ATI Medical Surgical Assessment A
with correct question and answer
AsnursesissreviewingstheslaboratorysresultssofsasclientswhosissscheduledsforsasCTsscanswi
thsansIVscontrastsagent.sWhichsofsthesfollowingslaboratorysfindingssshouldsthesnursesrep
ortstosthesproviderspriorstosthesprocedure?
A) Sodiums136smEq/L
B) Potassiums4.8smEq/L
C) Creatinines1.9smg/dL
D) Calciums10smg/dLs-sC)sCreatinines1.9smg/dL
Creatinines1.9smg/dLsissnotswithinsthesexpectedsreferencesrange.sTherefore,sthesnurses
shouldsreportsthesfindingstosthesprovidersbeforesthesclientshassasCTsscanswithsansIVscont
rastsagent.sThissfindingsplacessthesclientsatsrisksforsdevelopingscontrast-
sinducedsnephropathy.
Asnursesissmonitoringsasclientswhosisstakingsacarbose.sWhichsofsthesfollowingsfindingsssh
ouldsthesnursesidentifysassansadverseseffectsofsthesmedication?
A) Polyuria
B) Abdominalscramps
C) Renalsinsufficiency
D) Insomnias-sB)sAbdominalscramps
Acarbosesaffectssthesgastrointestinalssystem.sTherefore,sthesnursesshouldsmonitorsthe
sclientsforsabdominalscramping,srumblingsbowelssounds,sandsdiarrheasassadverseseffec
tssofsthissmedication.
Asnursesissassistingswithsthescaresofsasclientswhoshadsascardiacscatheterizationsviasthesri
ghtsfemoralsartery.sWhichsofsthesfollowingsactionssshouldsthesnursestakestospreventspost
procedurescomplications?s(Selectsall)
A) Monitorsthesinsertionssitesforsbleeding
B) Positionsthesaffectedsextremitysatsas45sdegreesangle
C) Restrictsthesclient'ssfluidsintake
D) Maintainsthespressuresdressing
E) Checksthesclient'ssperipheralspulsess-sA)sMonitorsthesinsertionssitesforsbleeding
Thesnursesshouldsmonitorsthesclient'ssinsertionssitesforsmanifestationssofshemorrhaging
.
D) Maintainsthespressuresdressing.
Thesnursesshouldsmaintainsthesclient'sspressuresdressingstospreventshemorrhagingsan
dsallowsforsthescannulationssitestosheal.
E) Checksthesclient'ssperipheralspulses.
,Thesnursesshouldsassesssthesclient'ssperipheralspulsesstoshelpsidentifyssignssofsarterials
occlusion.
Asnursesisscontributingstosthesplansofscaresforsasclientswhoshasschronicsobstructivesp
ulmonarysdiseases(COPD)sandsissdyspneic.sWhichsofsthesfollowingsinterventionsssh
ouldsthesnursesincludesinsthesplan?
A) Encouragesabdominalsbreathing
B) Directsthesclientstosinhaleswithspursedslips
C) Setsthesoxygenstherapysats5L/min
D) Instructsthesclientstosleansbackswhilescoughings-
sA)sEncouragesabdominalsbreathing
Thesnursesshouldsencouragesabdominalsbreathing,swhichsreducessthesworkloadsonsthe
saccessorysmusclessofsrespirationsduringsdyspneicsepisodes.
Asnursesisspreparingstosadministersphytonadiones7smgssubcutaneouslystosasclients whos
hassansINRsofs4.sAvailablesissphytonadiones10smg/mL.sHowsmanysmLsshouldsthesnurses
administer?s(Roundsthesanswerstosthesneareststenth.sUsesasleadingszerosissitsapplies.sD
osnotsusesastrailingszero.s-s7mg/10smgs*1mL=s0.7smL
Asnursesissexaminingsasclient'ssIVssitesandsnotessasredslinesupshissarm.sThesclientsrep
ortssasthrobbing,sburningspainsatsthesIVssite.sThesnursesshouldsidentifysthatsthesclient'
ssmanifestationssindicateswhichsofsthesfollowingscomplicationssofsIVstherapy?
