ATI MED SURGE EXAM 3 REVIEW SOLVED
QUESTIONS WITH ACCURATE ANSWERS
◉ 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.)
Answer: 1) Buffalo hump 2) Purple striations 3) Moon face
◉ 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?
Answer: Monitor intake and output hourly
◉ 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?
Answer: "You will remain NPO for 8 hours before the procedure."
◉ 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?
Answer: Postictal phase
,◉ 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?
Answer: "The pain will dissipate if you ambulate frequently."
◉ 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?
Answer: Verify that the suction regulator is on.
◉ 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.)
Answer: Encourage fluid intake. 2) Monitor the puncture site for
hematoma.
◉ 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?
Answer: Prevent aspiration.
◉ A nurse is collecting data from a client who has scleroderma.
Which of the following findings should the nurse expect?
,Answer: Hardened skin
◉ 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?
Answer: Add thickener to fluids.
◉ 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?
Answer: Airway obstruction
◉ 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?
Answer: 1) Take the medication 45 minutes before eating.
◉ A nurse is caring for a client who is 12 hours postoperative
following a transurethral resection of the prostate (TURP) and has a
3-way urinary catheter with continuous irrigation. The nurse notes
there has not been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
Answer: Notify the provider.. Determine the patency of the tubing.
, ◉ A nurse is caring for a client scheduled for a bone marrow biopsy.
The client expresses fear about the procedure and asks the nurse if
the biopsy will hurt. Which of the following responses should the
nurse make?
Answer: "The biopsy can be uncomfortable, but we will try to keep
you as comfortable as possible."
◉ A nurse is assisting with planning care for a client who is
recovering from a left-hemispheric stroke. Which of the following
interventions should the nurse include in the plan?
Answer: Re-establish communication.
◉ A nurse is assisting with the care of a client who has diabetes
insipidus. The nurse should monitor the client for which of the
following manifestations?
Answer: Hypotension
◉ A nurse is reinforcing teaching with a client who has HIV and is
being discharged to home. Which of the following instructions
should the nurse include in the teaching?
Answer: Take temperature once a day
◉ A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of
QUESTIONS WITH ACCURATE ANSWERS
◉ 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.)
Answer: 1) Buffalo hump 2) Purple striations 3) Moon face
◉ 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?
Answer: Monitor intake and output hourly
◉ 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?
Answer: "You will remain NPO for 8 hours before the procedure."
◉ 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?
Answer: Postictal phase
,◉ 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?
Answer: "The pain will dissipate if you ambulate frequently."
◉ 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?
Answer: Verify that the suction regulator is on.
◉ 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.)
Answer: Encourage fluid intake. 2) Monitor the puncture site for
hematoma.
◉ 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?
Answer: Prevent aspiration.
◉ A nurse is collecting data from a client who has scleroderma.
Which of the following findings should the nurse expect?
,Answer: Hardened skin
◉ 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?
Answer: Add thickener to fluids.
◉ 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?
Answer: Airway obstruction
◉ 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?
Answer: 1) Take the medication 45 minutes before eating.
◉ A nurse is caring for a client who is 12 hours postoperative
following a transurethral resection of the prostate (TURP) and has a
3-way urinary catheter with continuous irrigation. The nurse notes
there has not been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
Answer: Notify the provider.. Determine the patency of the tubing.
, ◉ A nurse is caring for a client scheduled for a bone marrow biopsy.
The client expresses fear about the procedure and asks the nurse if
the biopsy will hurt. Which of the following responses should the
nurse make?
Answer: "The biopsy can be uncomfortable, but we will try to keep
you as comfortable as possible."
◉ A nurse is assisting with planning care for a client who is
recovering from a left-hemispheric stroke. Which of the following
interventions should the nurse include in the plan?
Answer: Re-establish communication.
◉ A nurse is assisting with the care of a client who has diabetes
insipidus. The nurse should monitor the client for which of the
following manifestations?
Answer: Hypotension
◉ A nurse is reinforcing teaching with a client who has HIV and is
being discharged to home. Which of the following instructions
should the nurse include in the teaching?
Answer: Take temperature once a day
◉ A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of
