NRS 3025-ATI MED SURG TEST BANK-with 100% verified solutions-

NURS 3025-ATI MED SURG TEST bb bb bb bb bb




BANK- bb




with 100% verified solutions-2022-2023 bb bb bb




1. A nurse is preparing to administer a blood transfusion to a client who has anemia.
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Which of the following actions should the nurse take first?
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check for the type and number of units of blood to administer
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2. a nurse is providing teaching to an older adult female client who has stress
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bbincontinence and a BMI of 32. Which of the following statements by the client bb bb bb bb bb bb bb bb bb bb bb bb bb



bbindicates an understanding of the teaching? bb bb bb bb bb



I am dieting to lose weight
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3. A nurse is providing instructions to a client who has type 2 diabetes and a new prescription
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bbof metformin. Which of the following statements by the client indicates an
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bbunderstanding of the teaching? bb bb bb



I should take this medication with a meal
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4. a nurse is providing teaching to a client who has chronic kidney disease and a new
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bbprescription for erythropoietin. Which of the following statements by the client bb bb bb bb bb bb bb bb bb bb



bbindicates an understanding if the teaching? bb bb bb bb bb



i am taking this medication to increase my energy level
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5. a nurse is caring for a client who has a prescription for enalapril. The
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b bnurse should identify which of the following findings as an adverse effect of the
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bbmedication? orthostatic hypotension bb bb




6. a nurse is caring for a client who has hypothyroidism. which of the
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b bfollowing manifestations should the nurse expect? bb bb bb bb bb



constipation
7. a charge nurse is instructing a newly licensed nurse about caring for a client who has
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bbMRSA. which of the following statements by the new nurse indicates an understanding
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bbof the teaching?
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i will leave assessment equipment in the room to use on this patient
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8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS).
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which of the following instructions should the nurse include in the teaching?
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increase fiber intake to at least 30 g/day bb bb bb bb bb bb bb



9. a nurse is caring for a client who has a positive culture for c. diff. which of the
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following actions should the nurse take?
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implement contact precautions for the client
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10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the
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following is the priority assessment finding that the nurse should report to the
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provider?
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BP 170/80
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11. a nurse is planning care for a client who is scheduled for a throacentesis.
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which of the following interventions should the nurse include in the plan?
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encourage the client to take deep breaths after the procedure
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12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the
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nurse should place the priority on which of the following findings?
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dysphagia
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, 13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of
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the following results should the nurse expect?
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PaCO2 56 bb



14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is
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receiving radiation treatment. which of the following statements by the client indicates
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an understanding of the teaching?
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i will avoid direct exposure to the sun
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15. a nurse is assessing for compartment syndrome in a client who has a short leg cast.
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which of the following findings should the nurse identify as a manifestation of this
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condition? bb



pain that increases with passive movement
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16. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription
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for omeprazole. the nurse should instruct the client that the medication provides relief
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by which of the following actions.
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suppressing gastric acid production bb bb bb



17. a nurse is assessing a client who has peripheral arterial disease. which of the following
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findings should the nurse expect?
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hair loss on the lower legs
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18. a nurse is assessing a client following the completion of hemodialysis. which of the
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following findings is the nurse's priority to report to the provider?
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restlessness
19. a nurse is reviewing the medical record of a client who has osteomyelitis and a prescription
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of gentamicin. which of the following findings from the client's medical record should
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indicate to the nurse the need to withhold the med?
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serum creatinine bb



20. a nurse is reviewing the medical record of a client who has SLE. which of the
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following findings should the nurse expect?
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facial butterfly rash
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21. a nurse is providing teaching to a client who has a new prescription for psyllium. which
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of the following information should the nurse include in the teaching?
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drink 240 mL of water after administration
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22. a nurse in a provider's office is assessing a client who has migraine headaches and is taking
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feverfew to prevent her headaches. the nurse should identify that which of the
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following client meds interacts with feverfew?
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naproxen
23. a nurse in a provider's office is caring for a client who requests sildenafil to treat
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erectile dysfunction. which of the following statements should the nurse make?
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you will not be able to use sildenfil if you are taking nitroglycerin
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24. a nurse is caring for a client who is receiving TPN. a new bag is not available when
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the current infusion is nearly completed. which of the following actions should the nurse
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take? bb