A) Thrombophlebitis
B) Infiltration
C) Hematoma
D) Venoussspasmss-sA)sThrombophlebitis
Thesnursesshouldsidentifyspain,swarmth,sandsasredsstreaksupsthesarmsassindicationssofsth
rombophlebitis.
Asnursesissreinforcingsteachingsaboutsmanagementsofsconstipationswithsasclientswhosha
sshypothyroidism.sWhichsofsthesfollowingsshouldsthesnursesincludesinsthesteaching?
A) Increasesintakesofsfiber-richsfoods
B) Takesaslaxativeseverysmorning
C) Maintainsasfluidsintakesofs1200smLspersday
D) Limitsactivitystospreservesenergys-sA)sIncreasesintakesofsfiber-richsfoods
Thesnursesshouldsinstructsthesclientstosincreasesthesamountsofsfiber-
richsfoodssinshissdiet.sDriedsbeanssandsbrownsricesaresexamplessofsfiber-richsfoods.
Asnursesisscaringsforsasclientswhoshassascompoundsfracturesofsthesfemursandswassplace
dsinsbalancedssuspensionsskeletalstractions4sdayssago.sWhichsofsthesfollowingsactionsss
houldsthesnursestake?
A) Performspinssitescaresdaily
B) Removesthesoverbedstrapeze
, C) Removesthesbootseverys2shr
D) Keepsthesweightssonsasstable,sflatssurfaces-sA)sPerformspinssitescaresdaily
Thesnursesshouldsperformspinssitescaresdailyswithschlorhexidinessolutionsorsusesassoluti
onsaccordingstosfacilitysprotocol.sThesnursesshouldsalsosmonitorsthespinssitessforsmanife
stationssofsinfection.
Asnursesobservessasclientswhosisslyingsinsbedsexperiencingsastonic-
clonicsseizure.sWhichsofsthesfollowingsactionssshouldsthesnursestake?
A) Lowersthessidesrailssofsthesclient'ssbed
B) Applyswristsrestraintsstosthesclient
C) Positionsthesclientsinsthessemi-Fowler'ssposition
D) Loosensclothingsaroundsthesclient'ssnecks-
sD)sLoosensclothingsaroundsthesclient'ssneck
Thesnursesshouldsloosensclothingsaroundsthesclient'ssneckstosmaintainsansopensairways
andspreventsaspiration.
Asnursesisscontributingstosthesplansofscaresforsasclientswhoshassmultiplessclerosissandsiss
takingsdantrolenestosmanagesmusclesspasms.sWhichsofsthesfollowingsinterventionsssho
uldsthesnursesinclude?
A) Applyshotspacksstosthesclient'ssmuscles
B) Schedulesphysicalstherapysinsthesafternoon
C) EncouragesthesclientstoscompletesADLs
D) Administersvalerianstospromotessleeps-sC)sEncouragesthesclientstoscompletesADLs
ThesnursesshouldsencouragesthesclientstoscompletesADLssandsprovidesassistancesassne
eded.sPerformingsself-
caresincreasessthesclient'ssindependence,sstrength,sandslevelsofsfunctioning.
Asnursesissreinforcingsdischargesteachingstospreventsdumpingssyndromesforsasclientsf
ollowingsaspartialsgastrectomysforsulcers.sWhichsofsthesfollowingsinformationsshouldsth
esnursesincludesinsthesteaching?
A) Avoidsliquidssatsmealtimes
B) Excludeseatingsstarchysvegetables
C) Avoidseatingshigh-proteinsmeals
D) Planstosincreasesintakesofssweetenedsfruitss-sA)sAvoidsliquidssatsmealtimes
Thesnursesshouldsremindsthesclientstosavoidsdrinkingsliquidssatsmealtimesstospreventsthesf
oodsfromsemptyingsintosthessmallsbowelstoosquickly.
Asnursesisscollectingsdatasfromsasclientswhoshassheartsfailuresandsisstakingsdigoxin.sWhi
chsofsthesfollowingsoutcomessfromsthesmedicationsshouldsthesnursesexpect?
