ATI Med Surge Proctored Exam 2019
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1. A nurse is assisting with the care of a client who has Ensure the client's
a femur fracture and is in skeletal traction. Which of weights are hang-
the following actions should the nurse take ing freely from the
bed.
2. A nurse in a provider's office is reinforcing teaching Take this med-
with a client who has anemia and has been taking ication between
ferrous gluconate for several weeks. Which of the meals
following instructions should the nurse include?
3. A nurse in a provider's office is reinforcing teaching Take this med-
with a client who has anemia and has been taking ication between
ferrous gluconate for several weeks. Which of the meals.
following instructions should the nurse include?
4. A nurse is reviewing the plan of care for a client Wash daily with an
who has cellulitis of the leg. Which of the following antibacterial soap.
interventions should the nurse recommend?
5. A nurse is reinforcing teaching with a client who is Avoid medications
postoperative after having an ileostomy established. in capsule or en-
Which of the following instructions should the nurse teric form.
include in the teaching?
6. A nurse is caring for a client with severe burns to "Large incisions
both lower extremities. The client is scheduled for an will be made in
escharotomy and wants to know what the procedure the burned tissue
involves. Which of the following statements is appro- to improve circula-
priate for the nurse to make? tion."
7. A nurse is collecting data from a client who has a pos- Decreased color
sible cataract. Which of the following manifestations perception
should the nurse expect the client to report?
8. A nurse is contributing to the plan of care for a client Maintain the client
who has an intestinal obstruction and is receiving in Fowler's posi-
continuous gastrointestinal decompression using a tion.
nasogastric tube. Which of the following interven-
tions should the nurse include in the plan of care?
, ATI Med Surge Proctored Exam 2019
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9. A nurse is caring for a client who has Cushing's syn- 1) Buffalo hump
drome. Which of the following clinical manifestations 2) Purple stria-
should the nurse expect to observe? (Select all that tions 3) Moon face
apply.)
10. A nurse is caring for a client who is in the oliguric Monitor intake and
phase of acute kidney injury. Which of the following output hourly
actions should the nurse take?
11. A nurse is reinforcing teaching about an esopha- "You will remain
gogastroduodenoscopy with a client who has up- NPO for 8 hours
per gastric pain. Which of the following statements before the proce-
should the nurse include in the teaching? dure."
12. A nurse is caring for a client who is difficult to arouse Postictal phase
and very sleepy for several hours following a gener-
alized tonic-clonic seizure. Which of the following de-
scriptions should the nurse use when documenting
this finding in the medical record?
13. A nurse is reinforcing teaching with a client who "The pain will dis-
reports right shoulder pain following a laparoscopic sipate if you am-
cholecystectomy. Which of the following statements bulate frequently."
should the nurse make?
14. A nurse is checking the suction control chamber of a Verify that the suc-
client's chest tube and notes that there is no bubbling tion regulator is
in the suction control chamber. Which of the following on.
actions should the nurse take?
15. A nurse is assisting with the care of a client im- Encourage fluid
mediately following a lumbar puncture. Which of the intake. 2) Monitor
following actions should the nurse take? (Select all the puncture site
that apply.) for hematoma.
16. A nurse is assisting with the care of a client who Prevent aspira-
is postoperative following surgical repair of a frac- tion.
tured mandible. The client's jaw is wired shut to repair
and stabilize the fracture. The nurse should recognize
which of the following is the priority action?
, ATI Med Surge Proctored Exam 2019
Study online at https://quizlet.com/_di9eut
17. A nurse is collecting data from a client who has scle- Hardened skin
roderma. Which of the following findings should the
nurse expect?
18. A nurse is caring for an older adult client who Add thickener to
has dysphagia and left-sided weakness following a fluids.
stroke. Which of the following actions should the
nurse take?
19. A nurse is caring for a client who has partial-thick- Airway obstruction
ness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the fol-
lowing is the priority risk to the client?
20. A nurse is reinforcing teaching with a client who is 1) Take the med-
newly diagnosed with myasthenia gravis and is to ication 45 minutes
start taking neostigmine. Which of the following in- before eating.
structions should the nurse include in the teaching?
21. A nurse is caring for a client who is 12 hours post- Notify the
operative following a transurethral resection of the provider.. Deter-
prostate (TURP) and has a 3-way urinary catheter with mine the patency
continuous irrigation. The nurse notes there has not of the tubing.
been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
22. A nurse is caring for a client scheduled for a bone "The biopsy can
marrow biopsy. The client expresses fear about the be uncomfortable,
procedure and asks the nurse if the biopsy will hurt. but we will try to
Which of the following responses should the nurse keep you as com-
make? fortable as possi-
ble."
23. A nurse is assisting with planning care for a client Re-establish com-
who is recovering from a left-hemispheric stroke. munication.
Which of the following interventions should the nurse
include in the plan?
