ATI Med Surg Proctored EXAM
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of the
following findings should the nurse identify as a contraindication to receiving this
alternative therapy?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores - ---✔✔✔ANSWER----Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? - ---✔✔✔ANSWER----33
,A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical attention." -
---✔✔✔ANSWER----I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching.
a. "You should use an incentive spirometer every 8 hours."
b. "You can cross your legs at the ankles when sitting down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ---✔✔✔ANSWER----
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of
the following actions should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
, c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ---✔✔✔ANSWER-
---Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
for crutches. which of the following client statements indicates that the client is
adapting to their role change?
a. "I will need to have my partner take over shopping for groceries and cooking
the meals for us."
b. "I feel bad that I have to ask my partner to keep the house clean."
c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their
appointments anymore." - ---✔✔✔ANSWER----I will need to have my
partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due
to chemotherapy. which of the following information should the nurse include in
the teaching?
a. "Wash your perineal area two times each day with antimicrobial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's litter box daily."
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of the
following findings should the nurse identify as a contraindication to receiving this
alternative therapy?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores - ---✔✔✔ANSWER----Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? - ---✔✔✔ANSWER----33
,A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical attention." -
---✔✔✔ANSWER----I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching.
a. "You should use an incentive spirometer every 8 hours."
b. "You can cross your legs at the ankles when sitting down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ---✔✔✔ANSWER----
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of
the following actions should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
, c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ---✔✔✔ANSWER-
---Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
for crutches. which of the following client statements indicates that the client is
adapting to their role change?
a. "I will need to have my partner take over shopping for groceries and cooking
the meals for us."
b. "I feel bad that I have to ask my partner to keep the house clean."
c. "These crutches will make it impossible to care for my child."
d. "It's going to be difficult to tell my parents I can't take them to their
appointments anymore." - ---✔✔✔ANSWER----I will need to have my
partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due
to chemotherapy. which of the following information should the nurse include in
the teaching?
a. "Wash your perineal area two times each day with antimicrobial soap."
b. "Change the water in your drinking glass every 4 hours."
c. "Change your pet's litter box daily."
