ATI MEDSURG CMS EXAM 2023

"When lifting a heavy object, keep it close to your body." - A nurse is reinforcing teaching about stress injuries. Which of the following instructions should the nurse include? A stage 3 pressure injury on the coccyx - A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? "The living will directs my medical care when I am unable to make decisions." - A nurse is reinforcing teaching with a client about living wills. Which of the following client statements indicates an understanding of the teaching? Urine output of 200 mL over 8 hr - A nurse is collecting data on four clients. Which of the following findings should the nurse report to the provider? Attend an exercise program. - A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? The client advances the unaffected leg first while climbing stairs. - A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? Provide privacy for the client. - A nurse is preparing to collect data from a client for a health assessment. Which of the following actions should the nurse take? The client reports urinary incontinence. - A nurse is collecting data from an older adult client. Which of the following findings should the nurse report to the provider? The client's face should be turned toward Mecca. - A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect? Assign the client to a negative-pressure airflow room. - A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take? Administer acetaminophen. - A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistent oral temperature of 38.9 degrees C (102 F). Which of the following interventions should the nurse include in the plan of care to treat the fever? Ensure that the client wears a surgical mask during transportation throughout the facility. - A nurse is contributing to the plan of care for a client who has positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? Ensure that the client is wearing nonskid slippers is correct. Place the client in a room near the nurses' station is correct Reinforce teaching about how to use the call bell is correct. - A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? (Select all that apply.) Pad bony prominences on the wrist. - A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? flashing smoke alarm - A nurse is reinforcing teaching with a client who has partial hearing loss about how to modify the home environment. Which of following is a priority modification that the nurse should include? An 18-year-old client who has acute appendicitis - A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify that which of the following clients is able to provide informed consent? BUN 8 mg/dL - A nurse is reviewing the medical record of a client who has heart failure. The nurse should identify which of the following laboratory results as an indication that the client has fluid volume excess? Place feet apart with the foot nearest the head of the client's bed in front of the other foot. - A nurse is moving a client up in bed with the assistance of a second nurse? Which of the following actions should the nurse take? "I will be sure to keep the crutch tips dry." - A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching? Evacuate clients from the area is the first step. Pull the lever on the fire alarm box is second step. Close the fire doors on the unit is the third step. Use a fire extinguisher to put out the fire is the fourth step. - A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the sequence of actions that the