ATI Med Surg Proctored 2023 Questions and Answers Guaranteed success

ATI Med Surg Proctored 2023 Questions and Answers Guaranteed success A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? A. Urticaria B. Lymphedema C. Headaches D. Mouth sores Lymphedema A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? 33 A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? a. “I should lie down when I take this medication.” b. “I can keep my medication for 1 year before replacing it.” c. “I should discontinue this medication if I develop a headache.” d. “I can take up to five tablets in 15 minutes before seeking medical attention.” I should lie down when I take this medication A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? a. “You can cross your legs at the ankles when sitting down.” b. “Clean the incision daily with hydrogen peroxide.” c. “Install a raised toilet seat in your bathroom.” d. “You should use an incentive spirometer every 8 hrs.” Install a raised toilet seat in your bathroom A nurse is planning care for a client following cardiac catheterization. Which of the following actions should the nurse take? a. Limit the client’s fluid intake to 1 L per day. b. Change the client’s dressing every 8 hr. c. Keep the client on bed rest for 24 hr. d. Maintain he client’s affected extremity in extension. Maintain the client's affected extremity in extension A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? a) ​I will need to have my partner take over shopping for groceries and cooking the meals for us b) it's going to be difficult to tell my parents I can't take them to their appointments anymore c) I feel bad that I have to ask my partner to keep the house clean d) these crutches will make it impossible to care for my child I will need to have my partner take over shopping for groceries and cooking the meals for us A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? a. wash your toothbrush in the dishwasher once each month b. Wash your perineal area two times each day with antimicrobial soap c. Change your pet's litter box daily d. change the water in your drinking glass every 4 hours Change your pet's litter box daily A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? a. Nitroprusside b. Epinephrine c. Furosemide d. Desmopressin Desmopressin A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate? a. “Sucking on a lozenge may reduce the frequency of your cough.” b. “Increasing your daily fluid intake may eliminate your cough.” c. “Your cough may require that you stop or change your medication.” d. “Your cough should go away in time.” Sucking on a lozenge may reduce the frequency of your cough A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud’s? a. Eating a strict vegetarian diet b. Taking amlodipine for hypertension c. Using a nicotine transdermal patch d. A history of herpes zoster Using nicotine transdermal patch A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? a. Clamp the catheter. b. Turn the client to his left side. d. Obtain ABG values Turn the client to his left side A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client’s skin is intact. Which of the following interventions should the nurse include in the plan of care? a. Support bony prominences with pillows. b. Turn and reposition the client every 4 hr. c. Massage the reddened areas three times daily. d. Apply an occlusive dressing. Support bony prominences with pillows A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions is the priority for the nurse to take? a. Discuss recommendations for eating and swallowing techniques. b. List strategies for family coping when dealing with possible role changes. c. Give the client information about the local National Multiple Sclerosis Society. d. Review the use of adaptive grooming devices to promote client independence. Discuss recommendations for eating and swallowing techniques. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (click on the "exhibit" button for additional information about the client a. Obtain a sputum sample for culture. b. Administer ondansetron. c. Initiate airborne precautions. d. Prepare the client for a chest x-ray. Initiate airborne precautions A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client risk? a. Diet high in fiber b. History of Crohn’s disease c. Age 46 years d. BMI of 24 History of Crohn's disease A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, “I’m not sure want to have a mastectomy.” Which of the following statements should the nurse make? a. “I can give you additional information about the procedure.” b. “You will be cancer-free if you have the procedure.” c. “You should get a second opinion regarding the procedure.” d. “I can give you a list of other people who had the same procedure.” I can give you additional information about the procedure A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of actions the nurse should take (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) a. Remain with the client for the first 15 to 30 min of the infusion. b. Verify blood compatibility with another nurse. c. Obtain the unit of packed RBCs from blood bank. d. Obtain venous access using a 19-gauge needle. e. Initiate transfusion of the unit of packed RBCs. 1. obtain venous access using a 19-gauge needle 2. Obtain the unit of a packed RBCs from blood bank 3. verify blood compatibility with another nurse 4. Initiate traensfuntion of the unit of packed RBCs 5. Remain with the client for the first 15 to 30 minutes A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching? a. “I will have to wait 2 months before additional saline can be added to my breast expander.” b. “I will perform strength-building arm exercises using a 15-pound weight.” c. “I should expect less than 25 mL of secretions per day in the drainage devices.” d. “I will keep my left arm flexed at the elbow as much as possible.” I should expect less than 25 ml of secretions per day in the drainage devices . A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow Coma Scale scores should the nurse assign the client? a. 2 b. 5 c. 13 d. 10 5 0. A nurse provides discharge teaching to a client with heart failure and instructs him to limit sodium intake 2 grams per day. Which of the following statements by the client indicates an understanding of the teaching? a. “I can season my foods with garlic and onion salts.” b. “I can drink vegetable juice with a meal.” c. “I can have a frozen fruit juice bar for dessert.” d. “I can have mayonnaise on my sandwiches.” I can have a frozen fruit juice bar for dessert A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first? a. Collect information about the irritant that caused the injury. b. Place a strip of pH paper onto the cul-de-sac of the affected eye. c. Administer proparacaine eye drops into the affected eye. d. Instill 0.9% sodium chloride solution into the affected eye. Instill 0.9% sodium chloride solution into the affected eye A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse intervene immediately? a. SaO2 92% b. Stridor c. Rhonchi d. Sore throat Stridor . A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? a. Decreased serum amylase b. Elevated blood glucose c. Elevated serum calcium d. Decreased erythrocyte sedimentation rate Elevated blood glucose A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Hypothermia b. Urine specific gravity 1.001 c. BUN 15 d. Elevated blood pressure Urine specific gravity 1.001 A nurse is planning care for a client who has a pulmonary embolism. Which of the following interventions should the nurse include? a. Initiate a continuous IV heparin infusion. b. Position the client on the left side. c. Measure vital signs every 4 hr. d. Instruct the client to massage the lower extremities. Initiate a continuos IV heparin infusion A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the nurse include? a. Limit alcohol intake to one drink per day. b. Limit fluids to 1.5 L per day. c. Avoid extremely hot or cold temperatures. d. Avoid getting a flu vaccination. Avoid extremely hot or cold temperatures . A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first? a. Insert a large-bore IV catheter. b. Obtain a blood specimen for type and crossmatch. c. Administer IV therapy. d. Monitor urine output Insert a large-bore IV catheter A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulations of the graft? a. Normotensive blood pressure b. Dilated appearance of the graft c. Absence of a bruit d. Palpable thrill Palpable thrill