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NURS 3025-ATI MED SURG QUESTIONS
WITH CORRECT ANSWERS TEST BANK
1. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the
following actions should the nurse take first?
check for the type and number of units of blood to administer
2. a nurse is providing teaching to an older adult female client who has stress incontinence and a
BMI of 32. Which of the following statements by the client indicates an understanding of the teaching?
I am dieting to lose weight
3. A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of
metformin. Which of the following statements by the client indicates an understanding of the teaching?
I should take this medication with a meal
4. a nurse is providing teaching to a client who has chronic kidney disease and a new prescription
for erythropoietin. Which of the following statements by the client indicates an understanding if the
teaching?
i am taking this medication to increase my energy level
5. a nurse is caring for a client who has a prescription for enalapril. The nurse should identify which
of the following findings as an adverse effect of the medication? orthostatic hypotension
6. a nurse is caring for a client who has hypothyroidism. which of the following manifestations
should the nurse expect?
constipation
7. a charge nurse is instructing a newly licensed nurse about caring for a client who has MRSA.
which of the following statements by the new nurse indicates an understanding of the teaching?
i will leave assessment equipment in the room to use on this patient
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8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which of the
following instructions should the nurse include in the teaching?
increase fiber intake to at least 30 g/day
9. a nurse is caring for a client who has a positive culture for c. diff. which of the following actions
should the nurse take?
implement contact precautions for the client
10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the following
is the priority assessment finding that the nurse should report to the provider?
BP 170/80
11. a nurse is planning care for a client who is scheduled for a throacentesis. which of the following
interventions should the nurse include in the plan?
encourage the client to take deep breaths after the procedure
12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the nurse should
place the priority on which of the following findings?
dysphagia
13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of the following
results should the nurse expect?
PaCO2 56
14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving
radiation treatment. which of the following statements by the client indicates an understanding of the
teaching?
i will avoid direct exposure to the sun
15. a nurse is assessing for compartment syndrome in a client who has a short leg cast. which of the
following findings should the nurse identify as a manifestation of this condition?
pain that increases with passive movement
16. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by which of the
following actions.
suppressing gastric acid production
17. a nurse is assessing a client who has peripheral arterial disease. which of the following findings
should the nurse expect?
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hair loss on the lower legs
18. a nurse is assessing a client following the completion of hemodialysis. which of the following
findings is the nurse's priority to report to the provider?
restlessness
19. a nurse is reviewing the medical record of a client who has osteomyelitis and a prescription of
gentamicin. which of the following findings from the client's medical record should indicate to the nurse
the need to withhold the med?
serum creatinine
20. a nurse is reviewing the medical record of a client who has SLE. which of the following findings
should the nurse expect?
facial butterfly rash
21. a nurse is providing teaching to a client who has a new prescription for psyllium. which of the
following information should the nurse include in the teaching?
drink 240 mL of water after administration
22. a nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent her headaches. the nurse should identify that which of the following client meds
interacts with feverfew?
naproxen
23. a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. which of the following statements should the nurse make?
you will not be able to use sildenfil if you are taking nitroglycerin
24. a nurse is caring for a client who is receiving TPN. a new bag is not available when the current
infusion is nearly completed. which of the following actions should the nurse take?
administer dextrose 10% in water until the new bag arrives
25. a nurse is providing discharge teaching to a client who has HF and a new prescription for a
potassium-sparing diuretic. which of the following information should the nurse include in the teaching?
try to walk at least 3 times per week for exercise
26. a nurse is planning care for a client who is postop following a laparotomy and has a closed-
suction drain. which of the following actions should the nurse take to manage the drain?
compress the drain reservoir after emptying
27. a nurse in an emergency department is admitting a client who reports dyspnea and SOB. which
of the following actions is the priority for the nurse to perform prior to administering oxygen?
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determine if the client has a history of COPD
28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract surgery.
the nurse should recognize that which of the following client meds is a contraindication for the surgery
and notify the provider?
warfarin
29. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago. which of
the following findings should the nurse report to the provider immediately
stridor
30. a nurse is providing dietary teaching to a client who is postop following a thyroidectomy with
removal of the parathyroid glands. the nurse should instruct the client to include which of the following
foods to increase calcium in the diet?
12 almonds
31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central venous
catheter into a subclavian vein. the nurse should plan to place the client in which of the following
positions?
trendelenburg
32. teaching to client with HTN and new med verapamil. what juice should client avoid? grapefruit
33. client experiencing anaphylactic reaction, after patent airway, which is priority nursing
intervention?
apply oxygen vi face mask
34. client had nephrostomy tube inserted 12hrs ago. what should the nurse report to the provider?
client reports back pain
35. teaching to perimenopausal and has hormone replacement therapy. adverse effects to notify
provider?
calf pain, numbness in arms, and intense headache
36. older adult with cancer and a new prescription of opioid analgesic. which info should the nurse
include in teaching?
you should increase your fiber intake to prevent constipation
37. a nurse is providing med teaching to a group with seizure disorders. instruction about
phenytoin?
phenytoin decreases the effectiveness of oral contraceptives
38. a nurse is caring for client with supraventricular tachycardia. which action should nurse take
next?
