PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM
A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the
following findings should the nurse report to the provider? - (correct Answer) - Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? - (correct Answer) - Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of cefazolin. Ten minutes
after beginning the infusion, the client reports intense itching. Which of the following actions should the
nurse take first? - (correct Answer) - Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information
should the nurse include? - (correct Answer) - You are at risk for infertility with this infection, regardless
of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant a throbbing,
burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of the
following complications? - (correct Answer) - Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self examination. Which of
the following statements by the client demonstrates an undertsmdibg of the teaching? - (correct
Answer) - I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? - (correct Answer) - Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has skin cancer.
Which of the following information should the nurse include in the teaching? - (correct Answer) - Mohs
surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by the client
indicates an understanding of the teaching? - (correct Answer) - I should wait at least 2 hours after eating
before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by continuous IV
infusion. The client report pain and swelling at the IV site. In which order should the nurse perform that
following steps? - (correct Answer) - Check the IV site, stop the infusion, withdraw the IV catheter,
elevate the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? - (correct Answer) -
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral artery.
, Which of the following actions should the nurse take to prevent lost procedure complications? - (correct
Answer) - Monitor the insertion site for bleeding is correct, maintain the pressure dressing, check the
clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings indicate
which of the following complications? - (correct Answer) - Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communication with the client? - (correct Answer) - Rephrase client
instructions when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority? - (correct Answer) - Dyspnea
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/ml. How many ml should the nurse administer? - (correct Answer) - 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? - (correct
Answer) - Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of pertussis.
Which of the following interventions should the nurse include when contributing? - (correct Answer) -
Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the
following actions should the nurse take? - (correct Answer) - Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following findings
should the nurse report as possible melanoma? - (correct Answer) - Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to improve
the taste of bland food. Which of the following should the nurse recommend? - (correct Answer) -
Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? -
(correct Answer) - Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? - (correct Answer) - Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements
indicates an understanding of the use of budensonide and albuterol inhalers? - (correct Answer) - I never
forget to rinse my mouth after using my budesonide , between office visits I keep a record of how many
times I use my albiterol inhaler, I use my albuterol inhaler before I go swimming.
A nurse is care for for a client who has a compound fracture of the femur and was placed in balanced
A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the
following findings should the nurse report to the provider? - (correct Answer) - Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? - (correct Answer) - Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of cefazolin. Ten minutes
after beginning the infusion, the client reports intense itching. Which of the following actions should the
nurse take first? - (correct Answer) - Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information
should the nurse include? - (correct Answer) - You are at risk for infertility with this infection, regardless
of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant a throbbing,
burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of the
following complications? - (correct Answer) - Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self examination. Which of
the following statements by the client demonstrates an undertsmdibg of the teaching? - (correct
Answer) - I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? - (correct Answer) - Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has skin cancer.
Which of the following information should the nurse include in the teaching? - (correct Answer) - Mohs
surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by the client
indicates an understanding of the teaching? - (correct Answer) - I should wait at least 2 hours after eating
before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by continuous IV
infusion. The client report pain and swelling at the IV site. In which order should the nurse perform that
following steps? - (correct Answer) - Check the IV site, stop the infusion, withdraw the IV catheter,
elevate the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? - (correct Answer) -
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral artery.
, Which of the following actions should the nurse take to prevent lost procedure complications? - (correct
Answer) - Monitor the insertion site for bleeding is correct, maintain the pressure dressing, check the
clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings indicate
which of the following complications? - (correct Answer) - Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communication with the client? - (correct Answer) - Rephrase client
instructions when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority? - (correct Answer) - Dyspnea
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/ml. How many ml should the nurse administer? - (correct Answer) - 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? - (correct
Answer) - Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of pertussis.
Which of the following interventions should the nurse include when contributing? - (correct Answer) -
Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the
following actions should the nurse take? - (correct Answer) - Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following findings
should the nurse report as possible melanoma? - (correct Answer) - Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to improve
the taste of bland food. Which of the following should the nurse recommend? - (correct Answer) -
Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? -
(correct Answer) - Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? - (correct Answer) - Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements
indicates an understanding of the use of budensonide and albuterol inhalers? - (correct Answer) - I never
forget to rinse my mouth after using my budesonide , between office visits I keep a record of how many
times I use my albiterol inhaler, I use my albuterol inhaler before I go swimming.
A nurse is care for for a client who has a compound fracture of the femur and was placed in balanced
