ATI Adult Medical Surgical - Post-Assessment
Assignment/25 Questions and Answers
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve
Stimulation (TENS). Which of the following statements by the nurse is
accurate?
This form of pain management involves tiny needles inserted into the skin
and subcutaneous tissues.This form of pain management focused on a
pleasant thought to divert focus.This form of pain management involves
meditation, yoga, and progressive muscle relaxation.This form of pain
management involves mild electrical stimulus applied to the area of pain. -
Correct Answer -This form of pain management involves tiny needles
inserted into the skin and subcutaneous tissues.
Incorrect: Rationale: This non pharmacological technique is known as
acupuncture.
This form of pain management focused on a pleasant thought to divert focus.
Incorrect: Rationale: This non pharmacological technique is known as
Imagery.
This form of pain management involves meditation, yoga, and
progressive muscle relaxation.
Incorrect: Rationale: This non pharmacological technique is known as
Relaxation.
This form of pain management involves mild electrical stimulus applied to
the area of pain. Correct: Rationale: This non pharmacological technique is
known as TENS.(Adult Med Surg RM Chp. 4)
A nurse is reinforcing teaching for a client with hypertension about the
importance of compliance with antihypertensive therapy. What are three (3)
complications that can occur with prolonged, untreated or poorly controlled
hypertension? - Correct Answer -Complications associated with
Hypertension:Peripheral vascular disease that primarily affectsHeart
(Myocardial infarction)Brain (Cerebral Vascular Accident)Eyes
(Blindness)Kidneys (Renal insufficiency and Renal Failure)The risk of
developing complications increases as blood pressure increases.Hypertrophy
of the left ventricle can develop as the heart pumps against resistance
caused by the hypertension.(Medical Surgical RM Chp. 31)
The nurse is reinforcing teaching about foot care to the diabetic client. Which
of the following statements should the nurse make?A. "Remove any calluses
or corns when they develop."B. "Do not use any foot powder as a remedy for
sweating feet."
C. "Apply lotion to feet and in between toes to keep skin soft."
D. "The best time to perform nail care is after a bath or shower." - Correct
Answer -D. "The best time to perform nail care is after a bath or
, shower."Correct: Rationale: Toenails are soft and easier to trim after a bath
or shower.(Medical Surgical RM Chp. 72)
The nurse is reinforcing teaching regarding the risk of hip dislocation.
Describe symptoms the client might experience with this complication -
Correct Answer -Acute onset of pain; client's report of hearing a "pop";
internal rotation of the affected extremity; shortened affected extremity.
(Medical Surgical RM Chp. 60)
The nurse is collecting a 24-hour urine specimen. What can be measured in
the urine from this form of collection? - Correct Answer -urine collected for
24 hr is used to measure urine levels of creatinine or urea nitrogen, sodium,
chloride, calcium, catecholamines, and proteins.(Medical Surgical RM Chp.
49)
The nurse is completing a morning chart review for the client who was
admitted during the night with Crohn's disease. What would be the expected
lab values for this client that would be indicative of this disease? Please
provide expected normal values and indicate if the abnormals would be
decreased, elevated or unchanged. - Correct Answer -H&H: decreased.
Normal values: Hgb: 12-18g/dL; Hct: 37-52%ESR: Elevated. Normal value:
Men under 50 years old: less than 15 mm/hr; Men over 50 years old: less
than 20 mm/hr; Women under 50 years old: less than 20 mm/hr; Women
over 50 years old: less than 30 mm/hr.WBC: Elevated. Normal value: 5000-
10000mm3C-reactive protein: ElevatedPlatelets: Elevated. Normal value:
150,000-450,000 cu/mmFolic Acid and B 12: DecreasedStool for occult blood:
May be positiveUA: WBCs presentK+, Mg, Ca: Decreased Normal values: K+
3.5-5.5mEq/L; Mg 1.3-2.1 mg/dL; Ca 9.0-10 mg/dL4(Medical Surgical RM Chp.
45)
Based on the following data, what acid-base imbalance would be noted.
pH=7.32 PaCO2=58 mmHg HCO3=32 mEq/L PaO2=60 mmHg - Correct
Answer -Respiratory Acidosis (Medical Surgical RM Chp. 38)
A PN is assisting the RN to prepare an adolescent client for a posterior iliac
bone marrow biopsy. What nursing actions should be included in this
preparation? - Correct Answer -PREPROCEDURE NURSING ACTIONS FOR
BONE MARROW BIOPSY:
● Ensure that the client has provided informed consent.
● Place the client in a prone or side-lying position to expose the iliac crest for
the procedure.
● Administer medication to manage discomfort and anxiety.
● Reinforce teaching about the procedure with the
client. CLIENT EDUCATION TO REINFORCE:
● The biopsy site will be anesthetized with a local anesthetic. Pressure and
brief pain might be felt during the aspiration.
