ATI PN Adult Medical Surgical Online Practice 2025 B with NGN

A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for calcitonin. Which of the following statements should the nurse make to describe the effect of calcitonin in treating osteoporosis? - "Calcitonin will slow the breakdown of bone in your body." A nurse is reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery? - WBC count of 15,000/mm3 A nurse is caring for a client following a gastrectomy. Which of the following actions should the nurse take to decrease episodes of dumping syndrome? - Place the client in the supine position after meals. A nurse is caring for a client who is suspected of having a myocardial infarction. Which of the following actions should the nurse take to prepare the client for an ECG? - Cleanse the client's skin prior to electrode placement. A nurse is collecting data from a client who is being treated for hypovolemia due to nausea and vomiting. Which of the following findings should the nurse report to the provider? - Heat rate 120/min A nurse is reinforcing discharge teaching with a client who has Crohn's disease. Which of the following statements should the nurse include in the teaching? - "Maintain a low-residue diet." A nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first? - Check for kinks in the NG tube. A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? - Check the incisional dressing A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? - Decrease in exertional dyspnea A nurse is caring for a client who has neutropenia. Which of the following nursing interventions should the nurse implement? - Limit visitors to healthy adults. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching? - HbA1c results measure glucose control for the prior 3 months. ATI PN Adult Medical Surgical Online Practice 2025 B with NGN A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 864 cal A nurse is repositioning a client who has low back pain. Which of the following positions is should the nurse place the client in? - Semi-Fowler's with knees flexed A nurse is preparing to administer an influenza vaccine to a client. Which of the following statements by the client should cause the nurse to postpone administration of the vaccine? - "I had a low fever this morning." A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following instructions should the nurse include in the teaching? - "Perform testicular self-examination after taking a warm shower." A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. Which of the following actions should the nurse take first? - Obtain the client's blood pressure. A nurse is collecting data from a client who has 30% body surface area deep partial- thickness and full-thickness burns. Which of the following findings indicates that fluid resuscitation is adequate? - Urine output is 50 mL/hr. A nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis (TB) and a prescription for isoniazid and rifampin. Which of the following information should the nurse include in the teaching? - Household family members should be tested for TB. A nurse is contributing to the plan of care for a client who had a stroke. For which of the following interprofessional team members should the nurse recommend a referral prior to initiating oral intake for the client? - Speech-language pathologist A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include? - "The virus can be transmitted without lesions being present." A nurse is assisting with an educational program for clients who have been newly diagnosed with diabetes mellitus. Which of the following instructions should the nurse include in the program regarding insulin? - Opened insulin can be stored on a cool countertop away from light A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. The client received an opioid analgesic 1 hr prior. Which of the following actions should the nurse take? - Collaborate with the physical therapist to initiate alternative pain therapies Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a finding, clink on the finding again. - Perineal pad is saturated with blood, and large clots are present Blood pressure 98/56 mm Hg Heart rate 102/min A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? - "Take calcium supplements with meals." A nurse is contributing to the plan of care for a client who has tuberculosis (TB). Which of the following interventions should the nurse include? - Place the client in a negative-pressure airflow room. A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking their medication for several days. The nurse should identify that withdrawal from which of the following medications potentiated the adrenal crisis? - Prednisone A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? - "The medication should be taken before I eat breakfast every morning." A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should the nurse take? - Withhold the dose. A nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. Which of the following findings should the nurse include as an adverse effect of the medication? - Frequent colds A nurse is contributing to the plan of care for a client who has a head injury and is at risk for increased intracranial pressure (ICP). Which of the following actions should the nurse include in the plan? - Use a turn sheet to reposition the client. A nurse is collecting data from an older adult client who has several concerns. Which of the following concerns should the nurse recognize as an expected change associated with aging? - "My food tastes bland even after I add seasoning." A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. Which of the following statements should the nurse include in the teaching? - "You should place your toothbrush in hydrogen peroxide." A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of the following statements should indicate to the nurse that the client understands the teaching? - "I will feel vibrations on my leg from the cast cutter." For each finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each finding may support more than 1 disease process. - Temperature - pneumonia Breath sounds - emphysema, asthma, & pneumonia Respiratory rate - emphysema, asthma, & pneumonia Cough - emphysema, asthma, & pneumonia A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel (AP). Which of the following instructions should the nurse give the AP? - Allow the weights to hang freely. A nurse is reinforcing teaching with a client about preventing osteoporosis. Which of the following client statements indicates an understanding of the teaching? - "I will limit my coffee intake." A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of the following laboratory results indicates the client is experiencing a myocardial infarction? - Elevated troponin A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take first? - Verify the client has given informed consent. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated. - Request a chest x-ray - not indicated Place the client in reverse Trendelenburg position - indicated Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated Apply oxygen at 2 L/min via nasal cannula - indicated Notify the charge nurse immediately - indicated Obtain the client's blood glucose level - not indicated A nurse is reinforcing instructions with a client who has a new hearing aid. Which of the following instructions should the nurse include? - "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." A nurse is monitoring a client who has a cast and reports intense itching underneath the cast. Which of the following actions should the nurse take? - Blow cool air into the cast using a blow dryer on a cool setting. A nurse in a telemetry unit is collecting data from a client who has a newly-inserted permanent pacemaker. Which of the following findings should the nurse report to the provider? - The client experiences hiccups when sitting. A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? - Keep bed linens off of the affected areas A nurse is contributing to the plan of care to promote a restful night's sleep for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan? - Offer a small snack at bedtime. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the urethral catheter. Which of the following provider prescriptions should the nurse expect? - Irrigate the urethral catheter with 0.9% sodium chloride. A nurse is reviewing the plan of care for a client who is 1 day postoperative following a total hip arthroplasty. Which of the following interventions should the nurse contribute to the plan of care? - Keep an abduction pillow between the client's legs. Select the 3 findings that require follow-up by the nurse. - Visual disturbances headache Nausea For each finding below, click to specify if the finding is consistent with migraine, stroke, or meningitis. Each finding may support more than 1 disease process. - Family history - migraine, stroke Pain - migraine, stroke, meningitis Nausea - migraine, meningitis Visual changes - migraine, stroke, meningitis Complete the following sentence by using the lists of options. The nurse should identify that the client is most likely experiencing , and the nurse should address the client's . - Migraine Pain A nurse is assisting with the care of a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. - Administer sumatriptan Dim the lights in the client's room Complete the following sentence by using the list of options. Following the administration of sumatriptan, the nurse should monitor for due to the risk for . - Chest pain Myocardial ischemia The nurse is evaluating the client's understanding of the discharge instructions. click to highlight the client statements that indicate an understanding of the teaching. to deselect a statement, click on the statement again. - "Foods that contain tyramine might trigger my headaches" "I will keep a food headache diary" " I will place a cool cloth on my forehead when I experience a migraine" A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response to the medication? - "I have gained 3 pounds since my last appointment." A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. Which of the following information should the nurse include in the teaching? (Select all that apply.) - "Your knee is flexed and extended as prescribed by your provider"