ATI RN ADULT MEDICAL SURGICAL ONLINE PRACTICE
(100% VERIFIED ANSWERS WITH NGN )
1. A nurse is providing teaching to a client who has AIDS. Which of the following statement
by the client indicates an understanding of the teaching?
I will take my temp once a day- A client who has AIDS is immunocompromised and is at risk
for infection. The client should check their temperature daily to identify a temperature greater
than 37.8° C (100° F), which is an early manifestation of an infection
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should avoid drinking a glass of liquid that stands for 60 min or more to reduce the
risk of drinking contaminated liquids
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should avoid eating raw fruits and vegetables that can contain bacteria and cause
infection. The nurse should advise the client to eat a low-bacteria diet.
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should clean their toothbrush weekly in the dishwasher or in a bleach solution to
destroy micro-organisms.
2. A nurse is providing teaching to a client who has asthma about the use of a metered-dose
inhaler. The nurse should identify that which of the following client actions indicates an
understanding of the teaching?
Holding breath for 10 secs after inhaling- The client should hold their breath for 10 seconds
after inhaling so the medication can move deep into the airways
The client should wait at least 1 min between puffs on the inhaler so each dose has adequate
time for maximum effectiveness
The client should either rinse the plastic case and cap of the inhaler with warm running tap
water once daily or soak it in 480 mL (16 oz) of water with 60 mL (2 oz) of vinegar once per
week
The client should breathe in slowly and deeply while administering the medication to
receive the maximum effect of the medication
3. A nurse is reviewing the lab findings of a client who developed chest pain 6 hours ago. The
nurse should identify which of the following findings as an indication of a MI?
,Troponin- Troponins are proteins present in skeletal and cardiac muscle that are involved
with muscle contraction. The elevation of either troponin T or troponin I is an indication of
cardiac injury. The client's laboratory value is above the expected reference range for
troponin I, indicating an MI has occurred
ALT is an enzyme that is found primarily in the liver, although it can also be detected in the
kidneys, heart, and skeletal muscle. Increases in this enzyme are associated with injury or
disease. However, because the enzyme is not specific to the heart, its use as a diagnostic tool
for MI is limited. An ALT value of 28 units/L is within the expected reference range
HDL removes cholesterol from the tissues and blood stream for transport to the liver. Low
levels of HDL increase a client's risk for cardiovascular disease. However, this value is not
useful in monitoring a client who has had a suspected MI. An HDL level of 65 mg/dL is
within the expected reference range
CK-MB is found in the heart, skeletal muscle, and brain tissue, and is elevated within 6 hr
after an injury occurs.
An elevated CK-MB indicates a significant MI has already occurred; however, a CK-MB level of 85 units/L is
within the expected reference range
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the
following findings
should the nurse report to the provider?
The client reports back pain-The nurse should notify the provider if the client reports back pain, which can
indicate that the nephrostomy tube is dislodged or clogged
Red-tinged urine is an expected finding for the first 12 to 24 hr following a nephrostomy tube insertion
The nurse should notify the provider if there is a decrease in urinary output, which can indicate impaired renal
function or dysfunction of the nephrostomy tube.
5. A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the
following statements by the client indicates understanding of the teaching?
I will no longer floss my teeth after brushing- The nurse should instruct the client to avoid flossing teeth to
prevent gum inflammation, which could create the opportunity for infection
The nurse should instruct the client to wear disposable gloves underneath gardening gloves when working
around soil, in the garden, and houseplants because this type of exposure increases the client's
risk of infection
The nurse should instruct the client to avoid eating salads, or any kind of raw fruits or
vegetables, because these can contain micro-organisms and place the client at risk for an
infection
6. A nurse is providing discharge teaching to a client who is postop following a modified
,radical mastectomy. Which of the following instructions should the nurse include?
Numbness can occur along the inside of the affected arm- The nurse should instruct the
client that numbness can occur near the incision and along the inside of the affected arm due
to nerve injury.
The nurse should instruct the client to stand upright and avoid flexing the affected arm when
ambulating to reduce the risk for elbow contracture.
The nurse should instruct the client to begin active range-of-motion exercises 1 week after
surgery to increase mobility without causing stress on the incision.
The nurse should instruct the client to dress in loose-fitting clothing to reduce the risk of stress
on the incision
7. A
nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include?
Flex the foot every hour when awake- The nurse should instruct the client to flex the foot
every hour to reduce the risk for thromboembolism and promote venous return.
The nurse should instruct the client to avoid placing pillows under the knee to prevent
flexion contractures. The nurse should instruct the client to elevate the leg when sitting in a
chair to reduce edema and pain.
The nurse should instruct the client to keep the operative leg in a neutral position when
resting in bed to prevent dislocation of the knee.
