Medsurg 2 ATI Exam Questions & Answers

Medsurg 2 ATI Exam Questions & Answers-A nurse is teaching the partner of a client who had a stroke about manifestations of dysphagia. Which of the following statements by the client's partner indicates the need for further teaching? A. "I will monitor my husband for coughing while he's eating." B. "I will monitor for a change in my husband's voice after he swallows." C. "I will monitor my husband for tilting his head forward when he swallows." D. "I will monitor my husband for pocketing food in his mouth." - C. I will monitor my husband for tilting his head forward when he swallows. A nurse is assessing a client and discovers the infusion pump with the client's TPN solution is not infusing. The nurse should monitor the client for which of the following conditions? A. Excessive thirst & urination B. Shakiness & diaphoresis C. Fever & chills D. Hypertension & crackles - B. Shakiness & diaphoresis (at risk for hypoglycemia) A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence? A. Stress incontinence B. Urge incontinence C. Overflow incontinence D. Reflex incontinence - C. Overflow incontinence A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply) A. Genetic Predisposition B. Hypercholesterolemia C. Hypertension D. Obesity E. Smoking - B, C, D, E (hypercholesterolemia, htn, obesity, smoking) A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended d/t which of the following findings in the client's medical hx? A. Hx of dermatitis B. Hx of Breast cancer C. Multiple hospitalizations for COPD D. Concurrent tx for GERD - B. Hx of breast cancer A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching? A. Limit fluid intake not r/t meals. B. Chew on mint leaves to reduce indigestion C. Avoid eating w/in 3 hrs of bedtime D. Season foods w/black pepper - C. Avoid eating w/in 3 hrs of bedtime A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid? A. Nonfat milk B. Chocolate C. Apples D. Oatmeal - B. Chocolate A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching? A. Tinnitus B. Constipation C. Hyperkalemia D. Weight Gain - A. Tinnitus A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply) A. Check peripheral pulses in affected extremity B. Place client in High-Fowlers position C. Measure the client's vitals q4hr D. Keep the client's hip and leg extended E. Have the client remain in bed up to 6 hr - A, D, E (Check peripheral pulses in affected extremity, Keep the client's hip and leg extended, Have the client remain in bed up to 6 hr) A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control? A. "I will call for pain medication before the previous dose wears off" B. "I will call for pain medication as my pain starts to increase again." C. "I will wait for you to evaluate my pain before asking for more medication." D. "I will ask for less medication to avoid addiction." - A. "I will call for pain medication before the previous dose wears off." A nurse is teaching a client about the 7 warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply) A. A nonhealing sore B. Bloating C. Change in bowel pattern D. Change in moles E. Nagging cough - A, C, D, E (a nonhealing sore, change in bowel pattern, change in moles, nagging cough) A nurse is preparing to administer TPN 1800 mL to infuse over 24 hrs. The nurse should set the iv pump the deliver how many mL/hr? (round to nearest whole #) - 75 mL/hr A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level? A. Pulse and BP findings B. Behavioral indicators and effect C. Scheduled tx and client illness D. A self-report pain rating scale - D. A self-report pain rating scale