ATI Medical Surgical Practice Exam Questions & Answers

ATI Medical Surgical Practice Exam Questions & Answers-A 20 year old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? - Most lumps are benign, but it is always best to come in form an examination. A 32 year old female client complains of severe abdominal pain each month before her menstrual period, painful intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the client's complaints? - Inability to get pregnant A 46 year old female client is admitted for acute renal failure secondary to diabetes and hypertension. Which test is the best indicator of adequate glomerular filtration? - Serum creatinine A 49 year old female client arrives at the clinic for an annual exam and asks the nurse why she becomes excessively diaphoretic and feels warm during nighttime. What is the nurse's best response? - Discuss perimenopause and related comfort measures A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds overweight is diagnosed with having a gastric ulcer. Which content is most important for the nurse to include in the discharge teaching for this client? - Information about smoking cessation A 57 year old male client is scheduled to have a stress thallium test the following morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food. Which response is best for the nurse to provide to this client? - The test you are having tomorrow requires that you have nothing by mouth tonight A 58 year old client who has been post menopausal for five years is concerned about the risk of osteoporosis because her mother has the condition. Which information should the nurse offer? - Calcium loss from bones can be slowed by increasing calcium intake and exercise A 58 year old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The nurse's response to the client should be based on which information? - The immunization is administered once to older adults or persons with a history of chronic illness A 67 year old woman who lives alone tripped on a rug in her home and fractured her hip. Which predisposing factor probably led to the fracture in the proximal end of her femur? - Osteoporosis resulting from hormonal changes A 77 year old female client is admitted to the hospital. She is confused, has no appetite, is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute. It is most important for the nurse to assess for which finding? - Takes digitalis A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What initial medication should the nurse anticipate administering to the client? - Digoxin A client has a staging procedure for cancer of the breast and ask the nurse which type of breast cancer has the poorest prognosis. Which information should the nurse offer the client? - Inflammatory with peau d'orange A client has been hospitalized with a femur fracture and is being treated with traction. which action by the nurse is the priority when caring for this client? - Assess neurovascular status A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which assessment finding is of most concern to the nurse? - Purulent sputum