ATI Med-Surg Proctored Exam Review Questions And Answers 100% verified

ATI
Med-Surg
Proctored
Exam
Review
Respiratory
Alkalosis
S/S
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
"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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
Bradycardia
A
nurse
is
assisting
in
the
care
of
a
client
who
has
manifestations
of
sepsis.
What
provider
prescriptions
should
the
nurse
implement
first?
-
ANS
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?
-
ANS
"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?
-
ANS
Dysrhythmia
A
nurse
is
caring
for
a
client
who
is
in
Buck's
traction.
What
intervention
should
the
nurse
perform
to
reduce
skin
breakdown?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
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?
-
ANS
Apply
cold
packs
to
the
joints
A
nurse
is
collecting
data
from
a
client
who
has
hypothyroidism.
What
manifestation
should
the
nurse
expect?
-
ANS
Bradycardia
A
nurse
is
reinforcing
teaching
with
an
older
adult
client
who
has
osteoporosis.
What
instructions
should
the
nurse
include
in
the
teaching?
-
ANS
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)
-
ANS
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?
-
ANS
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?
-
ANS
Blow
cool
air
into
the
cast
using
a
blow
dryer
on
a
cool
setting