Practice ATI PN ADULT MEDICAL
SURGICAL
1. A nurse is collecting data on a client who is scheduled for a
cardiac catheter-ization. Which of the following laboratory levels
should the nurse review prior to the procedure?: BUN
Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the client
can tolerate the IV contrast dye during the procedure.
2. A nurse is assisting in the plan of care regarding bowel retraining
for a client
who has a cervical spinal cord injury. Which of the following
interventions should the nurse plan to implement first?: Determine the
client's daily elimination habits.
3. A nurse is discussing health screening guidelines with an older
adult client. Which of the following statements should the nurse
include?: "You should have a pneumococcal immunization every 10 years."
4. A nurse is reinforcing teaching with a client who has asthma.
Which of the following client statements indicates an
understanding of the ruse of budesonide and albuterol inhalers? SATA: -"I
never forget to rinse my mouth after using my budesonide inhaler."
-"Between oflce visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
5. A nurse in a long-term care facility is collecting data from a client
who reports fullness in the rectum and abdominal cramping. Which
of the follow-ing findings should indicate to the nurse that the
client might have a fecal impaction?: Small liquid stools
6. A nurse is reinforcing teaching with the family of a client who has
a cervical injury and has a halo vest in place. Which of the following
safety precautions should the nurse include in teaching?: Change the
sheepskin liner weekly
7. A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?: Mohs surgery is a horizontal
shaving of thin layers of the tumor
, Practice ATI PN ADULT MEDICAL
SURGICAL
8. A nurse is collecting data from a 55-year-old female client
who reports vaginal dryness and hot flashes. The client is
interested in trying hormone
, Practice ATI PN ADULT MEDICAL
SURGICAL
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?: History of treatment for blood clots
9. A nurse is reinforcing teaching with an adolescent client regarding
testicular self-examination. Which of the following statements by
the client demon-strates an understanding of the teaching?: "I understand
that pea-sized lumps are normal."
10. A nurse is reviewing the laboratory results of a client who
has chronic kidney failure and is receiving epoetin Alfa. The nurse
should identify that which of the following laboratory values indicates
the treatment is effective?: Hgb 11 g/dL
11. A nurse is reviewing the laboratory results of a client who is
scheduled for a CT scan with an IV contrast agent. Which of the
following laboratory findings should the nurse report to the provider
prior to the procedure?: Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the
finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the
client at risk for developing contrast-induced nephropathy.
12. A nurse is caring for a client who had an acute ischemic stroke
1 day ago.
Which of the following actions should the nurse take to reduce the
risk for aspiration?: Allow for 30 min of rest before meals
13. A nurse is contributing to the plan of care for a client who is
having difficulty eating following a stroke. Which of the following
interventions should the nurse plan to implement first?: Recommend a
referral for a speech language pathologist.
Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first intervention the
nurse should include in the plan of care is to recommend a referral for a speech language
pathologist. A speech language pathologist can conduct a swallow study to determine the client's risk
for aspiration, provide teaching to the client regarding swallowing techniques, and recommend the
SURGICAL
1. A nurse is collecting data on a client who is scheduled for a
cardiac catheter-ization. Which of the following laboratory levels
should the nurse review prior to the procedure?: BUN
Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the client
can tolerate the IV contrast dye during the procedure.
2. A nurse is assisting in the plan of care regarding bowel retraining
for a client
who has a cervical spinal cord injury. Which of the following
interventions should the nurse plan to implement first?: Determine the
client's daily elimination habits.
3. A nurse is discussing health screening guidelines with an older
adult client. Which of the following statements should the nurse
include?: "You should have a pneumococcal immunization every 10 years."
4. A nurse is reinforcing teaching with a client who has asthma.
Which of the following client statements indicates an
understanding of the ruse of budesonide and albuterol inhalers? SATA: -"I
never forget to rinse my mouth after using my budesonide inhaler."
-"Between oflce visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
5. A nurse in a long-term care facility is collecting data from a client
who reports fullness in the rectum and abdominal cramping. Which
of the follow-ing findings should indicate to the nurse that the
client might have a fecal impaction?: Small liquid stools
6. A nurse is reinforcing teaching with the family of a client who has
a cervical injury and has a halo vest in place. Which of the following
safety precautions should the nurse include in teaching?: Change the
sheepskin liner weekly
7. A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?: Mohs surgery is a horizontal
shaving of thin layers of the tumor
, Practice ATI PN ADULT MEDICAL
SURGICAL
8. A nurse is collecting data from a 55-year-old female client
who reports vaginal dryness and hot flashes. The client is
interested in trying hormone
, Practice ATI PN ADULT MEDICAL
SURGICAL
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?: History of treatment for blood clots
9. A nurse is reinforcing teaching with an adolescent client regarding
testicular self-examination. Which of the following statements by
the client demon-strates an understanding of the teaching?: "I understand
that pea-sized lumps are normal."
10. A nurse is reviewing the laboratory results of a client who
has chronic kidney failure and is receiving epoetin Alfa. The nurse
should identify that which of the following laboratory values indicates
the treatment is effective?: Hgb 11 g/dL
11. A nurse is reviewing the laboratory results of a client who is
scheduled for a CT scan with an IV contrast agent. Which of the
following laboratory findings should the nurse report to the provider
prior to the procedure?: Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the
finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the
client at risk for developing contrast-induced nephropathy.
12. A nurse is caring for a client who had an acute ischemic stroke
1 day ago.
Which of the following actions should the nurse take to reduce the
risk for aspiration?: Allow for 30 min of rest before meals
13. A nurse is contributing to the plan of care for a client who is
having difficulty eating following a stroke. Which of the following
interventions should the nurse plan to implement first?: Recommend a
referral for a speech language pathologist.
Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first intervention the
nurse should include in the plan of care is to recommend a referral for a speech language
pathologist. A speech language pathologist can conduct a swallow study to determine the client's risk
for aspiration, provide teaching to the client regarding swallowing techniques, and recommend the