Assignment/25 Questions and Answers
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve
Stimulation (TENS). Which of the following statements by the nurse is
accurate?
This form of pain management involves tiny needles inserted into the skin
and subcutaneous tissues.This form of pain management focused on a
pleasant thought to divert focus.This form of pain management involves
meditation, yoga, and progressive muscle relaxation.This form of pain
management involves mild electrical stimulus applied to the area of pain. -
Correct Answer -This form of pain management involves tiny needles
inserted into the skin and subcutaneous tissues.
Incorrect: Rationale: This non pharmacological technique is known as
acupuncture.
This form of pain management focused on a pleasant thought to divert focus.
Incorrect: Rationale: This non pharmacological technique is known as
Imagery.
This form of pain management involves meditation, yoga, and
progressive muscle relaxation.
Incorrect: Rationale: This non pharmacological technique is known as
Relaxation.
This form of pain management involves mild electrical stimulus applied to
the area of pain. Correct: Rationale: This non pharmacological technique is
known as TENS.(Adult Med Surg RM Chp. 4)
A nurse is reinforcing teaching for a client with hypertension about the
importance of compliance with antihypertensive therapy. What are three (3)
complications that can occur with prolonged, untreated or poorly controlled
hypertension? - Correct Answer -Complications associated with
Hypertension:Peripheral vascular disease that primarily affectsHeart
(Myocardial infarction)Brain (Cerebral Vascular Accident)Eyes
(Blindness)Kidneys (Renal insufficiency and Renal Failure)The risk of
developing complications increases as blood pressure increases.Hypertrophy
of the left ventricle can develop as the heart pumps against resistance
caused by the hypertension.(Medical Surgical RM Chp. 31)
The nurse is reinforcing teaching about foot care to the diabetic client. Which
of the following statements should the nurse make?A. "Remove any calluses
or corns when they develop."B. "Do not use any foot powder as a remedy for
sweating feet."
C. "Apply lotion to feet and in between toes to keep skin soft."
D. "The best time to perform nail care is after a bath or shower." - Correct
Answer -D. "The best time to perform nail care is after a bath or
, shower."Correct: Rationale: Toenails are soft and easier to trim after a bath
or shower.(Medical Surgical RM Chp. 72)
The nurse is reinforcing teaching regarding the risk of hip dislocation.
Describe symptoms the client might experience with this complication -
Correct Answer -Acute onset of pain; client's report of hearing a "pop";
internal rotation of the affected extremity; shortened affected extremity.
(Medical Surgical RM Chp. 60)
The nurse is collecting a 24-hour urine specimen. What can be measured in
the urine from this form of collection? - Correct Answer -urine collected for
24 hr is used to measure urine levels of creatinine or urea nitrogen, sodium,
chloride, calcium, catecholamines, and proteins.(Medical Surgical RM Chp.
49)
The nurse is completing a morning chart review for the client who was
admitted during the night with Crohn's disease. What would be the expected
lab values for this client that would be indicative of this disease? Please
provide expected normal values and indicate if the abnormals would be
decreased, elevated or unchanged. - Correct Answer -H&H: decreased.
Normal values: Hgb: 12-18g/dL; Hct: 37-52%ESR: Elevated. Normal value:
Men under 50 years old: less than 15 mm/hr; Men over 50 years old: less
than 20 mm/hr; Women under 50 years old: less than 20 mm/hr; Women
over 50 years old: less than 30 mm/hr.WBC: Elevated. Normal value: 5000-
10000mm3C-reactive protein: ElevatedPlatelets: Elevated. Normal value:
150,000-450,000 cu/mmFolic Acid and B 12: DecreasedStool for occult blood:
May be positiveUA: WBCs presentK+, Mg, Ca: Decreased Normal values: K+
3.5-5.5mEq/L; Mg 1.3-2.1 mg/dL; Ca 9.0-10 mg/dL4(Medical Surgical RM Chp.
45)
Based on the following data, what acid-base imbalance would be noted.
pH=7.32 PaCO2=58 mmHg HCO3=32 mEq/L PaO2=60 mmHg - Correct
Answer -Respiratory Acidosis (Medical Surgical RM Chp. 38)
A PN is assisting the RN to prepare an adolescent client for a posterior iliac
bone marrow biopsy. What nursing actions should be included in this
preparation? - Correct Answer -PREPROCEDURE NURSING ACTIONS FOR
BONE MARROW BIOPSY:
● Ensure that the client has provided informed consent.
● Place the client in a prone or side-lying position to expose the iliac crest for
the procedure.
● Administer medication to manage discomfort and anxiety.
● Reinforce teaching about the procedure with the
client. CLIENT EDUCATION TO REINFORCE:
● The biopsy site will be anesthetized with a local anesthetic. Pressure and
brief pain might be felt during the aspiration.
