lOMoAR cPSD| 21953575
ATI med surg assessment 2023-2024 -with
100% verifiedsolutions-
A nurse is reinforcing teaching about dietary measures with a client who is at risk for developing
osteoporosis. Which of the following food choices should the nurse recommend increasing the
client’s calcium level?
One cup of cooked spinach contains 245mg of calcium. Most vegetables contain considerably
less calcium, except for kale, collard greens with stems, and turnip greens, which are also
good sources of calcium
A nurse is collecting data from a client who has anemia and a hemoglobin level of 7.2 g/dL.
Which of the following findings should the nurse expect?
Brittle Fingernails
A nurse is collecting data from a client who has acute gastroenteritis. Which of the following
data collection findings should the nurse identify as the priority?
Potassium 2.5 mEq/L
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) the nurse should
monitor the client for which of the following conditions as a complication TPN?
POLYURIA
A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury.
Which of the following information should the nurse include in the teaching?
the client’s urine output is less than 400 mL per 24 hrs
A nurse is reviewing a provider’s admission orders for a client who has acute heart failure. For
which of the following prescriptions should the nurse obtain clarifications?
Ambulate three times daily
A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which of the
following statements indicate to the nurse a need for further instruction?
I’ll learn to balance well on one leg, so I don’t have to use crutches
1
, lOMoAR cPSD| 21953575
A nurse is planning client care for the shift. Which of the following tasks should the nurse
delegate to assistive personnel (AP)
Measuring a client’s intake and output
A nurse is assessing an order adult client who has a urinary tract infection (UTI). Which of the
following findings should the nurse identify as unique for this age group?
Confusion
A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and
redness of her left calf. Besides the client seeing the provider, which of the following
interventions should the nurse suggest?
Elevate the leg
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and
slurred speech. Which of the following actions should the nurse take?
Call emergency medical services
A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors
should the nurse anticipate in the client’s history?
Gallstones
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI) which of the
following risk factors should the nurse include in the teaching?
Diabetes mellitus
A nurse is collecting data from a female client who has a cystocele. Which of the following
findings should the nurse expect?
Difficulty Voiding
A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis
which of the following health promotion activities should the nurse recommend?
Engaging in weight-bearing exercise regularly
A nurse is checking a client’s abdominal incision several hours following surgery and realizes
that it is eviscerating. Which of the following actions should the nurse take?
Apply a sterile normal saline dressing to the wound
2
, lOMoAR cPSD| 21953575
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC).
Which of the following findings should the nurse expect?
Excessive thrombosis and bleeding
A nurse is admitting a client who is having an exacerbation of asthma. When reviewing the
provider’s orders, the nurse recognizes that clarification is needed for which of the following
prescribed medications?
Propranolol
A nurse is caring for a older adult client who has left-sided heart failure. which of the following
findings should the nurse expect?
Frothy sputum
A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count
is 50,000 mm3. Which of the following intervention should the nurse include in the plan of
care?
Administer a stool softener
A nurse is reinforcing teaching with a client about how to use a patient-controlled analgesia
(PCA) pump. Which of the following statements should the nurse include in the teaching?
Use the pain scale to determine if you should push the medication self-administration button
A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia.
Which of the following findings should the nurse include in the teaching?
Agitation
A nurse is collecting data from a client who has meningitis. When passively flexing the client’s
neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is
the client displaying?
Brudzinski sign
A nurse is preparing a client who has hypotension for gastric lavage using a large-bore
nasogastric (NG) tube. In which of the following positions should the nurse place the client?
Left lateral
3
ATI med surg assessment 2023-2024 -with
100% verifiedsolutions-
A nurse is reinforcing teaching about dietary measures with a client who is at risk for developing
osteoporosis. Which of the following food choices should the nurse recommend increasing the
client’s calcium level?
One cup of cooked spinach contains 245mg of calcium. Most vegetables contain considerably
less calcium, except for kale, collard greens with stems, and turnip greens, which are also
good sources of calcium
A nurse is collecting data from a client who has anemia and a hemoglobin level of 7.2 g/dL.
Which of the following findings should the nurse expect?
Brittle Fingernails
A nurse is collecting data from a client who has acute gastroenteritis. Which of the following
data collection findings should the nurse identify as the priority?
Potassium 2.5 mEq/L
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) the nurse should
monitor the client for which of the following conditions as a complication TPN?
POLYURIA
A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury.
Which of the following information should the nurse include in the teaching?
the client’s urine output is less than 400 mL per 24 hrs
A nurse is reviewing a provider’s admission orders for a client who has acute heart failure. For
which of the following prescriptions should the nurse obtain clarifications?
Ambulate three times daily
A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which of the
following statements indicate to the nurse a need for further instruction?
I’ll learn to balance well on one leg, so I don’t have to use crutches
1
, lOMoAR cPSD| 21953575
A nurse is planning client care for the shift. Which of the following tasks should the nurse
delegate to assistive personnel (AP)
Measuring a client’s intake and output
A nurse is assessing an order adult client who has a urinary tract infection (UTI). Which of the
following findings should the nurse identify as unique for this age group?
Confusion
A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and
redness of her left calf. Besides the client seeing the provider, which of the following
interventions should the nurse suggest?
Elevate the leg
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and
slurred speech. Which of the following actions should the nurse take?
Call emergency medical services
A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors
should the nurse anticipate in the client’s history?
Gallstones
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI) which of the
following risk factors should the nurse include in the teaching?
Diabetes mellitus
A nurse is collecting data from a female client who has a cystocele. Which of the following
findings should the nurse expect?
Difficulty Voiding
A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis
which of the following health promotion activities should the nurse recommend?
Engaging in weight-bearing exercise regularly
A nurse is checking a client’s abdominal incision several hours following surgery and realizes
that it is eviscerating. Which of the following actions should the nurse take?
Apply a sterile normal saline dressing to the wound
2
, lOMoAR cPSD| 21953575
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC).
Which of the following findings should the nurse expect?
Excessive thrombosis and bleeding
A nurse is admitting a client who is having an exacerbation of asthma. When reviewing the
provider’s orders, the nurse recognizes that clarification is needed for which of the following
prescribed medications?
Propranolol
A nurse is caring for a older adult client who has left-sided heart failure. which of the following
findings should the nurse expect?
Frothy sputum
A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count
is 50,000 mm3. Which of the following intervention should the nurse include in the plan of
care?
Administer a stool softener
A nurse is reinforcing teaching with a client about how to use a patient-controlled analgesia
(PCA) pump. Which of the following statements should the nurse include in the teaching?
Use the pain scale to determine if you should push the medication self-administration button
A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia.
Which of the following findings should the nurse include in the teaching?
Agitation
A nurse is collecting data from a client who has meningitis. When passively flexing the client’s
neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is
the client displaying?
Brudzinski sign
A nurse is preparing a client who has hypotension for gastric lavage using a large-bore
nasogastric (NG) tube. In which of the following positions should the nurse place the client?
Left lateral
3
