ATI MED SURG 2023 A QUESTIONS
WITH COMPLETE SOLUTION
d A nurse is assessing a group of clients for indications of role changes. The nurse should identify that
which of the following clients is at risk for experiencing a role change? - A client who has multiple
sclerosis and is experiencing progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The
nurse should recognize that an unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider? - Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor to assess the client's progress. -
- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most likely
experiencing hypovolemia as evidenced by the client's restlessness, tachycardia, hypotension, decreased
pulses, cool extremities, and decreased urine output. The nurse should monitor the client's urine output
and blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include? - "You will need to stay still
in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential nursing intervention,
click to specify if the intervention is indicated or not indicated. - Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
, - Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on
which of the following findings? - Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take? - Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the
following statements should the nurse make? - "Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take? - Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? - The client's heart rate
increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client finding to fill in
each blank in the following sentence. - The client is experiencing manifestations of PANCREATITIS as
evidenced by the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following
findings is the nurse's priority? - Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough.
Which of the following actions should the nurse take first? - Initiate airborne precautions.
A nurse is caring for a client who is postoperative following abdominal surgery. A nurse is caring for a
client who is postoperative. Which of the following actions should the nurse take? Select all that apply. -
- Instruct the client to splint the abdomen with a pillow for coughing.
- Report urinary output to the provider.
- Plan to ambulate the client as soon as possible.
- Ask the client to rate their pain on a 0 to 10 pain scale.
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following
precautions should the nurse implement? - Ensure that the client has a patent IV.
A nurse is caring for a client. Drag 1 condition and 1 client finding to fill in each blank in the following
sentence. - The client is experiencing manifestations of PERITONITIS due to X-RAY RESULTS.
A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for
epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - "I
will monitor my blood pressure while taking this medication."
WITH COMPLETE SOLUTION
d A nurse is assessing a group of clients for indications of role changes. The nurse should identify that
which of the following clients is at risk for experiencing a role change? - A client who has multiple
sclerosis and is experiencing progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The
nurse should recognize that an unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider? - Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor to assess the client's progress. -
- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most likely
experiencing hypovolemia as evidenced by the client's restlessness, tachycardia, hypotension, decreased
pulses, cool extremities, and decreased urine output. The nurse should monitor the client's urine output
and blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include? - "You will need to stay still
in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential nursing intervention,
click to specify if the intervention is indicated or not indicated. - Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
, - Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on
which of the following findings? - Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take? - Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the
following statements should the nurse make? - "Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take? - Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? - The client's heart rate
increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client finding to fill in
each blank in the following sentence. - The client is experiencing manifestations of PANCREATITIS as
evidenced by the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following
findings is the nurse's priority? - Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough.
Which of the following actions should the nurse take first? - Initiate airborne precautions.
A nurse is caring for a client who is postoperative following abdominal surgery. A nurse is caring for a
client who is postoperative. Which of the following actions should the nurse take? Select all that apply. -
- Instruct the client to splint the abdomen with a pillow for coughing.
- Report urinary output to the provider.
- Plan to ambulate the client as soon as possible.
- Ask the client to rate their pain on a 0 to 10 pain scale.
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following
precautions should the nurse implement? - Ensure that the client has a patent IV.
A nurse is caring for a client. Drag 1 condition and 1 client finding to fill in each blank in the following
sentence. - The client is experiencing manifestations of PERITONITIS due to X-RAY RESULTS.
A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for
epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - "I
will monitor my blood pressure while taking this medication."