A) Increasedsweight
B) Increasedsheartsrate
C) Decreasedsurinarysoutput
with correct question and answer
AsnursesissreviewingstheslaboratorysresultssofsasclientswhosissscheduledsforsasCTsscanswi
thsansIVscontrastsagent.sWhichsofsthesfollowingslaboratorysfindingssshouldsthesnursesrep
ortstosthesproviderspriorstosthesprocedure?
A) Sodiums136smEq/L
B) Potassiums4.8smEq/L
C) Creatinines1.9smg/dL
D) Calciums10smg/dLs-sC)sCreatinines1.9smg/dL
Creatinines1.9smg/dLsissnotswithinsthesexpectedsreferencesrange.sTherefore,sthesnurses
shouldsreportsthesfindingstosthesprovidersbeforesthesclientshassasCTsscanswithsansIVscont
rastsagent.sThissfindingsplacessthesclientsatsrisksforsdevelopingscontrast-
sinducedsnephropathy.
Asnursesissmonitoringsasclientswhosisstakingsacarbose.sWhichsofsthesfollowingsfindingsssh
ouldsthesnursesidentifysassansadverseseffectsofsthesmedication?
A) Polyuria
B) Abdominalscramps
C) Renalsinsufficiency
D) Insomnias-sB)sAbdominalscramps
Acarbosesaffectssthesgastrointestinalssystem.sTherefore,sthesnursesshouldsmonitorsthe
sclientsforsabdominalscramping,srumblingsbowelssounds,sandsdiarrheasassadverseseffec
tssofsthissmedication.
Asnursesissassistingswithsthescaresofsasclientswhoshadsascardiacscatheterizationsviasthesri
ghtsfemoralsartery.sWhichsofsthesfollowingsactionssshouldsthesnursestakestospreventspost
procedurescomplications?s(Selectsall)
A) Monitorsthesinsertionssitesforsbleeding
B) Positionsthesaffectedsextremitysatsas45sdegreesangle
C) Restrictsthesclient'ssfluidsintake
D) Maintainsthespressuresdressing
E) Checksthesclient'ssperipheralspulsess-sA)sMonitorsthesinsertionssitesforsbleeding
Thesnursesshouldsmonitorsthesclient'ssinsertionssitesforsmanifestationssofshemorrhaging
.
D) Maintainsthespressuresdressing.
Thesnursesshouldsmaintainsthesclient'sspressuresdressingstospreventshemorrhagingsan
dsallowsforsthescannulationssitestosheal.
E) Checksthesclient'ssperipheralspulses.
,Thesnursesshouldsassesssthesclient'ssperipheralspulsesstoshelpsidentifyssignssofsarterials
occlusion.
Asnursesisscontributingstosthesplansofscaresforsasclientswhoshasschronicsobstructivesp
ulmonarysdiseases(COPD)sandsissdyspneic.sWhichsofsthesfollowingsinterventionsssh
ouldsthesnursesincludesinsthesplan?
A) Encouragesabdominalsbreathing
B) Directsthesclientstosinhaleswithspursedslips
C) Setsthesoxygenstherapysats5L/min
D) Instructsthesclientstosleansbackswhilescoughings-
sA)sEncouragesabdominalsbreathing
Thesnursesshouldsencouragesabdominalsbreathing,swhichsreducessthesworkloadsonsthe
saccessorysmusclessofsrespirationsduringsdyspneicsepisodes.
Asnursesisspreparingstosadministersphytonadiones7smgssubcutaneouslystosasclients whos
hassansINRsofs4.sAvailablesissphytonadiones10smg/mL.sHowsmanysmLsshouldsthesnurses
administer?s(Roundsthesanswerstosthesneareststenth.sUsesasleadingszerosissitsapplies.sD
osnotsusesastrailingszero.s-s7mg/10smgs*1mL=s0.7smL
Asnursesissexaminingsasclient'ssIVssitesandsnotessasredslinesupshissarm.sThesclientsrep
ortssasthrobbing,sburningspainsatsthesIVssite.sThesnursesshouldsidentifysthatsthesclient'
ssmanifestationssindicateswhichsofsthesfollowingscomplicationssofsIVstherapy?
