)
1/4
A nurse is administering packed red blood cells to a client.
What should the nurse do if a transfusion reaction is Stop the infusion.
suspected?
A nurse is caring for a client with skeletal traction following
One cotton swab with chlorhexidine is designated for each
a fracture. How and when should skeletal pin care be
pin for pin care to be done once a shift.
provided?
A nurse is providing dietary teaching to a client newly
diagnosed with constipation-predominant irritable bowel Eat foods high in fiber
syndrome. List two (2) teaching points the should share Increase fluids
with the client about dietary practices.
Severe hypertension with widening of pulse pressure and
Late Cushing's Triad manifestation
bradycardia
small, waxy nodule with superficial blood vessels, well-de-
Identifying Basal cell cancer
fined borders
assess LOC, cough and gag reflex, and ability to swallow
Teaching post Bronchoscopy
before consuming oral intake
take antiretroviral medications to inhibit DNA synthesis
Teaching how to prevent transmission of HIV
and Viral replication
ABGs
Determine imbalance
Remove the blood tubing from the IV access site. Initiate
Blood compatibility: an infusion of 0.9% of sodium chloride using new tubing.
Nursing Actions for Hemolytic transfusion reaction Monitor VS and fluid status. Send the blood bag and
administrating set to the lab for testing.
Priority intervention for Complication of Central Venous 1) look for safety risk; what is the risk for patient and how
Catheter significant is the risk? 2)
Teaching about levothyroxine (overdose manifestations)
1/4
