ATI ADULT MEDICAL SURGICAL
PROCTORED EXAM
A nurse is caring for a client who is 24 hr postoperative following a total hip
arthroplasty. Which
of the following actions should the nurse take?
A)Place the affected leg in external rotation.
B)Encourage the client to use the incentive spirometer every shift.
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduction of the affected extremity. - ---✔✔✔ANSWER----
D)Maintain abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a position of
abduction to prevent hip dislocation. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduction while the client is in bed.
, A nurse is providing teaching to a client who is scheduled for a bronchoscopy.
Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink after the procedure until you are able to
cough."
B)"You will drink a contrast solution 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." - --
-✔✔✔ANSWER----A)"You will not be able to eat or drink after the
procedure until you are able to cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough reflex. The cough reflex protects the client from
aspirating fluids or food. Therefore, the client should not eat or drink until the
cough reflex returns.
A nurse is assessing a client's understanding of a surgical procedure prior to
witnessing their
signature on the informed consent form. The nurse determines that the client
does not
understand what the procedure will involve. Which of the following actions should
the nurse
take?
A)Provide teaching about the surgical procedure for the client.
B)Instruct the client's spouse to sign the consent form.
C)Read the consent form to the client using words the client will understand.
PROCTORED EXAM
A nurse is caring for a client who is 24 hr postoperative following a total hip
arthroplasty. Which
of the following actions should the nurse take?
A)Place the affected leg in external rotation.
B)Encourage the client to use the incentive spirometer every shift.
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduction of the affected extremity. - ---✔✔✔ANSWER----
D)Maintain abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a position of
abduction to prevent hip dislocation. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduction while the client is in bed.
, A nurse is providing teaching to a client who is scheduled for a bronchoscopy.
Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink after the procedure until you are able to
cough."
B)"You will drink a contrast solution 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." - --
-✔✔✔ANSWER----A)"You will not be able to eat or drink after the
procedure until you are able to cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough reflex. The cough reflex protects the client from
aspirating fluids or food. Therefore, the client should not eat or drink until the
cough reflex returns.
A nurse is assessing a client's understanding of a surgical procedure prior to
witnessing their
signature on the informed consent form. The nurse determines that the client
does not
understand what the procedure will involve. Which of the following actions should
the nurse
take?
A)Provide teaching about the surgical procedure for the client.
B)Instruct the client's spouse to sign the consent form.
C)Read the consent form to the client using words the client will understand.
