ATI MEDSURG FINAL EXAM NEWEST 2024 ACTUAL
EXAM COMPLETE QUESTIONS AND 100% CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ //BRAND NEW!!
A nurse is creating a plan of care to maintain the skin integrity of a client who
experiences frequent diarrhea due to ulcerative colitis. Which of the following
interventions should the nurse include in the plan?
A. Soak in a sitz bath for 20 min after each stool
B. Administer a soap-suds enema to cleanse the colon
C. Cleanse with antimicrobial scrub and vigorously dry
D. Wipe perineal area with warm water and apply barrier cream - ANSWER D.
A nurse is planning care for four clients and is assignment tasks to a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse
assign to the LPN?
A. Complete an admission assessment for a client who has COPD
B. Measure I&O for a client who has an indwelling urinary catheter
C. Reinforce teaching to a client to begin taking Enoxaparin at home following a hip
arthroplasty.
D. Develop a plan of care for a client who has cholecystitis - ANSWER C.
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The
nurse should expect to find an elevation of which of the following values?
A. Calcium
B. RBC count
C. Magnesium
D. Amylase - ANSWER D.
A nurse in a long-term facility is caring for an older adult client who has dementia and
begins to have frequent episodes of urinary incontinence. After the provider determines
no medical cause for the client's incontinence, which of the following intervention should
the nurse initiate to manage this behavior?
A. remind the client to tell the nurse when he has to urinate
B. Use adult diapers to prevent frequent clothing changes
C. Take the client to the bathroom every 2 hours
D. Request a prescription for an indwelling urinary catheter - ANSWER C.
A nurse is providing instructions for a 52-year-old client who is scheduled for a
colonoscopy. The client reports that he has not had the procedure before and is very
,anxious about feeling pain during the procedure. Which of the following responses by
the nurse is appropriate?
A. "Don't worry; most clients dislike the prep more than the procedure itself."
B. "Before the examination, your provider will give you a sedative that will make you
sleepy"
C. "I know you're anxious, but this procedure is recommended for people your age."
D. "After you have signed the consent form, we can talk more about this." - ANSWER B.
A nurse is reviewing the medical list for a client who has a new diagnosis of a small
bowel obstruction. The nurse should withhold, which of the following medications?
A. Senna
B. Ibuprofen
C. Omeprazole
D. Zolpidem - ANSWER A.
A nurse is teaching a client who has a history of ulcerative colitis, and a new diagnosis
of anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?
A. Dietary iron restrictions
B. Intestinal malabsorption syndrome
C. Chronic blood loss
D. Intestinal parasites - ANSWER C.
A nurse is caring for a client who has ulcerative colitis and is teaching the client about
the common link with Crohn's disease. Which of the following information should the
nurse include?
A. Both are inflammatory
B. Both begin in the rectum
C. Both manifest fistula formation
D. Both require frequent surgery - ANSWER A.
A nurse is preparing dietary instructions for a client who has episodes of Biliary colic
from chronic cholecystitis. Which of the following instructions should the nurse include in
the teaching plan?
A. Include foods high in starch and proteins.
B. Include foods high in fiber
C. Avoid foods high in fat
D. Avoid foods high in sodium - ANSWER C.
A nurse is caring for a client who has just been diagnosed with cancer of the colon. The
client asked the nurse several questions about what the provider might be planning to
do. Which of the following nursing responses should the nurse make?
A. Provide the client with articles from the Internet that explain colon cancer stages.
B. Assure the client that the provider will explain what has been planned
C. Explain the various options available for treatment based on the cancer stage
D. Encourage the client to write down questions to ask the provider - ANSWER D.
, A nurse is teaching a client who has constipation. Which of the following should the
nurse discuss as causes of constipation? (SATA)
A. Excessive laxative use
B. Ignoring the urge to defecate
C. Inadequate fluid intake
D. Increased fiber in the diet
E. Increased activity - ANSWER A, B, C
A nurse is providing information about pain control for a client who has acute pain
following a subtotal gastric resection. Which of the following client statements indicates
an understanding of pain control?
A. "I will call for pain medication before the previous dose wears off."
B. "I will call for pain medication as my pain starts to increase again."
C. "I will wait for you to evaluate my pain before asking for more medication."
D. "I will ask for less medication to avoid addiction." - ANSWER A.
A nurse is assessing an older adult client who reports a sudden onset of urinary
incontinence. The nurse should recognize, which of the following conditions can cause
incontinence in the older adult client?
A. Nephrosclerosis
B. Uremia
C. Diverticulitis
D. Cystitis - ANSWER D.
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse
understands the purpose of the test is to check the stool for which of the following
substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites - ANSWER B.
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should the
nurse take?
A. Check the results of the client's most recent CBC
B. Assess the client for a hypersensitivity reaction
C. Evaluate the client for hypercalcemia
D. Examine the client for hepatomegaly - ANSWER A.
A nurse is teaching a client about foods and beverages that can cause diarrhea. Which
of the following should the nurse include in the teaching?
