Med surg ATI MED questions and answers 2020/2021

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 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 nursing 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? 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? 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