MedSurg II Exam II - ATI
A nurse is reviewing bowel prep using polyethylene glycol with a client
scheduled forWhich
colonoscopy. a of the following instructions should the nurse
include in the
teaching
a. check with the provider about taking current medications when
?
consuming bowel
pre
b. consume a normal diet until starting
p
bowel
c. prep
expect the bowel prep to not begin acting until the day after the prep is
d. discontinue the bowel prep once feces start to be expelled correct
consumed
answersa.
with check about taking current medications when consuming
the provider
bowel prep
A nurse is having difficulty arousing a client following an
(EGD). Which of the following is the priority action by
esophagogastroduodenoscopy
theassess
a. nurse?the client's
b. allow the client to
airway
sleep
c. prepare to administer an antidote to the
d. evaluate preprocedure laboratory findings correct answersa. assess
sedative
the client's
airwa
y
A nurse in a clinic is instructing a client about a fecal occult blood test,
which requires
mailing three specimens. Which of the following statements by the
client indicates of the
understanding
a. "I will continue taking my warfarin while I complete
teaching?
these
b. "I'mtests."
glad I don't have to follow any special diet at
this
c. "This
time."
test determines if I have parasites in my
bowel."
d. "This is an easy way to screen for colon cancer." correct answersd. "This
is anto
way easy
screen for colon
cancer."
A nurse is completing preprocedure teaching for a client who will
undergo a
sigmoidoscopy. Which of the following information should the nurse
include in the
teaching? (Select all that
apply).
a. increased flatulence can occur following the
b. NPO status should be maintained
procedure
preprocedure
c. conscious sedation is
d. repositioning will occur throughout the
used
procedure
e. fluid intake is limited the day after the procedure correct answersa.
increased
flatulence can occur following the
procedure
b. NPO status should be maintained
preprocedure
, A nurse is reviewing the health record of a client who has a suspected
tumor of the
jejunum. The nurse should anticipate a prescription for which of the
following
(Select alltests?
that
a. Serum alpha-
apply.)
fetoprotein
b. Endoscopic retrograde cholangiopancreatography
c. Gastrointestinal x-ray with
(ERCP)
contrast
d. Small bowel capsule endoscopy
e. Colonoscopy correct answersc. Gastrointestinal x-ray with
(M2A)
contrast
d. Small bowel capsule endoscopy
(M2A)
A nurse is caring for a client following a paracentesis. Which of the
followingthe
indicate findings
bowel was perforated during the
procedure?
a. client report of upper chest
b. decreased urine
pain
output
c.
d. temperature elevation correct answersd. temperature
pallor
elevation
A nurse is planning care for a client who has a new prescription for total
parenteral
nutrition (TPN). Which of the following interventions should be included in
the plan
care? (Select
of all that
apply).
a. obtain a capillary blood glucose four
times
b. administer
daily prescribed medications through a secondary port on the
TPN
c. IV tubing
monitor vital signs three times during the
12-hr
d. change
shift the TPN IV tubing every 24
hours
e. ensure a daily aPTT is obtained correct answersa. obtain a capillary
four
bloodtimes
glucose
daily
c. monitor vital signs three times during the
12-hr
d. change
shift the TPN IV tubing every 24
hours
A nurse is providing care to a client who is 1 day postoperative following a
paracentesis.
The nurse observes clear, pale-yellow fluid leaking from the operative site.
Which of the
following is an appropriate nursing
intervention?
a. place a clean towel near the
drainage
b. apply asitedry, sterile
dressing
c. apply direct pressure to
theplace
d. site the client in a supine position correct answersb. apply a dry,
sterile dressing
A nurse is completing discharge teaching with a client who is 3 days
postoperative
following a transverse colostomy. Which of the following should the nurse
teaching
include in the
?
a. mucus will be present in stool for 5 to 7 days after
surgery
b. expect 500 to 1,000 mL of semi liquid stool after
2 weeks
c. stoma should be moist and
d. change the ostomy bag when it is 3/4 full correct answersc. stoma
pink
should be moist
and
pink
A nurse is reviewing bowel prep using polyethylene glycol with a client
scheduled forWhich
colonoscopy. a of the following instructions should the nurse
include in the
teaching
a. check with the provider about taking current medications when
?
