ATI - Adult Medical Surgical NGN B
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following adverse
effects should the nurse instruct the client to notify the provider? - ---
✔✔✔ANSWER----Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy
and has a closed-suction drain. Which of the following actions should the nurse
take to manage the drain? - ---✔✔✔ANSWER----Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ---
✔✔✔ANSWER----Glucose 272 mg/dL
,A nurse is reviewing the laboratory findings of a client who developed chest pain 6
hr ago. The nurse should identify which of the following findings as an indication
of a myocardial infarction (MI)? - ---✔✔✔ANSWER----Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders presents
the greatest risk to this group of clients? - ---✔✔✔ANSWER----
hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of
the following instructions should the nurse include? - ---✔✔✔ANSWER----
Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - ---✔✔✔ANSWER----Place a pressure bag
around the flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - ---✔✔✔ANSWER----
PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? - ---
✔✔✔ANSWER----Flex the foot every hour when awake.
,A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as
the priority? - ---✔✔✔ANSWER----Place a tracheostomy tray at the
bedside.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for which of
the following clients? - ---✔✔✔ANSWER----A client who is postoperative
following abdominal surgery and reports feeling that something "popped" when
they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take? - ---✔✔✔ANSWER--
--Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis
(TB). Which of the following information should the nurse include in the
instructions? - ---✔✔✔ANSWER----Sputum specimens are necessary
every 2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of
the following actions should the nurse anticipate taking? - ---
✔✔✔ANSWER----Slow the infusion rate
, A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority? - ---✔✔✔ANSWER--
--Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide
which of the following instructions to the client? - ---✔✔✔ANSWER----
Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure
130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.80 F). Which
of the following vital sign changes should alert the nurse that the client might be
hemorrhaging? - ---✔✔✔ANSWER----Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the following
actions should the nurse take first? - ---✔✔✔ANSWER----Scan the bladder
with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? - ---✔✔✔ANSWER----Dyspnea
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following adverse
effects should the nurse instruct the client to notify the provider? - ---
✔✔✔ANSWER----Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy
and has a closed-suction drain. Which of the following actions should the nurse
take to manage the drain? - ---✔✔✔ANSWER----Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ---
✔✔✔ANSWER----Glucose 272 mg/dL
,A nurse is reviewing the laboratory findings of a client who developed chest pain 6
hr ago. The nurse should identify which of the following findings as an indication
of a myocardial infarction (MI)? - ---✔✔✔ANSWER----Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders presents
the greatest risk to this group of clients? - ---✔✔✔ANSWER----
hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of
the following instructions should the nurse include? - ---✔✔✔ANSWER----
Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - ---✔✔✔ANSWER----Place a pressure bag
around the flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - ---✔✔✔ANSWER----
PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? - ---
✔✔✔ANSWER----Flex the foot every hour when awake.
,A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as
the priority? - ---✔✔✔ANSWER----Place a tracheostomy tray at the
bedside.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for which of
the following clients? - ---✔✔✔ANSWER----A client who is postoperative
following abdominal surgery and reports feeling that something "popped" when
they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take? - ---✔✔✔ANSWER--
--Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis
(TB). Which of the following information should the nurse include in the
instructions? - ---✔✔✔ANSWER----Sputum specimens are necessary
every 2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of
the following actions should the nurse anticipate taking? - ---
✔✔✔ANSWER----Slow the infusion rate
, A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority? - ---✔✔✔ANSWER--
--Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide
which of the following instructions to the client? - ---✔✔✔ANSWER----
Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure
130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.80 F). Which
of the following vital sign changes should alert the nurse that the client might be
hemorrhaging? - ---✔✔✔ANSWER----Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the following
actions should the nurse take first? - ---✔✔✔ANSWER----Scan the bladder
with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? - ---✔✔✔ANSWER----Dyspnea