administer dextrose 10% in water until the new bag arrives
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25. a nurse is providing discharge teaching to a client who has HF and a new prescription
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for a potassium-sparing diuretic. which of the following information should the nurse
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include in the teaching?
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try to walk at least 3 times per week for exercise
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, 26. a nurse is planning care for a client who is postop following a laparotomy and has a closed-
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suction drain. which of the following actions should the nurse take to manage the
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drain? bb



compress the drain reservoir after emptying
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27. a nurse in an emergency department is admitting a client who reports dyspnea and
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SOB. which of the following actions is the priority for the nurse to perform prior to
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administering oxygen?
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determine if the client has a history of COPD
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28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract
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surgery. the nurse should recognize that which of the following client meds is a
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contraindication for the surgery and notify the provider?
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warfarin
29. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago.
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which of the following findings should the nurse report to the provider immediately
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stridor
30. a nurse is providing dietary teaching to a client who is postop following a
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thyroidectomy with removal of the parathyroid glands. the nurse should instruct the client to
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include which of the following foods to increase calcium in the diet?
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12 almonds
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31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central
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venous catheter into a subclavian vein. the nurse should plan to place the client in
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which of the following positions?
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trendelenburg
32. teaching to client with HTN and new med verapamil. what juice should client avoid?
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grapefruit
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33. client experiencing anaphylactic reaction, after patent airway, which is priority nursing
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intervention?
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apply oxygen vi face mask
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34. client had nephrostomy tube inserted 12hrs ago. what should the nurse
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report to the provider?
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client reports back pain
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35. teaching to perimenopausal and has hormone replacement therapy. adverse b b b b b b b b b b b b b b b b



effects to notify provider?
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calf pain, numbness in arms, and intense headache
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36. older adult with cancer and a new prescription of opioid analgesic. which info should
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the nurse include in teaching?
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you should increase your fiber intake to prevent constipation
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37. a nurse is providing med teaching to a group with seizure disorders.
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instruction about phenytoin?
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phenytoin decreases the effectiveness of oral contraceptives
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38. a nurse is caring for client with supraventricular tachycardia. which action should nurse
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take next?bb bb



perform synchronized cardioversion
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39. change of shift report with four clients. client with greatest risk of developing infection?
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COPD and receiving steroid therapy
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40. teach with self administration of heparin? bb bb bb bb bb




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, use electric razor
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41. client having seizure, nurse priority? bb bb bb bb



turn client on the side
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42. Female client with hx of UTI, nurse include in teaching
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clean perineum front to back
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43. cardiac assessment with MI 2 days ago. action after hearing this
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sound? listen with client on left side
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44. client on bed rest and enoxaparin subcut, actions nurse take?
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administer med at the same time each day
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45. postop following parathyroidectomy. priority action? bb bb bb bb



place a trach tray at bedside
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46. pt with arterial line, following actions should nurse taking?
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place a pressure bag around the flush solution
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47. teaching client about a fib and purpose of wearing a holter monitor. infob b b b b b bb b b b b b b bb b b bb b b b b



should nurse include in the teaching?
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this device can detect when you have an irregular HR
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48. client with DKA, client condition improving? bb bb bb bb bb



glucose 272
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49. stroke on right hemisphere. nurse expect? bb bb bb bb bb



impulsive behavior
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50. client who has external fixation device for fracture. instruction for nurse plan of care?
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use crutches with rubber tips
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51. receiving mechanical ventilation via trach tube. nurse recognizes complications with
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long term mechanical ventilation?
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stress ulcers bb



52. teaching about asthma use of metered-dose inhaler. understand teaching?bb bb bb bb bb bb bb bb



holding breath for 10 secs after inhaling
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53. graves disease, picture with exophthalmos? bb bb bb bb



big eyes, last picture
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54. leg cast and demonstration w/crutches on climbing stairs. identify steps
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body weight on crutches, advance unaffected leg onto stair, shift weight from crutch to
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unaffected, bring crutches and affected leg up to the stair
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55. older adult with fractured wrist following fall. last week i crashed my car bc my vision
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suddenly blurry.b b bb



check for neuro status
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56. peforming dressing change recovering from hemicolectomy. large part of bowel bb bb bb bb bb bb bb bb bb



is protruding, action take first?
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call for help
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57. older adult about osteoporosis prevention. meds increase risk for developing
osteoporosis? bb



fludrocortisone
58. client having modified radical mastectomy of right breast. intervention for plan of
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care? instruct the client that the drain is removed when there is 25mL of output or
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less over a 24hr period
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