ATI Med-Surg Proctored Exam Review
100% Verified and Correct 1399
Questions and Answers 2024
Respiratory Alkalosis S/S - answer lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - answer Encourage weight bearing
exercises (such as walking because it can help maintain bone mass by reducing bone demineralization,
thus helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - answer Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - answer This type of insulin should be given at the same time everyday.
(It is released over a 24hr period)
,A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - answer "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - answer Visitors must
don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - answer Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - answer Rephrase client instructions when not
understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - answer Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - answer Lack of sensation between the
first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - answer Limit contact
with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? - answer
Encourage the client to use an incentive spirometer every hour while awake
,A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding
should the nurse expect related to hyperkalemia? - answer Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions
should the nurse implement first? - answer Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." What response should the nurse make? - answer "Tell me more about the way you are
feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as
the priority? - answer Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to
reduce skin breakdown? - answer Keep the skin dry and free of perspiration
A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) infections and is on contract isolation precautions. What action should the nurse take? -
answer Have a designated stethoscope in the client's room
A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the
RN. The client reports dyspnea and urticaria. What action should the nurse perform first? - answer Stop
the infusion
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction
in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound
as what? - answer Hyperactive bowel sounds
A nurse is preparing to administer furosemide to a client who has heart failure. What should the nurse
report before administering the medication? - answer Decreased potassium
, A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of
rheumatoid arthritis. What information should the nurse include in the teaching? - answer Apply cold
packs to the joints
A nurse is collecting data from a client who has hypothyroidism. What manifestation should the nurse
expect? - answer Bradycardia
A nurse is reinforcing teaching with an older adult client who has osteoporosis. What instructions should
the nurse include in the teaching? - answer Take the calcium supplements with meals
A nurse is reviewing the medical record for an older adult client who is experiencing nausea & vomiting.
Based on the client data, what action should the nurse take?
(Na 142 mEq, K+ 4.2 mEq/L, BUN 36 mg/dL, Creatinine 1.4 mg/dL) - answer Notify the charge nurse of
the client's BUN level
A nurse is admitting a client who is suspected having active tuberculosis (TB). What action should should
the nurse take first? - answer Institute airborne precautions
A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast.
What action should the nurse take? - answer Blow cool air into the cast using a blow dryer on a cool
setting
A nurse is planning care for a group of clients after receiving change-of-shift report. What client should
the nurse see first? - answer A client who is dehydrated, has mental confusion, & was found getting out
of bed several times during the night.
A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. What
action should the nurse take? - answer Administer oxygen via nasal cannula
100% Verified and Correct 1399
Questions and Answers 2024
Respiratory Alkalosis S/S - answer lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - answer Encourage weight bearing
exercises (such as walking because it can help maintain bone mass by reducing bone demineralization,
thus helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - answer Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - answer This type of insulin should be given at the same time everyday.
(It is released over a 24hr period)
,A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - answer "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - answer Visitors must
don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - answer Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - answer Rephrase client instructions when not
understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - answer Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - answer Lack of sensation between the
first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - answer Limit contact
with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? - answer
Encourage the client to use an incentive spirometer every hour while awake
,A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding
should the nurse expect related to hyperkalemia? - answer Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions
should the nurse implement first? - answer Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." What response should the nurse make? - answer "Tell me more about the way you are
feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as
the priority? - answer Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to
reduce skin breakdown? - answer Keep the skin dry and free of perspiration
A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) infections and is on contract isolation precautions. What action should the nurse take? -
answer Have a designated stethoscope in the client's room
A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the
RN. The client reports dyspnea and urticaria. What action should the nurse perform first? - answer Stop
the infusion
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction
in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound
as what? - answer Hyperactive bowel sounds
A nurse is preparing to administer furosemide to a client who has heart failure. What should the nurse
report before administering the medication? - answer Decreased potassium
, A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of
rheumatoid arthritis. What information should the nurse include in the teaching? - answer Apply cold
packs to the joints
A nurse is collecting data from a client who has hypothyroidism. What manifestation should the nurse
expect? - answer Bradycardia
A nurse is reinforcing teaching with an older adult client who has osteoporosis. What instructions should
the nurse include in the teaching? - answer Take the calcium supplements with meals
A nurse is reviewing the medical record for an older adult client who is experiencing nausea & vomiting.
Based on the client data, what action should the nurse take?
(Na 142 mEq, K+ 4.2 mEq/L, BUN 36 mg/dL, Creatinine 1.4 mg/dL) - answer Notify the charge nurse of
the client's BUN level
A nurse is admitting a client who is suspected having active tuberculosis (TB). What action should should
the nurse take first? - answer Institute airborne precautions
A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast.
What action should the nurse take? - answer Blow cool air into the cast using a blow dryer on a cool
setting
A nurse is planning care for a group of clients after receiving change-of-shift report. What client should
the nurse see first? - answer A client who is dehydrated, has mental confusion, & was found getting out
of bed several times during the night.
A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. What
action should the nurse take? - answer Administer oxygen via nasal cannula
