ATI Med-Surg Proctored Exam Review study guide; ATI Med Surg Proctored Exam Practice Questions and answers CORRECT!!

ATI Med-Surg Proctored Exam Review study guide; ATI Med Surg Proctored Exam Practice Questions and answers CORRECT!! Respiratory Alkalosis S/S - lethargy lightheadedness confusion tachycardia dysrhythmias related to hypokalemia nausea vomiting epigastric pain numbness and tingling of the extremities hyperventilation (tachypnea) A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which intervention should the nurse include to prevent bone loss? - Encourage weight bearing exercises (such as walking because it can help maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.) A nurse is caring for a client who has meningococal pneumonia. Which of the following personal protective equipment should the nurse use? - Mask (this disease requires droplet precautions) A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the nurse include in the teaching? - This type of insulin should be given at the same time everyday. (It is released over a 24hr period) A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. What statement by the client indicates that they are adhering to the nurse's instructions? - "I don't cross my legs anymore". A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a surgical wound. What information should the nurse plan to share with visitors? - Visitors must don a gown & gloves prior to entering the client's room. A nurse is reinforcing teaching with a client who has heart failure and a new prescription for hydrochlorothiazide. What should the client report to the provider? - Onset of nausea A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the nurse take when communicating with the client? - Rephrase client instructions when not understood. A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what complication? - Pulmonary Embolism A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone fracture. What finding should the nurse recognize as abnormal? - Lack of sensation between the first and second toes A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. What should the nurse include in the teaching? - Limit contact with large groups of people A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube. What action should the nurse plan to take to decrease the risk of postoperative complications? - Encourage the client to use an incentive spirometer every hour while awake A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding should the nurse expect related to hyperkalemia? - Bradycardia A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions should the nurse implement first? - Initiate oxygen at 4 L/min via nasal cannula A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go on any longer." What response should the nurse make? - "Tell me more about the way you are feeling." A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as the priority? - Dysrhythmia A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to reduce skin breakdown? - Keep the skin dry and free of perspiration A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infections and is on contract isolation precautions. What action should the nurse take? - Have a designated stethoscope in the client's room A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. What action should the nurse perform first? - Stop the infusion A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound as what? - Hyperactive bowel sounds A nurse is preparing to administer furosemide to a client who has heart failure. What should the nurse report before administering the medication? - Decreased potassium A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. What information should the nurse include in the teaching? - Apply cold packs to the joints A nurse is collecting data from a client who has hypothyroidism. What manifestation should the nurse expect? - Bradycardia A nurse is reinforcing teaching with an older adult client who has osteoporosis. What instructions should the nurse include in the teaching? - Take the calcium supplements with meals A nurse is reviewing the medical record for an older adult client who is experiencing nausea & vomiting. Based on the client data, what action should the nurse take? (Na 142 mEq, K+ 4.2 mEq/L, BUN 36 mg/dL, Creatinine 1.4 mg/dL) - Notify the charge nurse of the client's BUN level A nurse is admitting a client who is suspected having active tuberculosis (TB). What action should should the nurse take first? - Institute airborne precautions A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast. What action should the nurse take? - Blow cool air into the cast using a blow dryer on a cool setting A nurse is planning care for a group of clients after receiving change-of-shift report. What client should the nurse see first? - A client who is dehydrated, has mental confusion, & was found getting out of bed several times during the night. A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. What action should the nurse take? - Administer oxygen via nasal cannula A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/ min. What action should the nurse take? - Withhold the dose A nurse is caring for a client who has an intestinal obstruction & reports a new onset of nausea. The client has an NG tube set at low intermittent suction & is receiving continuous IV infusion of 0.9% sodium chloride. What action should the nurse take first? - Check for kinks in the NG tube A nurse is reinforcing teaching with a client who is postoperative following a cemented total hip arthroplasty. What instructions should the nurse include in the teaching? - Maintain hip flex ion to 90 or less when sitting A nurse is caring for a client who is 24hr postoperative following an abdominal surgery. What finding requires immediate attention from the nurse? - Oxygen saturation of 88% A nurse is caring for a client following a gastrectomy. What action should the nurse take to decrease episodes of dumping syndrome? - Place the client in the supine position after meals A home health nurse is caring for a client who has COPD. The client tells the nurse that he becomes short of breath while eating despite the use of home oxygen. What instructions should the nurse include? - Drink beverages at the end of meals A nurse is reinforcing teaching with a client who has chronic kidney disease about management. What statement by the client indicates an understanding of the teaching? - I will limit my daily intake of protein A nurse is caring for a client who has dementia due to Alzheimer's disease. What action should the nurse take to reduce the client's confusion? - Encourage reminiscence of past experiences A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. What information should the nurse include in the teaching? - The virus can be transmitted without lesions present A nurse is reinforcing teaching with a client who has coronary artery disease and is taking a statin medication to lower cholesterol levels. What instruction should the nurse include in the teaching? - Add oily fish to your diet A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. What instructions on preparing the insulin should the nurse include? - Withdraw the regular insulin before withdrawing the NPH insulin A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. What instructions should the nurse include to promote comfort? - Sleep on a firm mattress A nurse is assisting in the plan of care for a