consuming bowel
pre
b. consume a normal diet until starting
p
bowel
c. prep
expect the bowel prep to not begin acting until the day after the prep is
d. discontinue the bowel prep once feces start to be expelled correct
consumed
answersa.
with check about taking current medications when consuming
the provider
bowel prep
A nurse is having difficulty arousing a client following an
(EGD). Which of the following is the priority action by
esophagogastroduodenoscopy
theassess
a. nurse?the client's
b. allow the client to
airway
sleep
c. prepare to administer an antidote to the
d. evaluate preprocedure laboratory findings correct answersa. assess
sedative
the client's
airwa
y
A nurse in a clinic is instructing a client about a fecal occult blood test,
which requires
mailing three specimens. Which of the following statements by the
client indicates of the
understanding
a. "I will continue taking my warfarin while I complete
teaching?
these
b. "I'mtests."
glad I don't have to follow any special diet at
this
c. "This
time."
test determines if I have parasites in my
bowel."
d. "This is an easy way to screen for colon cancer." correct answersd. "This
is anto
way easy
screen for colon
cancer."
A nurse is completing preprocedure teaching for a client who will
undergo a
sigmoidoscopy. Which of the following information should the nurse
include in the
teaching? (Select all that
apply).
a. increased flatulence can occur following the
b. NPO status should be maintained
procedure
preprocedure
c. conscious sedation is
d. repositioning will occur throughout the
used
procedure
e. fluid intake is limited the day after the procedure correct answersa.
increased
flatulence can occur following the
procedure
b. NPO status should be maintained
preprocedure
, A nurse is reviewing the health record of a client who has a suspected
tumor of the
jejunum. The nurse should anticipate a prescription for which of the
following
(Select alltests?
that
a. Serum alpha-
apply.)
fetoprotein
b. Endoscopic retrograde cholangiopancreatography
c. Gastrointestinal x-ray with
(ERCP)
contrast
d. Small bowel capsule endoscopy
e. Colonoscopy correct answersc. Gastrointestinal x-ray with
(M2A)
contrast
d. Small bowel capsule endoscopy
(M2A)
A nurse is caring for a client following a paracentesis. Which of the
followingthe
indicate findings
bowel was perforated during the
procedure?
a. client report of upper chest
b. decreased urine
pain
output
c.
d. temperature elevation correct answersd. temperature
pallor
elevation
A nurse is planning care for a client who has a new prescription for total
parenteral
nutrition (TPN). Which of the following interventions should be included in
the plan
care? (Select
of all that
apply).
a. obtain a capillary blood glucose four
times
b. administer
daily prescribed medications through a secondary port on the
TPN
c. IV tubing
monitor vital signs three times during the
12-hr
d. change
shift the TPN IV tubing every 24
hours
e. ensure a daily aPTT is obtained correct answersa. obtain a capillary
four
bloodtimes
glucose
daily
c. monitor vital signs three times during the
12-hr
d. change
shift the TPN IV tubing every 24
hours
A nurse is providing care to a client who is 1 day postoperative following a
paracentesis.
The nurse observes clear, pale-yellow fluid leaking from the operative site.
Which of the
following is an appropriate nursing
intervention?
a. place a clean towel near the
drainage
b. apply asitedry, sterile
dressing
c. apply direct pressure to
theplace
d. site the client in a supine position correct answersb. apply a dry,
sterile dressing
A nurse is completing discharge teaching with a client who is 3 days
postoperative
following a transverse colostomy. Which of the following should the nurse
teaching
include in the
?
a. mucus will be present in stool for 5 to 7 days after
surgery
b. expect 500 to 1,000 mL of semi liquid stool after
2 weeks
c. stoma should be moist and
d. change the ostomy bag when it is 3/4 full correct answersc. stoma
pink
should be moist
and
pink
