ATI RN MEDSURG RETAKE–LATEST GUIDE

1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan? Encourage stimulating activities after dinner Encourage a late afternoon nap Offer a small snack at bedtime Offer hot chocolate at bedtime 2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? I will add a banana to my morning cereal I will decrease my intake of carbohydrates I will limit my daily intake of protein I will season my food with a salt substitute 3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider? Absent gag reflex Blood tinged mucus Diminished breath sounds Oxygen saturation 95% 4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them in order of performance. Use all the steps. Lower the client to the floor Place a pad beneath the client’s head Loose the clothing around the client’s neck Time the length of the client’s seizure Reorient and reassure the client 5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the following information should the nurse include in the teaching? Use condoms when lesions are present Look for lesions that have a wart-like appearance The virus can be transmitted without lesions present The lesion resolves in 2 weeks and usually do not recur 6. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who had a colectomy 2 days ago and has a nasogastric tube Jackson-Pratt drain and indwelling urinary catheter. A client who is dehydrated has mental confusion and was found getting out of bed several times during the night. A client who had a right lower lobe lobectomy 4 days ago and has a chest tube set to continuous suction. A client who has pneumonia and an oral temperature of 38.7°C (101.7°F) ..............................................................................................CONTINUED