8. A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include?
Walk for 30 mins 4Xweek- Weight-bearing exercises promote bone mass. Therefore,
walking can help the client prevent osteoporosis.
Clients who have osteoarthritis can take glucosamine for pain. It is not indicated as a
prevention for osteoporosis
Clients who are at risk for osteoporosis should avoid exercises that cause jarring motions, such as jogging,
because they can cause compression fractures.
Clients who are at risk for osteoporosis should take over-the-counter calcium supplements because it is the
most affordable option for calcium supplementation. Calcium and vitamin D are needed to
promote bone heath
, and maintain bone mass.
9. A nurse is providing preop teaching for a client who is scheduled for a mastectomy. Which of the following
statements should the nurse make?
I will refer you to community resources that can provide support- The nurse should provide the client with
support resources, including community programs, to assist the client with acceptance of body image changes.
The nurse should tell the client that the redness and raised incision will start to decrease in the
first few months
after surgery.
The nurse should encourage the client to look at the incision when the client is ready
The nurse should explain that acceptance of the changed body image is individualized and
usually occurs over
a period time.
10. A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the
nurse expect?
Constipation- A client who has hypothyroidism can experience constipation due to the decrease in the client's
metabolism, resulting in slow motility of the gastrointestinal tract. The nurse should instruct the client to
increase fiber and fluid intake to reduce the risk for constipation.
A client who has hypothyroidism can have somnolence due to the decrease in the client's
metabolism related to
A client
the who has hypothyroidism
decreased secretion ofcan have bradycardia
thyroid hormone due to a decrease in cardiac function related to the
decreased secretion of thyroid hormone
The thyroid hormone controls metabolic functions in the body. A client who has
hypothyroidism is more likely to have dry, scaly skin due to the decreased secretion of
thyroid hormone
11. A nurse is caring for a client who has terminal cancer. The client tells thenurse, "I wish I could stop these
treatments. I am ready to die." Which of the following statements should the nurse make?
Discontinuing with the treatments is your choice if it is your wish to do so- The nurse should recognize the
client's right to refuse the treatments and inform the client of this right. The nurse should
advocate for the client and offer to contact the provider for the client.
The individual named in the health care proxy is appointed to make decisions for the client when the client is
unable to do so. This client is still able to express their wishes; therefore, the client's health care surrogate does
not need to participate at this time.
The nurse should not contact a spiritual advisor unless the client asks the nurse to do so. This
would violate the
(100% VERIFIED ANSWERS WITH NGN )
1. A nurse is providing teaching to a client who has AIDS. Which of the following statement
by the client indicates an understanding of the teaching?
I will take my temp once a day- A client who has AIDS is immunocompromised and is at risk
for infection. The client should check their temperature daily to identify a temperature greater
than 37.8° C (100° F), which is an early manifestation of an infection
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should avoid drinking a glass of liquid that stands for 60 min or more to reduce the
risk of drinking contaminated liquids
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should avoid eating raw fruits and vegetables that can contain bacteria and cause
infection. The nurse should advise the client to eat a low-bacteria diet.
A client who has AIDS is immunocompromised and is at risk for infection. Therefore, the
client should clean their toothbrush weekly in the dishwasher or in a bleach solution to
destroy micro-organisms.
2. A nurse is providing teaching to a client who has asthma about the use of a metered-dose
inhaler. The nurse should identify that which of the following client actions indicates an
understanding of the teaching?
Holding breath for 10 secs after inhaling- The client should hold their breath for 10 seconds
after inhaling so the medication can move deep into the airways
The client should wait at least 1 min between puffs on the inhaler so each dose has adequate
time for maximum effectiveness
The client should either rinse the plastic case and cap of the inhaler with warm running tap
water once daily or soak it in 480 mL (16 oz) of water with 60 mL (2 oz) of vinegar once per
week
The client should breathe in slowly and deeply while administering the medication to
receive the maximum effect of the medication
3. A nurse is reviewing the lab findings of a client who developed chest pain 6 hours ago. The
nurse should identify which of the following findings as an indication of a MI?
,Troponin- Troponins are proteins present in skeletal and cardiac muscle that are involved
with muscle contraction. The elevation of either troponin T or troponin I is an indication of
cardiac injury. The client's laboratory value is above the expected reference range for
troponin I, indicating an MI has occurred
ALT is an enzyme that is found primarily in the liver, although it can also be detected in the
kidneys, heart, and skeletal muscle. Increases in this enzyme are associated with injury or
disease. However, because the enzyme is not specific to the heart, its use as a diagnostic tool
for MI is limited. An ALT value of 28 units/L is within the expected reference range
HDL removes cholesterol from the tissues and blood stream for transport to the liver. Low
levels of HDL increase a client's risk for cardiovascular disease. However, this value is not
useful in monitoring a client who has had a suspected MI. An HDL level of 65 mg/dL is
within the expected reference range
CK-MB is found in the heart, skeletal muscle, and brain tissue, and is elevated within 6 hr
after an injury occurs.