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NURS 3025-ATI MED SURG QUESTIONS
WITH CORRECT ANSWERS TEST BANK
1. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the
following actions should the nurse take first?
check for the type and number of units of blood to administer
2. a nurse is providing teaching to an older adult female client who has stress incontinence and a
BMI of 32. Which of the following statements by the client indicates an understanding of the teaching?
I am dieting to lose weight
3. A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of
metformin. Which of the following statements by the client indicates an understanding of the teaching?
I should take this medication with a meal
4. a nurse is providing teaching to a client who has chronic kidney disease and a new prescription
for erythropoietin. Which of the following statements by the client indicates an understanding if the
teaching?
i am taking this medication to increase my energy level
5. a nurse is caring for a client who has a prescription for enalapril. The nurse should identify which
of the following findings as an adverse effect of the medication? orthostatic hypotension
6. a nurse is caring for a client who has hypothyroidism. which of the following manifestations
should the nurse expect?
constipation
7. a charge nurse is instructing a newly licensed nurse about caring for a client who has MRSA.
which of the following statements by the new nurse indicates an understanding of the teaching?
i will leave assessment equipment in the room to use on this patient
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which of the
following instructions should the nurse include in the teaching?
increase fiber intake to at least 30 g/day
9. a nurse is caring for a client who has a positive culture for c. diff. which of the following actions
should the nurse take?
implement contact precautions for the client
10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the following
is the priority assessment finding that the nurse should report to the provider?
BP 170/80
11. a nurse is planning care for a client who is scheduled for a throacentesis. which of the following
interventions should the nurse include in the plan?
encourage the client to take deep breaths after the procedure
12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the nurse should
place the priority on which of the following findings?
dysphagia
13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of the following
results should the nurse expect?
PaCO2 56
14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving
radiation treatment. which of the following statements by the client indicates an understanding of the
teaching?
i will avoid direct exposure to the sun
15. a nurse is assessing for compartment syndrome in a client who has a short leg cast. which of the
following findings should the nurse identify as a manifestation of this condition?
pain that increases with passive movement
16. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by which of the
following actions.
suppressing gastric acid production
17. a nurse is assessing a client who has peripheral arterial disease. which of the following findings
should the nurse expect?
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
hair loss on the lower legs
18. a nurse is assessing a client following the completion of hemodialysis. which of the following
findings is the nurse's priority to report to the provider?
restlessness
19. a nurse is reviewing the medical record of a client who has osteomyelitis and a prescription of
gentamicin. which of the following findings from the client's medical record should indicate to the nurse
the need to withhold the med?
serum creatinine
20. a nurse is reviewing the medical record of a client who has SLE. which of the following findings
should the nurse expect?
facial butterfly rash
21. a nurse is providing teaching to a client who has a new prescription for psyllium. which of the
following information should the nurse include in the teaching?
drink 240 mL of water after administration
22. a nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent her headaches. the nurse should identify that which of the following client meds
interacts with feverfew?
naproxen
23. a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. which of the following statements should the nurse make?
you will not be able to use sildenfil if you are taking nitroglycerin
24. a nurse is caring for a client who is receiving TPN. a new bag is not available when the current
infusion is nearly completed. which of the following actions should the nurse take?
administer dextrose 10% in water until the new bag arrives
25. a nurse is providing discharge teaching to a client who has HF and a new prescription for a
potassium-sparing diuretic. which of the following information should the nurse include in the teaching?
try to walk at least 3 times per week for exercise
26. a nurse is planning care for a client who is postop following a laparotomy and has a closed-
suction drain. which of the following actions should the nurse take to manage the drain?
compress the drain reservoir after emptying
27. a nurse in an emergency department is admitting a client who reports dyspnea and SOB. which
of the following actions is the priority for the nurse to perform prior to administering oxygen?
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
determine if the client has a history of COPD
28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract surgery.
the nurse should recognize that which of the following client meds is a contraindication for the surgery
and notify the provider?
warfarin
29. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago. which of
the following findings should the nurse report to the provider immediately
stridor
30. a nurse is providing dietary teaching to a client who is postop following a thyroidectomy with
removal of the parathyroid glands. the nurse should instruct the client to include which of the following
foods to increase calcium in the diet?
12 almonds
31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central venous
catheter into a subclavian vein. the nurse should plan to place the client in which of the following
positions?
trendelenburg
32. teaching to client with HTN and new med verapamil. what juice should client avoid? grapefruit
33. client experiencing anaphylactic reaction, after patent airway, which is priority nursing
intervention?
apply oxygen vi face mask
34. client had nephrostomy tube inserted 12hrs ago. what should the nurse report to the provider?
client reports back pain
35. teaching to perimenopausal and has hormone replacement therapy. adverse effects to notify
provider?
calf pain, numbness in arms, and intense headache
36. older adult with cancer and a new prescription of opioid analgesic. which info should the nurse
include in teaching?
you should increase your fiber intake to prevent constipation
37. a nurse is providing med teaching to a group with seizure disorders. instruction about
phenytoin?
phenytoin decreases the effectiveness of oral contraceptives
38. a nurse is caring for client with supraventricular tachycardia. which action should nurse take
next?
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