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Medsurg 2 ATI Exam Questions & Answers

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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.

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February 20, 2023
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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

,Latest Updated Solutions
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

,Latest Updated Solutions
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

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following
catheter removal, the nurse should inform the client that he should expect which of the following
variations in color of his urine?

A. Pale pink
B. Bright yellow
C. Bright red
D. Dark amber - A. Pale pink

A nurse in a provider's office is reviewing the lab results of a client who takes furosemide for
HTN. The nurse notes that the client's potassium level is 3.3. The nurse should monitor the client
for which of the following complications?

A. Cardiac dysrhythmias
B. Hypoglycemia
C. Seizures
D. Neurogenic shock - A. Cardiac dysrhythmias

A nurse is collecting a medication hx from a client who is scheduled to have a cardiac
catheterization. Which of the following medications taken by the client interacts w/contrast
material and places the client at risk for acute kidney injury?

A. Atorvastatin
B. Metformin
C. Nitroglycerin
D. Carvedilol - B. Metformin

A nurse is caring for a client who has cancer and a new prescription for ondansetron to tx chemo-
induced nausea. For which of the following adverse effects should the nurse monitor?

A. Headache

, Latest Updated Solutions
B. Dependent edema
C. Polyuria
D. Photosensitivity - A. Headache

A nurse is teaching a client who is starting to take methotrexate to treat RA. Which of the
following instructions should the nurse include in the teaching?

A. "Avoid eating foods high in vitamin K."
B. "Use an alcohol-based mouthwash after each meal."
C. "Take the medication daily."
D. "Drink at least 2 L of water daily." - D. Drink at least 2 L of water daily

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days.
Which of the following findings should the nurse expect? (Select all that apply)

A. Poor skin turgor
B. Bradycardia
C. Hypotension
D. Pale yellow urine
E. Flat neck veins - A, C, E (poor skin turgor, hypotension, flat neck veins)

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary
following the procedure. Which of the following responses should the nurse make?

A. "The laxative will prevent the absorption of magnesium."
B. "The laxative helps eliminate the barium."
C. "The laxative is a protocol at this facility."
D. "The laxative makes the barium turn brown." - B. The laxative helps eliminate the barium

A nurse is reviewing lab values for a client who has systemic lupus erythematosus (SLE). Which
of the following values should give the nurse the best indication of the client's renal function?

A. Serum Creatinine
B. Blood urea nitrogen (BUN)
C. Serum Sodium
D. Urine-Specific Gravity - A. Serum creatinine

A nurse is caring for a client who is 1 day postop following a transurethral resection of the
prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions
should the nurse take? (Select all that apply)

A. Add the amount of bladder irrigation to the total output
B. Use sterile technique when preparing the irrigation system
C. Ensure the drainage tubing is patent and without obstruction
D. Contact the surgeon if the client reports a continual need to void
E. Notify the surgeon if the urine is bright red in appearance or has large clots - B, C, E (use
sterile technique when preparing the irrigation system, Ensure the drainage tubing is patent and
without obstruction, and notify the surgeon if the urine is bright red in appearance or has large
clots)

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