An elevated CK-MB indicates a significant MI has already occurred; however, a CK-MB level of 85 units/L is
within the expected reference range
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the
following findings
should the nurse report to the provider?
The client reports back pain-The nurse should notify the provider if the client reports back pain, which can
indicate that the nephrostomy tube is dislodged or clogged
Red-tinged urine is an expected finding for the first 12 to 24 hr following a nephrostomy tube insertion
The nurse should notify the provider if there is a decrease in urinary output, which can indicate impaired renal
function or dysfunction of the nephrostomy tube.
5. A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the
following statements by the client indicates understanding of the teaching?
I will no longer floss my teeth after brushing- The nurse should instruct the client to avoid flossing teeth to
prevent gum inflammation, which could create the opportunity for infection
The nurse should instruct the client to wear disposable gloves underneath gardening gloves when working
around soil, in the garden, and houseplants because this type of exposure increases the client's
risk of infection
The nurse should instruct the client to avoid eating salads, or any kind of raw fruits or
vegetables, because these can contain micro-organisms and place the client at risk for an
infection
6. A nurse is providing discharge teaching to a client who is postop following a modified
,radical mastectomy. Which of the following instructions should the nurse include?
Numbness can occur along the inside of the affected arm- The nurse should instruct the
client that numbness can occur near the incision and along the inside of the affected arm due
to nerve injury.
The nurse should instruct the client to stand upright and avoid flexing the affected arm when
ambulating to reduce the risk for elbow contracture.
The nurse should instruct the client to begin active range-of-motion exercises 1 week after
surgery to increase mobility without causing stress on the incision.
The nurse should instruct the client to dress in loose-fitting clothing to reduce the risk of stress
on the incision
7. A
nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include?
Flex the foot every hour when awake- The nurse should instruct the client to flex the foot
every hour to reduce the risk for thromboembolism and promote venous return.
The nurse should instruct the client to avoid placing pillows under the knee to prevent
flexion contractures. The nurse should instruct the client to elevate the leg when sitting in a
chair to reduce edema and pain.
The nurse should instruct the client to keep the operative leg in a neutral position when
resting in bed to prevent dislocation of the knee.
8. A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include?
Walk for 30 mins 4Xweek- Weight-bearing exercises promote bone mass. Therefore,
walking can help the client prevent osteoporosis.
Clients who have osteoarthritis can take glucosamine for pain. It is not indicated as a
prevention for osteoporosis
Clients who are at risk for osteoporosis should avoid exercises that cause jarring motions, such as jogging,
because they can cause compression fractures.
Clients who are at risk for osteoporosis should take over-the-counter calcium supplements because it is the
most affordable option for calcium supplementation. Calcium and vitamin D are needed to
promote bone heath
, and maintain bone mass.
9. A nurse is providing preop teaching for a client who is scheduled for a mastectomy. Which of the following
statements should the nurse make?
I will refer you to community resources that can provide support- The nurse should provide the client with
support resources, including community programs, to assist the client with acceptance of body image changes.
The nurse should tell the client that the redness and raised incision will start to decrease in the
first few months
after surgery.
The nurse should encourage the client to look at the incision when the client is ready
The nurse should explain that acceptance of the changed body image is individualized and
usually occurs over
a period time.
10. A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the
nurse expect?
Constipation- A client who has hypothyroidism can experience constipation due to the decrease in the client's
metabolism, resulting in slow motility of the gastrointestinal tract. The nurse should instruct the client to
increase fiber and fluid intake to reduce the risk for constipation.
A client who has hypothyroidism can have somnolence due to the decrease in the client's
metabolism related to
A client
the who has hypothyroidism
decreased secretion ofcan have bradycardia
thyroid hormone due to a decrease in cardiac function related to the
decreased secretion of thyroid hormone
The thyroid hormone controls metabolic functions in the body. A client who has
hypothyroidism is more likely to have dry, scaly skin due to the decreased secretion of
thyroid hormone
11. A nurse is caring for a client who has terminal cancer. The client tells thenurse, "I wish I could stop these
treatments. I am ready to die." Which of the following statements should the nurse make?
Discontinuing with the treatments is your choice if it is your wish to do so- The nurse should recognize the
client's right to refuse the treatments and inform the client of this right. The nurse should
advocate for the client and offer to contact the provider for the client.
The individual named in the health care proxy is appointed to make decisions for the client when the client is
unable to do so. This client is still able to express their wishes; therefore, the client's health care surrogate does
not need to participate at this time.
The nurse should not contact a spiritual advisor unless the client asks the nurse to do so. This
would violate the
