ATI Med Surg 2023 A
Study online at https://quizlet.com/_er0pwg
1. 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.
2. 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."
3. 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.
4. 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
5. 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.
6. 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."
7. 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.
, ATI Med Surg 2023 A
Study online at https://quizlet.com/_er0pwg
8. 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 ad-
vanced cancer?: Dyspnea
9. 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.
10. 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.
11. A nurse is assessing a client who is postoperative following a thyroidecto-
my. Which of the following findings is the nurse's priority?: Temperature 38.9°
C (102° F)
12. 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.
13. 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.
14. 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.
15. 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.
16. 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."
17. A nurse is caring for a client who has portal hypertension. The client is
vomiting blood mixed with food after a meal. Which of the following actions
should the nurse take first?: Obtain vital signs.
Study online at https://quizlet.com/_er0pwg
1. 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.
2. 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."
3. 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.
4. 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
5. 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.
6. 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."
7. 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.
, ATI Med Surg 2023 A
Study online at https://quizlet.com/_er0pwg
8. 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 ad-
vanced cancer?: Dyspnea
9. 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.
10. 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.
11. A nurse is assessing a client who is postoperative following a thyroidecto-
my. Which of the following findings is the nurse's priority?: Temperature 38.9°
C (102° F)
12. 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.
13. 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.
14. 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.
15. 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.
16. 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."
17. A nurse is caring for a client who has portal hypertension. The client is
vomiting blood mixed with food after a meal. Which of the following actions
should the nurse take first?: Obtain vital signs.