24. Hypotension
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1. A nurse is assisting with the care of a client who has Ensure the client's
a femur fracture and is in skeletal traction. Which of weights are hang-
the following actions should the nurse take ing freely from the
bed.
2. A nurse in a provider's office is reinforcing teaching Take this med-
with a client who has anemia and has been taking ication between
ferrous gluconate for several weeks. Which of the meals
following instructions should the nurse include?
3. A nurse in a provider's office is reinforcing teaching Take this med-
with a client who has anemia and has been taking ication between
ferrous gluconate for several weeks. Which of the meals.
following instructions should the nurse include?
4. A nurse is reviewing the plan of care for a client Wash daily with an
who has cellulitis of the leg. Which of the following antibacterial soap.
interventions should the nurse recommend?
5. A nurse is reinforcing teaching with a client who is Avoid medications
postoperative after having an ileostomy established. in capsule or en-
Which of the following instructions should the nurse teric form.
include in the teaching?
6. A nurse is caring for a client with severe burns to "Large incisions
both lower extremities. The client is scheduled for an will be made in
escharotomy and wants to know what the procedure the burned tissue
involves. Which of the following statements is appro- to improve circula-
priate for the nurse to make? tion."
7. A nurse is collecting data from a client who has a pos- Decreased color
sible cataract. Which of the following manifestations perception
should the nurse expect the client to report?
8. A nurse is contributing to the plan of care for a client Maintain the client
who has an intestinal obstruction and is receiving in Fowler's posi-
continuous gastrointestinal decompression using a tion.
nasogastric tube. Which of the following interven-
tions should the nurse include in the plan of care?
, ATI Med Surge Proctored Exam 2019
Study online at https://quizlet.com/_di9eut
9. A nurse is caring for a client who has Cushing's syn- 1) Buffalo hump
drome. Which of the following clinical manifestations 2) Purple stria-
should the nurse expect to observe? (Select all that tions 3) Moon face
apply.)
10. A nurse is caring for a client who is in the oliguric Monitor intake and
phase of acute kidney injury. Which of the following output hourly
actions should the nurse take?
11. A nurse is reinforcing teaching about an esopha- "You will remain
gogastroduodenoscopy with a client who has up- NPO for 8 hours
per gastric pain. Which of the following statements before the proce-
should the nurse include in the teaching? dure."
12. A nurse is caring for a client who is difficult to arouse Postictal phase
and very sleepy for several hours following a gener-
alized tonic-clonic seizure. Which of the following de-
scriptions should the nurse use when documenting
this finding in the medical record?
13. A nurse is reinforcing teaching with a client who "The pain will dis-
reports right shoulder pain following a laparoscopic sipate if you am-
cholecystectomy. Which of the following statements bulate frequently."
should the nurse make?
14. A nurse is checking the suction control chamber of a Verify that the suc-
client's chest tube and notes that there is no bubbling tion regulator is
in the suction control chamber. Which of the following on.
actions should the nurse take?
15. A nurse is assisting with the care of a client im- Encourage fluid
mediately following a lumbar puncture. Which of the intake. 2) Monitor
following actions should the nurse take? (Select all the puncture site
that apply.) for hematoma.
16. A nurse is assisting with the care of a client who Prevent aspira-
is postoperative following surgical repair of a frac- tion.
tured mandible. The client's jaw is wired shut to repair
and stabilize the fracture. The nurse should recognize
which of the following is the priority action?
, ATI Med Surge Proctored Exam 2019
Study online at https://quizlet.com/_di9eut
17. A nurse is collecting data from a client who has scle- Hardened skin
roderma. Which of the following findings should the
nurse expect?
18. A nurse is caring for an older adult client who Add thickener to
has dysphagia and left-sided weakness following a fluids.
stroke. Which of the following actions should the
nurse take?
19. A nurse is caring for a client who has partial-thick- Airway obstruction
ness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the fol-
lowing is the priority risk to the client?
20. A nurse is reinforcing teaching with a client who is 1) Take the med-
newly diagnosed with myasthenia gravis and is to ication 45 minutes
start taking neostigmine. Which of the following in- before eating.
structions should the nurse include in the teaching?
21. A nurse is caring for a client who is 12 hours post- Notify the
operative following a transurethral resection of the provider.. Deter-
prostate (TURP) and has a 3-way urinary catheter with mine the patency
continuous irrigation. The nurse notes there has not of the tubing.
been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
22. A nurse is caring for a client scheduled for a bone "The biopsy can
marrow biopsy. The client expresses fear about the be uncomfortable,
procedure and asks the nurse if the biopsy will hurt. but we will try to
Which of the following responses should the nurse keep you as com-
make? fortable as possi-
ble."
23. A nurse is assisting with planning care for a client Re-establish com-
who is recovering from a left-hemispheric stroke. munication.
Which of the following interventions should the nurse
include in the plan?
24. Hypotension