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1. A nurse is assisting with the care of a client who has a femur fracture and is
in skeletal traction. Which of the following actions should the nurse take: Ensure
the client's weights are hanging freely from the bed.
2. A nurse in a provider's office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?: Take this medication between meals
3. A nurse in a provider's office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?: Take this medication between meals.
4. A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?: Wash daily with
an antibacterial soap.
5. A nurse is reinforcing teaching with a client who is postoperative after having
an ileostomy established. Which of the following instructions should the nurse
include in the teaching?: Avoid medications in capsule or enteric form.
6. A nurse is caring for a client with severe burns to both lower extremities. The
client is scheduled for an escharotomy and wants to know what the procedure
involves. Which of the following statements is appropriate for the nurse to
make?: "Large incisions will be made in the burned tissue to improve circulation."
7. A nurse is collecting data from a client who has a possible cataract. Which of
the following manifestations should the nurse expect the client to report?: De-
creased color perception
8. A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous gastrointestinal decompression using
a nasogastric tube. Which of the following interventions should the nurse
include in the plan of care?: Maintain the client in Fowler's position.
9. A nurse is caring for a client who has Cushing's syndrome. Which of the
following clinical manifestations should the nurse expect to observe? (Select
all that apply.): 1) Buffalo hump 2) Purple striations 3) Moon face
10. A nurse is caring for a client who is in the oliguric phase of acute kidney injury.
Which of the following actions should the nurse take?: Monitor intake and output hourly
, ATI Med Surge Proctored Exam 2023
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11. A nurse is reinforcing teaching about an esophagogastroduodenoscopy with
a client who has upper gastric pain. Which of the following statements should
the nurse include in the teaching?: "You will remain NPO for 8 hours before the procedure."
12. A nurse is caring for a client who is difficult to arouse and very sleepy
for several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this finding in
the medical record?: Postictal phase
13. A nurse is reinforcing teaching with a client who reports right shoulder pain
following a laparoscopic cholecystectomy. Which of the following statements
should the nurse make?: "The pain will dissipate if you ambulate frequently."
14. A nurse is checking the suction control chamber of a client's chest tube and
notes that there is no bubbling in the suction control chamber. Which of the
following actions should the nurse take?: Verify that the suction regulator is on.
15. A nurse is assisting with the care of a client immediately following a lumbar
puncture. Which of the following actions should the nurse take? (Select all that
apply.): Encourage fluid intake. 2) Monitor the puncture site for hematoma.
16. A nurse is assisting with the care of a client who is postoperative following
surgical repair of a fractured mandible. The client's jaw is wired shut to repair
and stabilize the fracture. The nurse should recognize which of the following is
the priority action?: Prevent aspiration.
17. A nurse is collecting data from a client who has scleroderma. Which of the
following findings should the nurse expect?: Hardened skin
18. A nurse is caring for an older adult client who has dysphagia and left-sided
weakness following a stroke. Which of the following actions should the nurse
take?: Add thickener to fluids.
19. A nurse is caring for a client who has partial-thickness and full-thickness
burns of his head, neck, and chest. The nurse should recognize which of the
following is the priority risk to the client?: Airway obstruction
20. A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the following
instructions should the nurse include in the teaching?: 1) Take the medication 45 minutes
before eating.