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RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0
(Content Mastery Series Review Module
(ATI TESTBANK)
ATI FUNDAMENTAL
A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample -Answer: use a cotton-tipped
application to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine -Answer: naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain -Answer: breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
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- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia -Answer: anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 -Answer: Creatinine 2.8
- Blood Glucose 235
- WBC 17,850
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature -Answer: assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic -Answer: provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene -Answer: infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy -Answer: Tzanck smear report
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- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
- ketamine
- meperidine
- methadone -Answer: ketorolac
ketamine (anesthetic agent used for treating neuropathic pain); meperidine (not
recommended for reg use); methadone (effective for treating severe pain).
A nurse is caring for a client who is receiving morphine via a PCA after abdominal
surgery. Which statement indicates the client understands how to use the device?
- "I'll wait to use the device until absolutely necessary"
- "I'll be careful about pushing the button so I don't get an overdose"
- "I should tell the nurse if the pain doesn't stop after I use this device"
- "I will ask my son to push the s=dose button when I am sleeping" -Answer: "I should
tell the nurse if the pain doesn't stop after I use this device"
a nurse is caring for a client who is scheduled for an exploratory laparotomy. the client's
temp is 39*C (102.2 F) orally. which of the following actions should the nurse take?
- inform the surgeon of the elevated temp
- transfer the client to the preop unit
- apply ice packs to the groin
- encourage the client to increase intake of clear liquids -Answer: inform the surgeon of
the elevated temp (notifying the surgeon of the elevated temp to determine if canceling
the surgery is necessary due to an underlying infection)
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. WHich of the following actions should the nurse take?
- decrease the client's fluid intake
- apply pressure to the puncture site
- place the head of the bed flat
- instruct the client to lie prone -Answer: place the head of the bed flat
A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
- most clients exaggerate their level of pain
- pain must have an identifiable source to justify the use of opioids
- objective data are essential in assessing pain
- pain is whatever the client says it is -Answer: pain is whatever the client says it is
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a nurse is educating a client on the use of calcipotriene topical med for the treatment of
psoriasis. WHich lab values should the nurse monitor?
-K
- Ca
- Na
- Cl -Answer: Ca
A nurse is instructing a client on home care after a culture for a bacterial infection and
cellulitis. WHich of the following info should the nurse include?
- bathe daily with moisturizing soap
- apply antibacterial topical med to the crusted exudate
- apply warm compresses to the affected area
- cover affected area with snug-fitted clothing -Answer: apply warm compresses to the
affected area
A nurse is monitoring a client who is receiving opioid analgesia. WHich of the following
should the nurse identify as adverse effects of opioid analgesics? (select all that apply)
- urinary incontinence
- diarrhea
- bradypnea
- orthostatic hypotension
- nausea -Answer: bradypnea
- orthostatic hypotension
- nausea
a nurse is planning care for an adult client who sustained severe burn injuries. Select all
interventions that apply.
- limit visitors in the client's room
- encourage fresh vegetables in the diet
- increase protein intake
- instruct the client to consume 2,000 cal/day
- restrict fresh flowers in the room -Answer: limit visitors in the client's room
- increase protein intake
- restrict fresh flowers in the room
A nurse is providing information about a new prescription for corticosteroid cream to a
client who has mild psoriasis. Which of the following instructions should the nurse
include? (select all)
- apply an occlusive dressing after application
- apply 3-4x per day
- wear gloves after application to lesions on the hands
- avoid applying in skin folds
- use medication continuously over a period of several months -Answer: apply an
occlusive dressing after application
- wear gloves after application to lesions on the hands
- avoid applying in skin folds (risk for yeast)
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RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0
(Content Mastery Series Review Module
(ATI TESTBANK)
ATI FUNDAMENTAL
A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample -Answer: use a cotton-tipped
application to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine -Answer: naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain -Answer: breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
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,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia -Answer: anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 -Answer: Creatinine 2.8
- Blood Glucose 235
- WBC 17,850
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature -Answer: assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic -Answer: provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene -Answer: infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy -Answer: Tzanck smear report
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- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
- ketamine
- meperidine
- methadone -Answer: ketorolac
ketamine (anesthetic agent used for treating neuropathic pain); meperidine (not
recommended for reg use); methadone (effective for treating severe pain).
A nurse is caring for a client who is receiving morphine via a PCA after abdominal
surgery. Which statement indicates the client understands how to use the device?
- "I'll wait to use the device until absolutely necessary"
- "I'll be careful about pushing the button so I don't get an overdose"
- "I should tell the nurse if the pain doesn't stop after I use this device"
- "I will ask my son to push the s=dose button when I am sleeping" -Answer: "I should
tell the nurse if the pain doesn't stop after I use this device"
a nurse is caring for a client who is scheduled for an exploratory laparotomy. the client's
temp is 39*C (102.2 F) orally. which of the following actions should the nurse take?
- inform the surgeon of the elevated temp
- transfer the client to the preop unit
- apply ice packs to the groin
- encourage the client to increase intake of clear liquids -Answer: inform the surgeon of
the elevated temp (notifying the surgeon of the elevated temp to determine if canceling
the surgery is necessary due to an underlying infection)
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. WHich of the following actions should the nurse take?
- decrease the client's fluid intake
- apply pressure to the puncture site
- place the head of the bed flat
- instruct the client to lie prone -Answer: place the head of the bed flat
A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
- most clients exaggerate their level of pain
- pain must have an identifiable source to justify the use of opioids
- objective data are essential in assessing pain
- pain is whatever the client says it is -Answer: pain is whatever the client says it is
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a nurse is educating a client on the use of calcipotriene topical med for the treatment of
psoriasis. WHich lab values should the nurse monitor?
-K
- Ca
- Na
- Cl -Answer: Ca
A nurse is instructing a client on home care after a culture for a bacterial infection and
cellulitis. WHich of the following info should the nurse include?
- bathe daily with moisturizing soap
- apply antibacterial topical med to the crusted exudate
- apply warm compresses to the affected area
- cover affected area with snug-fitted clothing -Answer: apply warm compresses to the
affected area
A nurse is monitoring a client who is receiving opioid analgesia. WHich of the following
should the nurse identify as adverse effects of opioid analgesics? (select all that apply)
- urinary incontinence
- diarrhea
- bradypnea
- orthostatic hypotension
- nausea -Answer: bradypnea
- orthostatic hypotension
- nausea
a nurse is planning care for an adult client who sustained severe burn injuries. Select all
interventions that apply.
- limit visitors in the client's room
- encourage fresh vegetables in the diet
- increase protein intake
- instruct the client to consume 2,000 cal/day
- restrict fresh flowers in the room -Answer: limit visitors in the client's room
- increase protein intake
- restrict fresh flowers in the room
A nurse is providing information about a new prescription for corticosteroid cream to a
client who has mild psoriasis. Which of the following instructions should the nurse
include? (select all)
- apply an occlusive dressing after application
- apply 3-4x per day
- wear gloves after application to lesions on the hands
- avoid applying in skin folds
- use medication continuously over a period of several months -Answer: apply an
occlusive dressing after application
- wear gloves after application to lesions on the hands
- avoid applying in skin folds (risk for yeast)
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