A) Thrombophlebitis
B) Infiltration
C) Hematoma
D) Venoussspasmss-sA)sThrombophlebitis
Thesnursesshouldsidentifyspain,swarmth,sandsasredsstreaksupsthesarmsassindicationssofsth
rombophlebitis.
Asnursesissreinforcingsteachingsaboutsmanagementsofsconstipationswithsasclientswhosha
sshypothyroidism.sWhichsofsthesfollowingsshouldsthesnursesincludesinsthesteaching?
A) Increasesintakesofsfiber-richsfoods
B) Takesaslaxativeseverysmorning
C) Maintainsasfluidsintakesofs1200smLspersday
D) Limitsactivitystospreservesenergys-sA)sIncreasesintakesofsfiber-richsfoods
Thesnursesshouldsinstructsthesclientstosincreasesthesamountsofsfiber-
richsfoodssinshissdiet.sDriedsbeanssandsbrownsricesaresexamplessofsfiber-richsfoods.
Asnursesisscaringsforsasclientswhoshassascompoundsfracturesofsthesfemursandswassplace
dsinsbalancedssuspensionsskeletalstractions4sdayssago.sWhichsofsthesfollowingsactionsss
houldsthesnursestake?
A) Performspinssitescaresdaily
B) Removesthesoverbedstrapeze
, C) Removesthesbootseverys2shr
D) Keepsthesweightssonsasstable,sflatssurfaces-sA)sPerformspinssitescaresdaily
Thesnursesshouldsperformspinssitescaresdailyswithschlorhexidinessolutionsorsusesassoluti
onsaccordingstosfacilitysprotocol.sThesnursesshouldsalsosmonitorsthespinssitessforsmanife
stationssofsinfection.
Asnursesobservessasclientswhosisslyingsinsbedsexperiencingsastonic-
clonicsseizure.sWhichsofsthesfollowingsactionssshouldsthesnursestake?
A) Lowersthessidesrailssofsthesclient'ssbed
B) Applyswristsrestraintsstosthesclient
C) Positionsthesclientsinsthessemi-Fowler'ssposition
D) Loosensclothingsaroundsthesclient'ssnecks-
sD)sLoosensclothingsaroundsthesclient'ssneck
Thesnursesshouldsloosensclothingsaroundsthesclient'ssneckstosmaintainsansopensairways
andspreventsaspiration.
Asnursesisscontributingstosthesplansofscaresforsasclientswhoshassmultiplessclerosissandsiss
takingsdantrolenestosmanagesmusclesspasms.sWhichsofsthesfollowingsinterventionsssho
uldsthesnursesinclude?
A) Applyshotspacksstosthesclient'ssmuscles
B) Schedulesphysicalstherapysinsthesafternoon
C) EncouragesthesclientstoscompletesADLs
D) Administersvalerianstospromotessleeps-sC)sEncouragesthesclientstoscompletesADLs
ThesnursesshouldsencouragesthesclientstoscompletesADLssandsprovidesassistancesassne
eded.sPerformingsself-
caresincreasessthesclient'ssindependence,sstrength,sandslevelsofsfunctioning.
Asnursesissreinforcingsdischargesteachingstospreventsdumpingssyndromesforsasclientsf
ollowingsaspartialsgastrectomysforsulcers.sWhichsofsthesfollowingsinformationsshouldsth
esnursesincludesinsthesteaching?
A) Avoidsliquidssatsmealtimes
B) Excludeseatingsstarchysvegetables
C) Avoidseatingshigh-proteinsmeals
D) Planstosincreasesintakesofssweetenedsfruitss-sA)sAvoidsliquidssatsmealtimes
Thesnursesshouldsremindsthesclientstosavoidsdrinkingsliquidssatsmealtimesstospreventsthesf
oodsfromsemptyingsintosthessmallsbowelstoosquickly.
Asnursesisscollectingsdatasfromsasclientswhoshassheartsfailuresandsisstakingsdigoxin.sWhi
chsofsthesfollowingsoutcomessfromsthesmedicationsshouldsthesnursesexpect?
A) Increasedsweight
B) Increasedsheartsrate
C) Decreasedsurinarysoutput
