ATI RN Targeted Medical Surgical Perioperative 2019 Exam Questions and Answers 100% Pass

B- Determine if the clients faith conflicts with the treatment plan. C- Ensure the client's meal plan serves only kosher food following surgery. D- Teach the client how to perform various relaxation exercises. - Answer-B A nurse is providing teaching for a client who is in the immediate postoperative period and has a PCA pump. Which of the following statements should the nurse include in the teaching? A- "You will receive a dose of medication every time you push the button" B- "Do not allow your family to push the PCA button if you are sleeping" C- "You cannot receive too much medication by pushing the button." D- "Do not push the PCA button until your pain reaches a severe level" - Answer-B A nurse is reviewing the medical record of a client who is scheduled for an elective surgery. Which of the following medications should the nurse expect the provider to discontinue prior to surgery to minimize the risk of complications? A- Cefazolin B- Digoxin C- Ondansetron D- Warfain - Answer-D A nurse is caring for a client who has bradycardia following a surgical procedure spinal anesthesia. The nurse should plan to administer which of the following medications to the client? A- Amiodarone B- Propranolol C- Methyldopa D- Epinephrine - Answer-D A nurse is assessing a client who is 2 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? A- Urine output of 20 mL/hr B- Temp of 36.5 C C- A 2 cm X 2 cm area of bloody drainage on the dressing D- WBC 9,000 MM - Answer-A A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale on a scale from 0 to 10. The nurse notes a hard, distended abdomen and absent bowel sounds. After conferring with the provider, which of the following actions should the nurse take first? A- Draw the clients blood for LYTES B- Insert an NG tube C- Administer pain meds D- Initiate intake and output - Answer-B A nurse is monitoring a client who received succinylcholine during a surgical procedure. Which of the following actions should the nurse take if the client develops manifestations of malignant hyperthemia? A- Administer dantrolene B- Institute seizure precautions C- Remove endotracheal tube D- Give IV atropine - Answer-A A nurse is caring for a client who has a surgical wound with a Penrose drain in place. Which of the following interventions should the nurse plan to perform? A- Cut a slit in a 4-inch square gauze pad to place around the drain B- Use the sterile technique when performing dressing changes C- Establish a clamping schedule prior to removal D- Apply negative pressure when emptying the drain - Answer-B A nurse in the PACU assessing a client who is postoperative. Which of the following findings should the nurse report to the provider? A- BP 10% lower than baseline B- Pain level of 4 on 0 to 10 scale C- Presence of inspiratory stridor D- Small amount of sanguinous drainage on dressing - Answer-C A nurse is caring for a client who is preoperative and is asking multiple questions about the risks of the procedure. Which of the following actions should the nurse take? A- Explain the risks and benefits of the surgery to the client B- Ask the surgeon to speak to the client for clarification C- Reassure the client that the procedure is necessary for recovery D- Notify the circulating nurse that the client has questions about the procedure - Answer-B A surgical nurse enters a surgical suite to ensure surgical asepsis is maintained. Which of the following findings requires intervention by the nurse? A- The scrub tech is wearing a watch under his scrubs B- The circulating nurse opens dressing packages before applying sterile gloves C- The surgeon has her hands folded 5 cm above her waist D- The holding area nurse is performing client education - Answer-A A nurse is providing preoperative teaching to a client who is scheduled to have a mastectomy with reconstructive surgery. Which of the following statements by the client indicates an understanding of the teaching? A- I should wait to take my pain meds until after I have completed my range-of-motion exercises B- I should wait a week after surgery to start my hand strengthening exercises C- I will be able to lift up an object that weighs 10 pounds 2 weeks after my surgery D- I will be able to shower after the doctor removes the drain - Answer-D A nurse is providing discharge instructions for a client who is postoperative following abdominal surgery. Which of the following client statements indicates an understanding of the teaching? A- I will have an increase in yellow-colored drainage from my incision for 2 weeks B- I will eat foods that are high in protein and vitamin C during my recovery C- I should avoid taking over the counter pain medication if my pain is not severe D- I will remain on bed rest until my follow up appointment with my doc - Answer-B A nurse is reviewing the medication administration record for a client who is scheduled for surgery the next day. The nurse should identify that which of the following medications places the client at risk for complications during surgery and should be reported to the provider? A- Clopidogrel B- Atorvastatin C- Ranitidine D- Alendronate - Answer-A