A. Ripe bananas
B. Low-fiber cereal
C. Caffeinated beverages
EXAM COMPLETE QUESTIONS AND 100% CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ //BRAND NEW!!
A nurse is creating a plan of care to maintain the skin integrity of a client who
experiences frequent diarrhea due to ulcerative colitis. Which of the following
interventions should the nurse include in the plan?
A. Soak in a sitz bath for 20 min after each stool
B. Administer a soap-suds enema to cleanse the colon
C. Cleanse with antimicrobial scrub and vigorously dry
D. Wipe perineal area with warm water and apply barrier cream - ANSWER D.
A nurse is planning care for four clients and is assignment tasks to a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse
assign to the LPN?
A. Complete an admission assessment for a client who has COPD
B. Measure I&O for a client who has an indwelling urinary catheter
C. Reinforce teaching to a client to begin taking Enoxaparin at home following a hip
arthroplasty.
D. Develop a plan of care for a client who has cholecystitis - ANSWER C.
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The
nurse should expect to find an elevation of which of the following values?
A. Calcium
B. RBC count
C. Magnesium
D. Amylase - ANSWER D.
A nurse in a long-term facility is caring for an older adult client who has dementia and
begins to have frequent episodes of urinary incontinence. After the provider determines
no medical cause for the client's incontinence, which of the following intervention should
the nurse initiate to manage this behavior?
A. remind the client to tell the nurse when he has to urinate
B. Use adult diapers to prevent frequent clothing changes
C. Take the client to the bathroom every 2 hours
D. Request a prescription for an indwelling urinary catheter - ANSWER C.
A nurse is providing instructions for a 52-year-old client who is scheduled for a
colonoscopy. The client reports that he has not had the procedure before and is very
,anxious about feeling pain during the procedure. Which of the following responses by
the nurse is appropriate?
A. "Don't worry; most clients dislike the prep more than the procedure itself."
B. "Before the examination, your provider will give you a sedative that will make you
sleepy"
C. "I know you're anxious, but this procedure is recommended for people your age."
D. "After you have signed the consent form, we can talk more about this." - ANSWER B.
A nurse is reviewing the medical list for a client who has a new diagnosis of a small
bowel obstruction. The nurse should withhold, which of the following medications?
A. Senna
B. Ibuprofen
C. Omeprazole
D. Zolpidem - ANSWER A.
A nurse is teaching a client who has a history of ulcerative colitis, and a new diagnosis
of anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?
A. Dietary iron restrictions
B. Intestinal malabsorption syndrome
C. Chronic blood loss
D. Intestinal parasites - ANSWER C.
A nurse is caring for a client who has ulcerative colitis and is teaching the client about
the common link with Crohn's disease. Which of the following information should the
nurse include?
A. Both are inflammatory
B. Both begin in the rectum
C. Both manifest fistula formation
D. Both require frequent surgery - ANSWER A.
A nurse is preparing dietary instructions for a client who has episodes of Biliary colic
from chronic cholecystitis. Which of the following instructions should the nurse include in
the teaching plan?
A. Include foods high in starch and proteins.
B. Include foods high in fiber
C. Avoid foods high in fat
D. Avoid foods high in sodium - ANSWER C.
A nurse is caring for a client who has just been diagnosed with cancer of the colon. The
client asked the nurse several questions about what the provider might be planning to
do. Which of the following nursing responses should the nurse make?
A. Provide the client with articles from the Internet that explain colon cancer stages.
B. Assure the client that the provider will explain what has been planned
C. Explain the various options available for treatment based on the cancer stage
D. Encourage the client to write down questions to ask the provider - ANSWER D.
, A nurse is teaching a client who has constipation. Which of the following should the
nurse discuss as causes of constipation? (SATA)
A. Excessive laxative use
B. Ignoring the urge to defecate
C. Inadequate fluid intake
D. Increased fiber in the diet
E. Increased activity - ANSWER A, B, C
A nurse is providing information about pain control for a client who has acute pain
following a subtotal gastric resection. Which of the following client statements indicates
an understanding of pain control?
A. "I will call for pain medication before the previous dose wears off."
B. "I will call for pain medication as my pain starts to increase again."
C. "I will wait for you to evaluate my pain before asking for more medication."
D. "I will ask for less medication to avoid addiction." - ANSWER A.
A nurse is assessing an older adult client who reports a sudden onset of urinary
incontinence. The nurse should recognize, which of the following conditions can cause
incontinence in the older adult client?
A. Nephrosclerosis
B. Uremia
C. Diverticulitis
D. Cystitis - ANSWER D.
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse
understands the purpose of the test is to check the stool for which of the following
substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites - ANSWER B.
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should the
nurse take?
A. Check the results of the client's most recent CBC
B. Assess the client for a hypersensitivity reaction
C. Evaluate the client for hypercalcemia
D. Examine the client for hepatomegaly - ANSWER A.
A nurse is teaching a client about foods and beverages that can cause diarrhea. Which
of the following should the nurse include in the teaching?
A. Ripe bananas
B. Low-fiber cereal
C. Caffeinated beverages
