NURSE-455 ATI MEDSURGE Exam Questions
and Answers Best Rated A+ Assured Satisfaction
New Update 2023 HIGHSCORE PASS!!! NEW!!!
A nurse is providing discharge teaching to a client following a modified
left radical mastectomy with breast expander. Which of the following
statements by the client indicates an understanding of the teaching.
I should expect less than 25 ml of secretions per day in the drainage
devices
A critical care nurse is assessing a client who has a severe head injury. In
response to painful stimuli, the client does not open her eyes, displays
decerebrate posturing and makes incomprehensible sounds. which of the
following glasgow Coma scale scores should the nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and
instructs him to limit sodium intake to 2 g per day. Which of the following
statements by the client indicates an understanding of the teaching?
I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following a
chemical splash to the eye. Which of the following actions should the nurse
plan to take first?
Instill 0.9% sodium chloride solution into the affected eye
,A nurse is assessing a client following extubation from a ventilator.for which
of the following findings should the nurse intervene immediately? Stridor
A nurse is reviewing the laboratory reports of a client who has acute
pancreatitis. Which of the following findings should the nurse expect?
Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
Urine specific gravity 1.001
A nurse is planning care for a client who has a pulmonary embolism.
which of the following interventions should the nurse include? Initiate a
continuos IV heparin infusion
a nurse is providing discharge teaching to a client who is recovering from a
sickle cell crisis. which of the following instructions should the nurse
include? Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in
hypovolemic shock. Which of the following ac ons should the nurse take
first?
Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft . Which of the
following findings indicates adequate circulation on of the graft?
Palpable thrill
,A nurse is assessing a client who has heart failure and is receiving a loop
diure c. Which of the following nding indicates hypokalemia?
Muscle weakness
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of
the following findings should the nurse identify as a contraindication to
receiving this alternative therapy?
Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL.
How many gtt/min should the nurse set the IV ump to administer?
33
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following
client statements indicates an understanding of the teaching? I
should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching. Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization.
which of the
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. which of the following client statements indicates
that the client is adapting to their role change?
, I will need to have my partner take over shopping for groceries and
cooking the meals for
us
A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. which of the following information should
the nurse include in the teaching? Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The
client's urinary output was 4,000 ml over past 24 hr. the nurse should
anticipate a prescription for which of the following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports nagging dry cough. Which of the
following responses by the nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
and Answers Best Rated A+ Assured Satisfaction
New Update 2023 HIGHSCORE PASS!!! NEW!!!
A nurse is providing discharge teaching to a client following a modified
left radical mastectomy with breast expander. Which of the following
statements by the client indicates an understanding of the teaching.
I should expect less than 25 ml of secretions per day in the drainage
devices
A critical care nurse is assessing a client who has a severe head injury. In
response to painful stimuli, the client does not open her eyes, displays
decerebrate posturing and makes incomprehensible sounds. which of the
following glasgow Coma scale scores should the nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and
instructs him to limit sodium intake to 2 g per day. Which of the following
statements by the client indicates an understanding of the teaching?
I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following a
chemical splash to the eye. Which of the following actions should the nurse
plan to take first?
Instill 0.9% sodium chloride solution into the affected eye
,A nurse is assessing a client following extubation from a ventilator.for which
of the following findings should the nurse intervene immediately? Stridor
A nurse is reviewing the laboratory reports of a client who has acute
pancreatitis. Which of the following findings should the nurse expect?
Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
Urine specific gravity 1.001
A nurse is planning care for a client who has a pulmonary embolism.
which of the following interventions should the nurse include? Initiate a
continuos IV heparin infusion
a nurse is providing discharge teaching to a client who is recovering from a
sickle cell crisis. which of the following instructions should the nurse
include? Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in
hypovolemic shock. Which of the following ac ons should the nurse take
first?
Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft . Which of the
following findings indicates adequate circulation on of the graft?
Palpable thrill
,A nurse is assessing a client who has heart failure and is receiving a loop
diure c. Which of the following nding indicates hypokalemia?
Muscle weakness
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of
the following findings should the nurse identify as a contraindication to
receiving this alternative therapy?
Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL.
How many gtt/min should the nurse set the IV ump to administer?
33
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following
client statements indicates an understanding of the teaching? I
should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching. Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization.
which of the
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. which of the following client statements indicates
that the client is adapting to their role change?
, I will need to have my partner take over shopping for groceries and
cooking the meals for
us
A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. which of the following information should
the nurse include in the teaching? Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The
client's urinary output was 4,000 ml over past 24 hr. the nurse should
anticipate a prescription for which of the following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports nagging dry cough. Which of the
following responses by the nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
