2023 ATI RN Med Surg Proctored Exam New Latest V ersion with All Questions and 100% Correct Answers A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse's priority? -------- Correct Answer --------- Altered level of consciousness A nurse caring for a client at risk for increased intracranial pressure is monitoring the client for manifestations that indicate that the pressure is increasing. To do this, the nurse should check the function of the third cranial nerve by performing whic h of the following data -collection activities? -------- Correct Answer --------- Checking pupillary responses to light A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects? -------- Correct Answer --------- Reducing anxiety A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report? -------- Correct Answer -------
-- Frequent mood changes A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites? -------- Correct Answer --------- Fever A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) -------- Correc t Answer --------- Blurry vision 3) Tachycardia 5) Sweating A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.) -------- Correct Answer --------- Edema 2) Erythema 3) Tophi 4) Tight skin A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is a complication of MG for which the nurse should monitor? -------- Correct Answer --------- Respiratory difficulty .A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority? ----
---- Correct Answer --------- Evaluate fluid and electrolyte levels. A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching? -------- Correct Answer --------- "You should wear glasses instead of contacts while taking this medication." A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching? -------- Correct Answer --------- "I will need to take this medication for the rest of my life." A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication? -------- Correct Answer --------- Decreased tremors A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider? -------- Correct Answer -----
---- Abdomen is distended A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching? -------- Correct Answer --------- Change the ostomy pouch daily A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan? -------- Correct Answer --------- Change the nasal drip pad as needed. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the follow ing effects? -------- Correct Answer --------- To prevent blood clotting A nurse is collecting data from a client who has open -angle glaucoma. Which of the following findings should the nurse expect? -------- Correct Answer --------- Loss of peripheral vision A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? -------- Correct Answer --------- Potassium 2.5 mEq/L A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching? -------- Correct Answer --------- "I will take a tub bath instead of a shower."
-- Frequent mood changes A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites? -------- Correct Answer --------- Fever A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) -------- Correc t Answer --------- Blurry vision 3) Tachycardia 5) Sweating A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.) -------- Correct Answer --------- Edema 2) Erythema 3) Tophi 4) Tight skin A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is a complication of MG for which the nurse should monitor? -------- Correct Answer --------- Respiratory difficulty .A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority? ----
---- Correct Answer --------- Evaluate fluid and electrolyte levels. A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching? -------- Correct Answer --------- "You should wear glasses instead of contacts while taking this medication." A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching? -------- Correct Answer --------- "I will need to take this medication for the rest of my life." A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication? -------- Correct Answer --------- Decreased tremors A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider? -------- Correct Answer -----
---- Abdomen is distended A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching? -------- Correct Answer --------- Change the ostomy pouch daily A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan? -------- Correct Answer --------- Change the nasal drip pad as needed. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the follow ing effects? -------- Correct Answer --------- To prevent blood clotting A nurse is collecting data from a client who has open -angle glaucoma. Which of the following findings should the nurse expect? -------- Correct Answer --------- Loss of peripheral vision A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? -------- Correct Answer --------- Potassium 2.5 mEq/L A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching? -------- Correct Answer --------- "I will take a tub bath instead of a shower."
